Evidence map›Paper›PMID 33890684›Full record

SynthesisPacing and clinical electrophysiology : PACE2021

Arrhythmias and electrocardiographic findings in Coronavirus disease 2019: A systematic review and meta-analysis.

Sebastian Garcia-Zamora, Sharen Lee, Sohaib Haseeb, George Bazoukis, Gary Tse, Jesus Alvarez-Garcia, Enes Elvin Gul, Göksel Çinier, Bryce Alexander, Marcelo Martins Pinto-Filho and 2 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pacing and clinical electrophysiology : PACE, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Are Pre-Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID-19 Patients? A Quantitative Systematic Literature Review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Pooled it
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  12. Myocarditis and COVID-19 related issues.Global cardiology science & practice · 2023
    Review
  13. Article
  14. Observational
  15. Review
  16. Effects of COVID-19 on Arrhythmia.Journal of cardiovascular development and disease · 2022
    Review
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 11 countries.

Sebastian Garcia-ZamoraCardiology Department, FLENI, Buenos Aires, Argentina.ORCID 0000-0001-6846-0247
Sharen LeeLaboratory of Cardiovascular Physiology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-2401-2837
Sohaib HaseebCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.ORCID 0000-0003-2799-5135
George BazoukisSecond Department of Cardiology, General Hospital of Athens "Evangelismos", Athens, Greece.ORCID 0000-0003-1009-9772
Gary TseTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China.ORCID 0000-0001-5510-1253
Jesus Alvarez-GarciaIcahn School of Medicine at Mount Sinai, Mount Sinai Hospital, Bronx, New York, USA.ORCID 0000-0002-2015-6446
Enes Elvin GulDivision of Cardiac Electrophysiology, Madinah Cardiac Centre, Madinah, Saudi Arabia.ORCID 0000-0003-1285-0638
Göksel ÇinierDepartment of Cardiology, Dr.SiyamiErsek Hospital Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0001-5064-1816
Bryce AlexanderHeart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0002-6126-1752
Marcelo Martins Pinto-FilhoCardiology Department at Hospital das Clinicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0002-6646-1163
Tong LiuTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China.ORCID 0000-0003-0482-0738
Adrian BaranchukHeart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0002-3042-6569
Queen's University · CASecond Hospital of Tianjin Medical University · CNChinese University of Hong Kong · HKEvangelismos Hospital · GRFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARHospital das Clínicas da Universidade Federal de Minas Gerais · BRHospital de Sant Pau · ESJames Cook University · AUSaud Al-babtain Cardiac Centre · SAŞişli Etfal Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) primarily causes lung infection, but recent studies have shown that cardiac involvement is associated with a worse prognosis.

objectivesWe conducted a systematic review and meta-analysis to examine the prevalence of cardiac arrhythmias detected by the electrocardiogram and their relationships with adverse outcomes in patients with COVID-19.

methodsPubMed and Google were searched for studies that reported on cardiac arrhythmias and/or examined the relationship between arrhythmias and adverse outcomes.

resultsThirty studies with 12,713 participants were included in the systematic review, and 28 studies (n = 12,499) in the meta-analysis. The mean age was 61.3 ± 16.8 years; 39.3% were female. In 25 studies with 7578 patients, the overall prevalence of cardiac arrhythmias was 10.3% (95% confidence interval [CI]: 8.4%-12.3%). The most common arrhythmias documented during hospitalization were supraventricular arrhythmias (6.2%, 95% CI: 4.4%-8.1%) followed by ventricular arrhythmias (2.5%, 95% CI: 1.8%-3.1%). The incidence of cardiac arrhythmias was higher among critically ill patients (relative risk [RR]: 12.1, 95% CI: 8.5-17.3) and among non-survivors (RR: 3.8, 95%, CI: 1.7-8.7). Eight studies reported changes in the QT interval. The prevalence of QTc > 500 ms was 12.3% (95% CI: 6.9%-17.8%). ST-segment deviation was reported in eight studies, with a pooled estimate of 8.7% (95% CI: 7.3% to 10.0%).

conclusionOur meta-analysis showed that QTc prolongation, ST-segment deviation, and various other cardiac arrhythmias were observed in patients hospitalized with COVID-19. The presence of cardiac arrhythmias was associated with a worse prognosis.

Indexed as

ElectrocardiographyArrhythmias, CardiacCOVID-19HumansIncidencePandemicsPneumonia, ViralPrevalenceSARS-CoV-2atrial fibrillationCOVID-19ECGventricular tachyarrhythmias

Identifiers

PMID33890684
PMCPMC8250376
OpenAlexW3153369417

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.