ArticleArquivos brasileiros de cardiologia2021
Cardiac Arrhythmias in Patients with COVID-19.
Article in Arquivos brasileiros de cardiologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Pathogenic mechanisms of cardiovascular damage in COVID-19.Molecular medicine (Cambridge, Mass.) · 2024Review
- [Severe coronavirus-2 infection background for cardiovascular complications].Revista medica del Instituto Mexicano del Seguro Social · 2024Observational
- Clinical and Laboratory Data Up on Hospital Admission are Predictors of New-Onset Atrial Fibrillation in Patients Hospitalized Due to COVID-19 Pneumonia.Arquivos brasileiros de cardiologia · 2024Observational
- COVID-19 and Atrial Fibrillation: Predicting to Prevent.Arquivos brasileiros de cardiologia · 2024Article
- COVID-19 and the heart.World journal of clinical cases · 2022Review
- Cardiac Arrhythmias and COVID-19: Side-By-Side in the Pandemic.Arquivos brasileiros de cardiologia · 2021Article
- Atrial inflammation and microvascular thrombogenicity are increased in deceased COVID-19 patients.Cardiovascular pathology : the official journal of the Society for Cardiovascular PathologyArticle
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) is associated with cardiovascular clinical manifestations, including cardiac arrhythmias.
objectiveTo assess the incidence of cardiac arrhythmias (atrial tachyarrhythmia, bradyarrhythmia, and sustained ventricular tachycardia) and cardiac arrest (CA) in a cohort of patients hospitalized with COVID-19 in a tertiary university-affiliated hospital.
methodsCohort study with retrospective analysis of electronic medical records. For comparison between groups, a value of p <0.05 was considered statistically significant.
resultsWe included 241 consecutive patients diagnosed with COVID-19 (mean age, 57.8 ± 15.0 years; 51.5% men; 80.5% white), 35.3% of whom received invasive mechanical ventilation (MV). The overall mortality was 26.6%, being 58.8% among those on MV. Cardiac arrhythmias were identified in 8.7% of the patients, the most common being atrial tachyarrhythmia (76.2%). Patients with arrhythmias had higher mortality (52.4% versus 24.1%, p = 0.005). On multivariate analysis, only the presence of heart failure (HF) was associated with a higher risk of arrhythmias (hazard ratio, 11.9; 95% CI: 3.6-39.5; p <0.001). During hospitalization, 3.3% of the patients experienced CA, with a predominance of non-shockable rhythms. All patients experiencing CA died during hospitalization.
conclusionsThe incidence of cardiac arrhythmias in patients admitted with COVID-19 to a Brazilian tertiary hospital was 8.7%, and atrial tachyarrhythmia was the most common. Presence of HF was associated with an increased risk of arrhythmias. Patients with COVID-19 experiencing CA have high mortality.
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