Evidence map›Paper›PMID 35110843›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2022

Electrocardiographic Changes in COVID-19 Patients: A Hospital-based Descriptive Study.

Deepalakshmi Kaliyaperumal, Kumar Bhargavi, Karthikeyan Ramaraju, Krishna S Nair, Sudha Ramalingam, Murali Alagesan

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Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 24 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Article
  6. COVID-19: Don't Forget the Heart.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  7. Article
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

6 authors at 1 institution in 1 country.

Deepalakshmi KaliyaperumalDepartment of Physiology, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-3589-3860
Kumar BhargaviDepartment of Medicine, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-9799-0332
Karthikeyan RamarajuDepartment of Respiratory Medicine, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-5577-5829
Krishna S NairDepartment of Medicine, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-5339-6470
Sudha RamalingamDepartment of Community Medicine, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-7800-9396
Murali AlagesanDepartment of Medicine, PSG IMSR, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-5876-4033
PSG Institute of Medical Sciences & Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease-2019 (COVID-19) infection is a multisystem disease not restricted to the lungs. It has a negative impact on the cardiovascular system by causing myocardial damage, vascular inflammation, plaque instability, and myocardial infarction. The presence of myocardial injury is a poor prognostic sign. Electrocardiogram (ECG), a simple bedside diagnostic test with high prognostic value, can be employed to assess early cardiovascular involvement in such patients. Various abnormalities in ECG like ST-T changes, arrhythmia, and conduction defects have been reported in COVID-19. We aimed to find out the ECG abnormalities of COVID-19 patients.

methodsWe performed a cross-sectional, hospital-based descriptive study among 315 COVID-19 in-patients who underwent ECG recording on admission. Patients' clinical profiles were noted from their records, and the ECG abnormalities were studied.

resultsAmong the abnormal ECGs 255 (81%), rhythm abnormalities were seen in 9 patients (2.9%), rate abnormalities in 115 patients (36.5%), and prolonged PR interval in 2.9%. Short QRS complex was seen in 8.3%. QT interval was prolonged in 8.3% of the patients. Significant changes in the ST and T segments (42.9%) were observed. In logistic regression analysis, ischemic changes in ECG were associated with systemic hypertension and respiratory failure.

conclusionIn our study, COVID-19 patients had ischemic changes, rate, rhythm abnormalities, and conduction defects in their ECG. With this ongoing pandemic of COVID-19 and limited health resources, ECG-a simple bedside noninvasive tool is highly beneficial and helps in the early diagnosis and management of cardiac injury. HOW TO CITE THIS ARTICLE: Kaliyaperumal D, Bhargavi K, Ramaraju K, Nair KS, Ramalingam S, Alagesan M. Electrocardiographic Changes in COVID-19 Patients: A Hospital-based Descriptive Study. Indian J Crit Care Med 2022;26(1):43-48.

Indexed as

Coronavirus disease-2019Electrocardiogram changeRate abnormalitiesST-T changes

Identifiers

PMID35110843
PMCPMC8783240
OpenAlexW4205580500

What OpenQuestion holds

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Registered trials

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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.