Evidence map›Paper›PMID 39710654›Full record

ArticleBMC cardiovascular disorders2024

Temporal variations in QTc interval during and after COVID-19 infection: a retrospective study.

Dasheng Lu, Jiancheng Hu, Jiahui Qian, Fangfang Cheng

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Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Dasheng LuDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, 10# Kangfu road, Wuhu, Anhui Province, 241000, China. wydslu@wnmc.edu.cn.
Jiancheng HuDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, 10# Kangfu road, Wuhu, Anhui Province, 241000, China.
Jiahui QianDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, 10# Kangfu road, Wuhu, Anhui Province, 241000, China.
Fangfang ChengDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, 10# Kangfu road, Wuhu, Anhui Province, 241000, China.

Funding

Anhui Province Natural Science Research Project of Higher Education Institutions 2024AH051940Anhui Province Outstanding Young Talents Support Program in Colleges and Universities gxyq2022048
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the dynamic changes in QTc interval duration among patients with COVID-19 infection before, during, and after infection, in order to assess the short- and potential long-term impact of COVID-19 on cardiac electrophysiology.

methodsA retrospective analysis was conducted on 303 inpatients diagnosed with COVID-19 who visited a tertiary Grade A hospital in China between August 2022 and December 2023. Inclusion criteria required patients to have at least two electrocardiogram (ECG) recordings at three specific time points: before COVID-19 infection, during acute infection, and after recovery (more than one month post-infection).

resultsThe mean age of participants was 72.8 ± 14.7 years, with a male preponderance (62%, n = 188). A significant prolongation of QTc interval was observed during COVID-19 infection compared to pre-infection levels (438.3 ± 26.7 ms vs. 433.9 ± 26.6 ms, p = 0.025). QTc interval was positively correlated with age both before (r = 0.23, p = 0.001) and during infection (r = 0.19, p = 0.001). In short-term follow-up (≤ 6 months), QTc interval remained unchanged from the infectious period (p > 0.05), whereas it significantly decreased during long-term follow-up (> 6 months; 429.6 ± 32.5 ms vs. 437.5 ± 28.2 ms, p = 0.002). Additionally, P-wave duration significantly decreased from the infectious period to long-term follow-up (99.5 ± 14.8 ms to 96.4 ± 15.2 ms, p = 0.024).

conclusionsCOVID-19 infection demonstrated a significant correlation with prolonged QTc interval, persisting in the short term but gradually returning to normal in the long term. Similarly, P-wave duration shortened over time, suggesting potential cardiac electrophysiological recovery. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

COVID-19ElectrocardiographyHeart RateLong QT SyndromeAction PotentialsAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2Time FactorsCardiac arrhythmiaCOVID-19Dynamic changesElectrocardiogramQTc interval

Identifiers

PMID39710654
PMCPMC11664898

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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.