Cardiac dysrhythmia in COVID-19 patients,occurrence and risk factors: a retrospective cohort study

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HAJI AGHAJANI MOHAMMAD; HAGHIGHI MEHRDAD; SISTANIZAD MOHAMMAD; Asadpoordezaki Ziba; Toloui Amirmohammad; Madani Neishaboori Arian; POURHOSEINGHOLI ASMA; Nasiri Afrapoli Fatemeh; HEYDARI AMIR; MIRI REZA; YOUSEFIFARD MAHMOUD

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Journal: Frontiers in Emergency Medicine Year:2022 | Volume:6 | Issue:3 Page(s): 0-0

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Title

Cardiac dysrhythmia in COVID-19 patients,occurrence and risk factors: a retrospective cohort study

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Keywords

Cardiac Arrhythmia

COVID-19

Electrocardiography

Abstract

Objective: In this study, we have evaluated the occurrence and risk factors of cardiac dysrhythmia on admission and during hospitalization in COVID-19 patients. Methods: This study was conducted as a retrospective cohort in which 893 electrocardiograms (ECGs) taken at the time of admission, and 328 ECGs taken during hospitalization were evaluated. These ECGs were assessed for cardiac dysrhythmias by a cardiologist. Finally, relationships between clinical characteristics and the occurrence of cardiac dysrhythmias in patients were assessed. Results: Most common cardiac dysrhythmias on admission were sinus tachycardia (64. 8%), atrial fibrillation (13. 5%), and sinus bradycardia (11. 3%). Multivariate regression analysis showed that a history ofmetformin use (RR=0. 83,P=0. 042) was independently associated with reduced risk of cardiac dysrhythmias on admission, while male sex (RR=1. 16,P=0. 018), history of cardiovascular diseases (RR=1. 16,P=0. 017), history of cancer (RR=1. 40,P=0. 004) and QT interval prolongation on ECG (RR=1. 18,P=0. 017) were associated with a higher risk of cardiac dysrhythmias on admission. Also, among the 328 patients that had a second ECG, 185 (56. 4%) experienced cardiac dysrhythmias during their hospitalization. Multivariate analysis showed that presence of cardiac dysrhythmias on admission (RR=1. 85,95% CI: 1. 49, 2. 35,P<0. 001) was the only independent prognostic factor for the occurrence of cardiac dysrhythmias during hospitalization. No significant relationships were observed between treatment regimens and the incidence of cardiac dysrhythmias. Conclusion: The present study showed that more than half of COVID-19 patients have cardiac dysrhythmias on admission. Our analyses illustrated that a history of metformin use was associated with a lower risk of cardiac dysrhythmias on admission, while male sex, history of cardiovascular diseases, history of cancer, andQT interval prolongation were associated with a higher rate of cardiac dysrhythmias. Hydroxychloroquine use along with azithromycin and kaletra (lopinavir-ritonavir) had no association with the development of cardiac dysrhythmias during hospitalization.

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APA: Copy

HAJI AGHAJANI, MOHAMMAD, HAGHIGHI, MEHRDAD, SISTANIZAD, MOHAMMAD, Asadpoordezaki, Ziba, Toloui, Amirmohammad, Madani Neishaboori, Arian, POURHOSEINGHOLI, ASMA, Nasiri Afrapoli, Fatemeh, HEYDARI, AMIR, MIRI, REZA, & YOUSEFIFARD, MAHMOUD. (2022). Cardiac dysrhythmia in COVID-19 patients,occurrence and risk factors: a retrospective cohort study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 6(3), 0-0. SID. https://sid.ir/paper/1137235/en

Vancouver: Copy

HAJI AGHAJANI MOHAMMAD, HAGHIGHI MEHRDAD, SISTANIZAD MOHAMMAD, Asadpoordezaki Ziba, Toloui Amirmohammad, Madani Neishaboori Arian, POURHOSEINGHOLI ASMA, Nasiri Afrapoli Fatemeh, HEYDARI AMIR, MIRI REZA, YOUSEFIFARD MAHMOUD. Cardiac dysrhythmia in COVID-19 patients,occurrence and risk factors: a retrospective cohort study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2022;6(3):0-0. Available from: https://sid.ir/paper/1137235/en

IEEE: Copy

MOHAMMAD HAJI AGHAJANI, MEHRDAD HAGHIGHI, MOHAMMAD SISTANIZAD, Ziba Asadpoordezaki, Amirmohammad Toloui, Arian Madani Neishaboori, ASMA POURHOSEINGHOLI, Fatemeh Nasiri Afrapoli, AMIR HEYDARI, REZA MIRI, and MAHMOUD YOUSEFIFARD, “Cardiac dysrhythmia in COVID-19 patients,occurrence and risk factors: a retrospective cohort study,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 6, no. 3, pp. 0–0, 2022, [Online]. Available: https://sid.ir/paper/1137235/en

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