Yıl: 2021 Cilt: 46 Sayı: 1 Sayfa Aralığı: 101 - 107 Metin Dili: İngilizce DOI: 10.17826/cumj.786698 İndeks Tarihi: 30-06-2021

Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias

Öz:
Purpose: Electrocardiography (ECG) is the first-linediagnostic tool to evaluate cardiac involvement in anydisease and COVID-19 patients. The objective of thisstudy is to investigate the ventricular arrhythmia formingeffect of COVID-19 and to guide the treatment.Materials and Methods: A total of 74 patients (mean age52.63±17.85 years) under follow-up for asymptomaticCOVID-19 and 74 healthy volunteers (mean age50.71±6.02 years) were enrolled in the study. Heart rate,QRS duration, QT distance, T-wave morphology (Tp-einterval), Tp-e/QT ratio, and index of cardioelectrophysiological balance (iCEB) were analyzed andcompared to both groups.Results: The heart rate was higher, and the QT intervalwas shorter on ECG in the COVID-19 group. QTcinterval, Tp-e intervals, and Tp-e/QT ratio were notdifferent between groups. Furthermore, iCEB and iCEB-cvalues were not different between groups. A significantpositive but weak correlation was observed between CRPand troponin values in patients with COVID-19.Moreover, there was no correlation between troponinlevels and Tp-e/QT ratio and iCEB in patients withCOVID-19.Conclusion: The chronic cardiac effects of the COVID19 have not been elucidated. Prospective clinical trials withlong-term and a high number of patient populations areneeded to reveal this. Notably, patients with significantlyelevated troponin values should be followed up for longterm development of cardiomyopathy and arrhythmias.
Anahtar Kelime:

Asemptomatik COVID-19 ve ventriküler aritmiler arasındaki ilişkinin belirlenmesi

Öz:
Amaç: Elektrokardiyografi (EKG), herhangi bir hastalıkta ve COVID-19 hastalarında kardiyak tutulumu değerlendirmek için ilk seçenek tanı aracıdır. Bu çalışmanın amacı, COVID-19'un ventriküler aritmilere yatkınlık oluşturan etkisini araştırmak ve tedaviye rehberlik etmektir. Gereç ve Yöntem: Asemptomatik COVID-19 nedeniyle takip edilen 74 hasta (ortalama yaş 52.63 ± 17.85 yıl) ve 74 sağlıklı gönüllü (ortalama yaş 50.71 ± 6.02 yıl) çalışmaya dahil edildi. Kalp hızı, QRS süresi, QT mesafesi, T dalgası morfolojisi (Tp-e aralığı), Tp-e / QT oranı ve kardiyak elektrofizyolojik denge indeksi (iCEB) analiz edildi ve her iki grup arasında karşılaştırıldı. Bulgular: COVID-19 grubunda EKG'de kalp hızı daha yüksekti ve QT aralığı daha kısaydı. QTc aralığı, Tp-e aralıkları ve Tp-e / QT oranı açısından gruplar arasında farklılık yoktu. Ayrıca, iCEB ve iCEB-c değerleri gruplar arasında farklı değildi. COVID-19'lu hastalarda CRP ve troponin değerleri arasında anlamlı ancak zayıf pozitif bir korelasyon gözlendi. COVID-19'lu hastalarda troponin seviyeleri ile Tp-e / QT oranı ve iCEB arasında korelasyon yoktu. Sonuç: COVID-19'un kronik kardiyak etkileri aydınlatılamamıştır. Bunu ortaya çıkarmak için uzun vadeli ve çok sayıda hasta popülasyonu içeren prospektif klinik araştırmalara ihtiyaç vardır. Özellikle, troponin değerleri önemli ölçüde yüksek olan hastalar, uzun süreli kardiyomiyopati ve aritmi gelişimi açısından izlenmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÇÖLKESEN F, ALSANCAK Y, vatansev h, Çölkesen F, KEPENEK KURT E (2021). Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. , 101 - 107. 10.17826/cumj.786698
Chicago ÇÖLKESEN FATİH,ALSANCAK Yakup,vatansev hülya,Çölkesen Fatma,KEPENEK KURT ESMA Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. (2021): 101 - 107. 10.17826/cumj.786698
MLA ÇÖLKESEN FATİH,ALSANCAK Yakup,vatansev hülya,Çölkesen Fatma,KEPENEK KURT ESMA Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. , 2021, ss.101 - 107. 10.17826/cumj.786698
AMA ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. . 2021; 101 - 107. 10.17826/cumj.786698
Vancouver ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. . 2021; 101 - 107. 10.17826/cumj.786698
IEEE ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E "Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias." , ss.101 - 107, 2021. 10.17826/cumj.786698
ISNAD ÇÖLKESEN, FATİH vd. "Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias". (2021), 101-107. https://doi.org/10.17826/cumj.786698
APA ÇÖLKESEN F, ALSANCAK Y, vatansev h, Çölkesen F, KEPENEK KURT E (2021). Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. Cukurova Medical Journal, 46(1), 101 - 107. 10.17826/cumj.786698
Chicago ÇÖLKESEN FATİH,ALSANCAK Yakup,vatansev hülya,Çölkesen Fatma,KEPENEK KURT ESMA Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. Cukurova Medical Journal 46, no.1 (2021): 101 - 107. 10.17826/cumj.786698
MLA ÇÖLKESEN FATİH,ALSANCAK Yakup,vatansev hülya,Çölkesen Fatma,KEPENEK KURT ESMA Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. Cukurova Medical Journal, vol.46, no.1, 2021, ss.101 - 107. 10.17826/cumj.786698
AMA ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. Cukurova Medical Journal. 2021; 46(1): 101 - 107. 10.17826/cumj.786698
Vancouver ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias. Cukurova Medical Journal. 2021; 46(1): 101 - 107. 10.17826/cumj.786698
IEEE ÇÖLKESEN F,ALSANCAK Y,vatansev h,Çölkesen F,KEPENEK KURT E "Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias." Cukurova Medical Journal, 46, ss.101 - 107, 2021. 10.17826/cumj.786698
ISNAD ÇÖLKESEN, FATİH vd. "Evaluation of association between asymptomatic COVID-19 and ventricular arrhythmias". Cukurova Medical Journal 46/1 (2021), 101-107. https://doi.org/10.17826/cumj.786698