Electrocardiographic Manifestations of Hospitalized Adult Patients with Coronavirus Disease 19 (COVID-19): UP-PGH DCVM ECG Study

Authors

  • Tam Adrian P. Aya-ay, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0002-5381-6359
  • Felix Eduardo R. Punzalan, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila; College of Medicine, University of the Philippines Manila
  • Paul Anthony O. Alad, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Kaye Eunice L. Lustestica, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Nigel Jeronimo C. Santos, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Jaime Alfonso M. Aherrera, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Elmer Jasper B. Llanes, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila; College of Medicine, University of the Philippines Manila
  • Giselle G. Gervacio, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila; College of Medicine, University of the Philippines Manila
  • Eugenio B. Reyes, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila; College of Medicine, University of the Philippines Manila
  • John C. Añonuevo, MD Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila; College of Medicine, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.vi0.11935

Keywords:

Coronavirus Disease 19 (COVID-19), electrocardiography, atrial fibrillation

Abstract

Background and Objective. COVID-19 has been associated with cardiac injury, often detectable through electrocardiographic (ECG) changes. This study seeks to characterize the cardiovascular and electrocardiographic profiles of adult patients diagnosed with COVID-19.

Methods. This study included adult patients with confirmed COVID-19 from June 2021 to June 2022. Clinical profiles and 12-lead ECG tracings were obtained from electronic medical records and reviewed independently by three cardiologists. Descriptive analysis was performed to summarize the cardiovascular and electrocardiographic findings in this population.

Results. The study included 998 COVID-19 patients (mean age: 50 years; 53.7% male). The most common comorbidities were hypertension, diabetes, and dyslipidemia. A majority (31.36%) presented with severe COVID-19 infection. The most frequent significant ECG abnormalities observed at admission were sinus tachycardia (22.8%), and atrial fibrillation (11.02%). Additional ischemic findings included ST segment depression (2.91%), T-wave inversion (1.70%), and ST segment elevation (2.71%).

Conclusion. The baseline ECG findings among COVID-19 patients were predominantly normal; however, significant abnormalities were also identified. The most frequent abnormalities included sinus tachycardia, atrial fibrillation, and ischemic changes, all of which may have clinical implications.

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Published

2025-03-05

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How to Cite

1.
Electrocardiographic Manifestations of Hospitalized Adult Patients with Coronavirus Disease 19 (COVID-19): UP-PGH DCVM ECG Study. Acta Med Philipp [Internet]. 2025 Mar. 5 [cited 2025 Apr. 4];. Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/11935

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