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Review
. 2022 Mar;14(1):63-70.
doi: 10.1016/j.ccep.2021.10.006. Epub 2021 Oct 30.

Electrocardiographic Features of Patients with COVID-19: An Updated Review

Jorge Romero  1 , Mohamed Gabr  1 , Juan Carlos Diaz  2 , Sutopa Purkayastha  1 , Maria T Gamero  1 , Olga Reynbakh  1 , Jose Matias  1 , Isabella Alviz  1 , Alejandro Velasco  1 , Domenico G Della Rocca  3 , Sanghamitra Mohanty  3 , Aung Lin  1 , Fengwei Zou  1 , Andrea Natale  3 , Luigi Di Biase  4
Affiliations
Review

Electrocardiographic Features of Patients with COVID-19: An Updated Review

Jorge Romero et al. Card Electrophysiol Clin. 2022 Mar.

Abstract

Numerous systemic manifestations, including cardiac involvement in the form of myocardial infarction, myocarditis, and electrocardiographic changes, have been associated with COVID-19..In this review, the authors describe the electrocardiographic features that have been reported to date in patients affected by this disease and their possible underlying mechanisms.

Keywords: COVID 19; ECG; Electrocardiography.

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Conflict of interest statement

Disclosure Dr L. Di Biase is a consultant for Stereotaxis, Biosense Webster, Boston Scientific, and Abbott Medical and has received speaker honoraria/travel support from Medtronic, Atricure, Bristol Meyers Squibb, Pfizer, and Biotronik. Dr A. Natale is a consultant for Biosense Webster, Stereotaxis, and Abbott and has received speaker honoraria/travel support from Medtronic, Atricure, Biotronik, and Janssen. Remaining authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Axis and QRS in patients with COVID-19. (A) Incomplete right bundle branch block. Diffuse T wave inversion involving septal, anterior, inferior and lateral leads is also observed; (B) right axis deviation; (C) left axis deviation. Right bundle branch block is also present.
Fig. 2
Fig. 2
ST and T-wave changes in COVID-19. (A) ST segment elevation; (B) T-wave inversions in anterior leads; (C) T-wave inversions in anterolateral leads.
Fig. 3
Fig. 3
QTc changes that warrant frequent QTc monitoring in SARS-CoV-2 infection.
Fig. 4
Fig. 4
(A) Arrhythmias in COVID-19; (B) mechanism of arrhythmias. NSVT, nonsustained ventricular tachycardia.
See this image and copyright information in PMC

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