J-wave on ECG in patients with COVID-19-associated pneumonia: qualitative and quantitative analysis, topographical characteristics
Abstract
Objective. To conduct a qualitative and quantitative analysis of electrocardiograms (ECG) of patients with COVID-19-associated pneumonia (COVID-19-AP) with a registered J-wave (J) and to evaluate the relationship between the width of the QRS complex and the duration of the corrected QT interval (QTc) in the presence and absence of J in patients with COVID-19-AP.
Material and methods. Out of 386 patients in the COVID hospital, 47 patients with COVID-19-AP with J were selected and they formed the main group. The average age of patients was 62 ± 10.5 years (58-72.5) old, females predominated – 35 patients (74.5 %). 339 patients with COVID-19-AP without J formed the control group. The average age was 58 ± 9.5 years (48.5-66) old, females predominated - 195 patients (57.5 %). All underwent ECG.
Conclusions. Among patients with COVID-19-AP with J, in half of the cases J was recorded in the inferior leads (II, III, aVF - 51.1 %), in the other half of the patients – in the lateral leads (I, V5, V6 - 48.9 %). 2) The width of the QRS complex and the duration of the corrected QT interval among patients with COVID-19-AP were significantly greater in the group of patients with J compared to patients without J.
About the Authors
T. I. Musin
Bashkir State Medical University Ministry of Health of Russia; Federal State Budgetary Institution "National Medical Research Center of Cardiology named after Academician E.I. Chazov" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Ufa; Moscow
Z. A. Bagmanova
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
N. Sh. Zagidullin
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
References
1. Bagmanova Z.A., Rudenko V.G., Musin T.I. A case of detection of an Osborne wave on an electrocardiogram in a patient with a history of myocardial infarction. Cardiology. 2016;4:53- 56. (In Russ)
2. Musin T.I. [et al.] The case of detecting changes in the electrocardiogram in the form of an Osborne wave during a new coronavirus infection. Russian Cardiology Journal. 2021;26:68-73. (In Russ)
3. Gussak I., Antzelevitch C. Early repolarization syndrome: clinical characteristics and possible cellular and ionic mechanisms. J Electrocardiol. 2000; 33: 299-309. doi: 10.1054/jelc.2000.18106 (In Engl)
4. Sukmarova Z.N. [et al.] Pleurisy and pericarditis as a cause of atypical chest pain in patients with in early post-COVID-19 period. Medical Visualization. 2022;26(4):11-22. doi: 10.24835/1607-0763-1232 (In Russ.)
5. Yan G. X., Antzelevitch C.Cellular basis for the electrocardiographic J wave. Circulation. 1996; 2 (93):372–9 (In Engl)
6. Rosso R. [et al.] J-point elevation in survivors of primary ventricular fibrillation and matched control subjects: incidence and clinical significance. Journal of the American College of Cardiology. 2008;15 (52):1231–8 (In Engl)
7. Haïssaguerre M. [et al.] Sudden cardiac arrest associated with early repolarization. The New England journal of medicine. 2008; 19 (358): 2016–23. (In Engl)
8. Kalla H., Yan G.X., Marinchak R. Ventricular fibrillation in a patient with prominent J (Osborn) waves and ST segment elevation in the inferior electrocardiographic leads: a Brugada syndrome variant? Journal of cardiovascular electrophysiology. 2000;1(11):95–8. (In Engl)
9. Eniseeva E.S., Gurtovaya G.P. Early repolarization of the ventricles: the criteria for diagnosis, risk stratification. Sibirskij Medicinskij Zurnal (Irkutsk). 2019;4(159):26–30. (In Russ.)
10. Mayrina S.V. [et al.] Clinical and morphological myocardial changes in patients with post-COVID-19 syndrome. Russian Journal of Cardiology. 2023;28(11):5582. (In Russ.)
Review
For citations:
Musin T.I., Bagmanova Z.A., Zagidullin N.Sh. J-wave on ECG in patients with COVID-19-associated pneumonia: qualitative and quantitative analysis, topographical characteristics. Bashkortostan Medical Journal. 2024;19(5):25-28. (In Russ.)
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