珠海市新型冠状病毒奥密克戎变异株感染者心肌损害情况及心电图特征
作者:
作者单位:

(中山大学附属第五医院心血管疾病中心,广东省珠海市 519000)

作者简介:

危小良,医学硕士,主治医师,主要从事冠状动脉介入及心脏重症研究,E-mail:964159153@qq.com。通信作者黄明星,主任医师,主要从事感染病及肝病研究,E-mail:huangmx5@mail.sysu.edu.cn。

通讯作者:

基金项目:

广东省防治新型冠状病毒科技攻关专项(2021A111110008);2020珠海市新型冠状病毒感染防治应急科技攻关专项(ZH22036302200008PWC)


Myocardium damage and electrocardiogram characteristics of patients infected with SARS-CoV-2 Omicron variant in Zhuhai
Author:
Affiliation:

Cardiovascular Disease Center, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的]探索珠海市新型冠状病毒(SARS-CoV-2)奥密克戎变异株感染者心肌损害情况及异常心电图特征。 [方法]纳入2022年1月13日—3月20日中山大学附属第五医院收治的84例SARS-CoV-2奥密克戎变异株感染者(奥密克戎变异株组),以及2020年1月17日—2月17日收治的88例SARS-CoV-2非奥密克戎变异株感染者(非奥密克戎变异株组),采用回顾性研究比较两组患者的心肌损害情况、异常心电图情况及临床特征差异。 [结果]奥密克戎变异株组患者平均年龄小于非奥密克戎变异株组[(36.6±15.6)岁比(49.8±14.3)岁,P<0.01],入院时体温、入院时收缩压及发热患者比例均低于非奥密克戎变异株组(P<0.05)。奥密克戎变异株组患者中性粒细胞/淋巴细胞比值[(2.93(3.03,5.81)比7.06(2.2,1.27),P<0.001]、白细胞介素2(IL-2)及白细胞介素6(IL-6)水平均明显低于非奥密克戎变异株组(P<0.01)。奥密克戎变异株组心肌肌钙蛋白I(cTnI)均为阴性,cTnI、肌酸激酶同工酶(CK-MB)、N末端脑钠肽前体(NT-proBNP)浓度及其升高患者比例均明显低于非奥密克戎变异株组(P<0.01)。奥密克戎变异株组患者异常心电图发生率亦明显低于非奥密克戎变异株组(25.0%比42.0%,P=0.001),以窦性心动过速、房性早搏及T波改变为主,非奥密克戎变异株组患者以房性早搏、T波改变、ST段压低及束支传导阻滞为主。 [结论]珠海市SARS-CoV-2奥密克戎变异株感染者可能因绝大部分患者已接种新型冠状病毒疫苗而没有出现明显心肌损害,异常心电图发生率亦明显低于非奥密克戎变异株组,主要以窦性心动过速、房性早搏及T波改变为主。

    Abstract:

    Aim To explore the myocardial damage, abnormal electrocardiogram characteristics of patients infected with SARS-CoV-2 Omicron variant in Zhuhai. Methods 84 patients with SARS-CoV-2 Omicron variant (Omicron variant group) admitted to the Fifth Affiliated Hospital of Sun Yat-sen University from January 13 to March 0,2 were included, and 88 patients with non SARS-CoV-2 Omicron variant (non-Omicron variant group) from January 17 to February 7,0 were included. A retrospective study was conducted to compare myocardial damage, abnormal electrocardiogram and clinical characteristics between the two groups. Results The mean age of patients in Omicron variant group was smaller than that in non-Omicron variant group [(36.6±15.6) years vs. (49.8±14.3) years, P<0.01], and the proportion of patients with body temperature, systolic blood pressure and fever at admission was lower than that of non-Omicron variant group (P<0.05). The neutrophil/lymphocyte ratio [(2.93 (3.3,5.81) vs. 7.06 (2.2,1.27), P<0.001], interleukin-2 (IL-2) and interleukin-6 (IL-6) levels in Omicron variant group were significantly lower than those in non-Omicron variant group (P<0.01). Cardiac troponin I (cTnI) was negative in Omicron variant group, and the concentrations of cTnI, creatine kinase-MB isozyme (CK-MB) and N-terminal pro-brain natriuretic peptide (NT-proBNP) and the proportion of patients with elevated levels were significantly lower than those of non-Omicron variant group (P<0.01). The incidence of abnormal electrocardiogram in Omicron variant group was also significantly lower than that in non-Omicron variant group (25.0% vs. 42.0%, P=0.001), sinus tachycardia, atrial premature beats and T wave changes were the main symptoms. Atrial premature beats,Tü wave changes, ST segment depression and bundle branch block were the main symptoms in non-Omicron variant group. Conclusions The patients infected with SARS-CoV-2 Omicron variant in Zhuhai may not have obvious myocardial damage because most of the patients have been vaccinated with COVID-19 vaccine. The incidence of abnormal electrocardiogram is also significantly lower than that of non-Omicron variant group, mainly sinus tachycardia, atrial premature beats and T wave changes.

    参考文献
    相似文献
    引证文献
引用本文

危小良,房昭雄,朱晔,甘崇杰,黄明星.珠海市新型冠状病毒奥密克戎变异株感染者心肌损害情况及心电图特征[J].中国动脉硬化杂志,2022,30(10):884~889.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2022-03-30
  • 最后修改日期:2022-05-23
  • 录用日期:
  • 在线发布日期: 2022-10-09