Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19
Yıl: 2020 Cilt: 10 Sayı: 4 Sayfa Aralığı: 541 - 548 Metin Dili: İngilizce DOI: 10.31832/smj.784180 İndeks Tarihi: 06-10-2021
Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19
Öz: Objective Cardiac involvement of Coronavirus 19 disease (COVID-19) may be reflected by electrocardiographic (ECG) changes. ECG changes that may occur in hospital admissionfor COVID-19 in children have not yet been fully evaluated.Materialsand MethodsWe examined 83 children admitted to our hospital with proven COVID-19. A detailed clinical examination, 12-lead ECG and laboratory tests were recorded. And then alllaboratory parameters were evaluated by age.Results P wave amplitude was normal in 77.1% and high in 22.9% of study population. There was a significant difference in white blood cell (WBC), lymphocyte, neutrophil,aspartate aminotransferase (AST), lactate dehydrogenase (LDH), D-dimer values between the group with P wave amplitude normal and the high group. 13.3% of patientshad first degree AV block and 86.7% did not. There was a significant difference between the groups in WBC, lymphocyte, D-dimer, AST values. In our study, there wasright ventricular hypertrophy (RVH) in the ECG of 17 cases. There was a significant difference in WBC, lymphocyte, D-dimer, LDH, AST values between groups with andwithout RVH. In addition, there were positive correlations among V1R, V6S, V1 R / S ratio and WBC, lymphocyte, D-dimer, creatinine kinase (CK), creatinine kinaseisoform MB (CK-MB), LDH, AST values.Conclusion Pathological ECG findings were associated with laboratory values used in the course of the disease. We think that ECG is a test in the course of COVID-19 in children,which may make important contributions to clinicians to manage the patients when interpreted correctly
Anahtar Kelime: Pediyatrik COVID-19’da Elektrokardiyografi Değişiklikleri ve Laboratuvar Parametrelerinin Değerlendirilmesi
Öz: Amaç Koronavirüs 19 hastalığının (COVID-19) kardiyak tutulumu elektrokardiyografik (EKG) değişikliklerle yansıtılabilir. Çocuklarda COVID-19 nedeniyle hastane başvurularında meydana gelebilecek EKG değişiklikleri henüz tam olarak değerlendirilmemiştir. Gereç ve Yöntemler Kanıtlanmış COVID-19 tanısı ile hastaneye başvuran 83 çocuk değerlendirildi. Ayrıntılı klinik muayene, 12 derivasyonlu EKG ve laboratuvar testleri kaydedildi. Tüm laboratuvar değerleri yaşa göre değerlendirildi. Bulgular P dalga amplitüdü çalışma popülasyonunun % 77,1’inde normal ve % 22,9’unda yüksek bulundu. P dalga amplitüdü normal olan grup ile yüksek grup arasında beyaz kan hücresi (WBC), lenfosit, nötrofil, aspartat aminotransferaz (AST), laktat dehidrojenaz (LDH), D-dimer değerlerinde anlamlı fark vardı. Hastaların % 13,3’ünde birinci derece AV blok varken % 86,7’sinde yoktu. Birinci derece AV blok olan ve olmayan gruplar arasında WBC, lenfosit, D-dimer, AST değerlerinde anlamlı fark vardı. Çalışmamızda 17 olgunun EKG’sinde sağ ventrikül hipertrofisi (RVH) vardı. RVH olan ve olmayan gruplar arasında WBC, lenfosit, D-dimer, LDH, AST değerlerinde anlamlı farklılık vardı. Ayrıca V1R, V6S, V1 R / S oranı ile WBC, lenfosit, D-dimer, kreatinin kinaz (CK), kreatinin kinaz izoform MB (CK-MB), LDH, AST değerleri arasında pozitif korelasyon saptandı. Sonuç Patolojik EKG bulguları hastalığın seyrinde kullanılan laboratuvar değerleri ile ilişkilendirildi. EKG’nin çocuklarda COVID-19 seyrinde çok önemli bir test olduğunu ve doğru yorumlandığında klinisyenlerin hasta yönetimlerine ciddi katkılar sağlayabileceğini düşünüyoruz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Dervişoğlu P, Elmas B, Özdemir Ö, ORHAN M (2020). Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. , 541 - 548. 10.31832/smj.784180 |
| Chicago | Dervişoğlu Pınar,Elmas Bahri,Özdemir Öner,ORHAN Mehmet Fatih Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. (2020): 541 - 548. 10.31832/smj.784180 |
| MLA | Dervişoğlu Pınar,Elmas Bahri,Özdemir Öner,ORHAN Mehmet Fatih Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. , 2020, ss.541 - 548. 10.31832/smj.784180 |
| AMA | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. . 2020; 541 - 548. 10.31832/smj.784180 |
| Vancouver | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. . 2020; 541 - 548. 10.31832/smj.784180 |
| IEEE | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M "Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19." , ss.541 - 548, 2020. 10.31832/smj.784180 |
| ISNAD | Dervişoğlu, Pınar vd. "Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19". (2020), 541-548. https://doi.org/10.31832/smj.784180 |
| APA | Dervişoğlu P, Elmas B, Özdemir Ö, ORHAN M (2020). Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. Sakarya Tıp Dergisi, 10(4), 541 - 548. 10.31832/smj.784180 |
| Chicago | Dervişoğlu Pınar,Elmas Bahri,Özdemir Öner,ORHAN Mehmet Fatih Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. Sakarya Tıp Dergisi 10, no.4 (2020): 541 - 548. 10.31832/smj.784180 |
| MLA | Dervişoğlu Pınar,Elmas Bahri,Özdemir Öner,ORHAN Mehmet Fatih Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. Sakarya Tıp Dergisi, vol.10, no.4, 2020, ss.541 - 548. 10.31832/smj.784180 |
| AMA | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. Sakarya Tıp Dergisi. 2020; 10(4): 541 - 548. 10.31832/smj.784180 |
| Vancouver | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19. Sakarya Tıp Dergisi. 2020; 10(4): 541 - 548. 10.31832/smj.784180 |
| IEEE | Dervişoğlu P,Elmas B,Özdemir Ö,ORHAN M "Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19." Sakarya Tıp Dergisi, 10, ss.541 - 548, 2020. 10.31832/smj.784180 |
| ISNAD | Dervişoğlu, Pınar vd. "Evaluation of Electrocardiographic Changes and Laboratory Parameters in Pediatric COVID-19". Sakarya Tıp Dergisi 10/4 (2020), 541-548. https://doi.org/10.31832/smj.784180 |
