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10.1016/j.jacep.2020.09.013 http://scihub22266oqcxt.onion/10.1016/j.jacep.2020.09.013 33358667!7500909!33358667     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33358667&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       JACC+Clin+Electrophysiol 2021 ; 7 (4): 485-493 Nephropedia Template TP {{tp|p=33358667|t=2021. Right Heart Strain on Presenting 12-Lead Electrocardiogram Predicts Critical Illness in COVID-19 |pdf=|usr=}}{{33358667}} gab.com Text Right Heart Strain on Presenting 12-Lead Electrocardiogram Predicts Critical Illness in COVID-19 JO: JACC Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=33358667 #FOAvip OBJECTIVES: This study aimed to assess the association of new right heart strain patterns on presenting 12-lead electrocardiogram (RHS-ECG) with outcomes in patients hospitalized with COVID-19. BACKGROUND: Cardiovascular comorbidities and complications, including right ventricular dysfunction, are common and are associated with worse outcomes in patients with COVID-19. The data on the clinical usefulness of the 12-lead ECG to aid with prognosis are limited. METHODS: This study retrospectively evaluated records from 480 patients who were consecutively admitted with COVID-19. ECGs obtained at presentation in the emergency department (ED) were considered index ECGs. RHS-ECG was defined by any new right-axis deviation, S(1)Q(3)T(3) pattern, or ST depressions with T-wave inversions in leads V(1) to V(3) or leads II, III, and aVF. Multivariable logistic regression was performed to assess whether RHS-ECGs were independently associated with primary outcomes. RESULTS: ECGs from the ED were available for 314 patients who were included in the analysis. Most patients were in sinus rhythm, with sinus tachycardia being the most frequent dysrhythmia. RHS-ECG findings were present in 40 (11%) patients. RHS-ECGs were significantly associated with the incidence of adverse outcomes and an independent predictor of mortality (adjusted odds ratio [adjOR]: 15.2; 95% confidence interval [CI]: 5.1 to 45.2; p < 0.001), the need for mechanical ventilation (adjOR: 8.8; 95% CI: 3.4 to 23.2; p < 0.001), and their composite (adjOR: 12.1; 95% CI: 4.3 to 33.9]; p < 0.001). CONCLUSIONS: RHS-ECG was associated with mechanical ventilation and mortality in patients admitted with COVID-19. Special attention should be taken in patients admitted with new signs of RHS on presenting ECG. Twit Text FOAVip Right Heart Strain on Presenting 12-Lead Electrocardiogram Predicts Critical Illness in COVID-19 ????JACC Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=33358667 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33358667 #FOAvip English Wikipedia <ref>{{Cite pmid|33358667}}</ref> Right Heart Strain on Presenting 12-Lead Electrocardiogram Predicts Critical Illness in COVID-19 #MMPMID33358667 Raad M; Gorgis S; Dabbagh M; Chehab O; Parikh S; Singh G JACC Clin Electrophysiol 2021[Apr]; 7 (4): 485-493 PMID33358667show ga OBJECTIVES: This study aimed to assess the association of new right heart strain patterns on presenting 12-lead electrocardiogram (RHS-ECG) with outcomes in patients hospitalized with COVID-19. BACKGROUND: Cardiovascular comorbidities and complications, including right ventricular dysfunction, are common and are associated with worse outcomes in patients with COVID-19. The data on the clinical usefulness of the 12-lead ECG to aid with prognosis are limited. METHODS: This study retrospectively evaluated records from 480 patients who were consecutively admitted with COVID-19. ECGs obtained at presentation in the emergency department (ED) were considered index ECGs. RHS-ECG was defined by any new right-axis deviation, S(1)Q(3)T(3) pattern, or ST depressions with T-wave inversions in leads V(1) to V(3) or leads II, III, and aVF. Multivariable logistic regression was performed to assess whether RHS-ECGs were independently associated with primary outcomes. RESULTS: ECGs from the ED were available for 314 patients who were included in the analysis. Most patients were in sinus rhythm, with sinus tachycardia being the most frequent dysrhythmia. RHS-ECG findings were present in 40 (11%) patients. RHS-ECGs were significantly associated with the incidence of adverse outcomes and an independent predictor of mortality (adjusted odds ratio [adjOR]: 15.2; 95% confidence interval [CI]: 5.1 to 45.2; p < 0.001), the need for mechanical ventilation (adjOR: 8.8; 95% CI: 3.4 to 23.2; p < 0.001), and their composite (adjOR: 12.1; 95% CI: 4.3 to 33.9]; p < 0.001). CONCLUSIONS: RHS-ECG was associated with mechanical ventilation and mortality in patients admitted with COVID-19. Special attention should be taken in patients admitted with new signs of RHS on presenting ECG. |*Critical Care[MESH] |*Electrocardiography[MESH] |Arrhythmias, Cardiac/etiology/physiopathology[MESH] |COVID-19/complications/mortality/*physiopathology/*therapy[MESH] |Critical Illness[MESH] |Emergency Service, Hospital[MESH] |Humans[MESH] |Kaplan-Meier Estimate[MESH] |Respiration, Artificial[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH] |Treatment Outcome[MESH]Right Heart Strain on Presenting 12-Lead Electrocardiogram Predicts Cr(epmc).pdf DeepDyve Pubget Overpricing