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10.1016/j.mayocpiqo.2021.01.007

http://scihub22266oqcxt.onion/10.1016/j.mayocpiqo.2021.01.007
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suck abstract from ncbi


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pmid33585801      Mayo+Clin+Proc+Innov+Qual+Outcomes 2021 ; 5 (2): 368-376
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  • Use of Electrocardiographic Screening to Clear Athletes for Return to Sports Following COVID-19 Infection #MMPMID33585801
  • Erickson JL; Poterucha JT; Gende A; McEleney M; Wencl CM; Castaneda M; Gran L; Luedke J; Collum J; Fischer KM; Jagim AR
  • Mayo Clin Proc Innov Qual Outcomes 2021[Apr]; 5 (2): 368-376 PMID33585801show ga
  • OBJECTIVE: To quantify the occurrence rate of abnormal electrocardiographic (ECG) findings and symptoms following coronavirus disease 2019 (COVID-19) infection. PATIENTS AND METHODS: In this retrospective analysis, we studied adult patients (>18 years old) who were participating in collegiate athletics and previously tested positive for COVID-19 between August 1, 2020, and December 30, 2020. The athletes underwent general examinations and ECG screening prior to being medically cleared for a return to sports following their COVID-19 diagnosis. Predetermined predictors were grouped into categorical variables including (1) sex, (2) symptom severity, and (3) body mass index (normal vs overweight [>/=24 kg/m(2)]). These variables were used to examine differences of abnormal rates that occurred between different predictor categories. RESULTS: Of the 170 athletes screened, 6 (3.5%) presented with abnormal ECG findings and were referred to cardiologists. We found no evidence that sex, symptom severity, and body mass index category were associated with a higher rate of abnormal ECG findings (all P>.05). Greater severity of COVID-19 symptoms was associated with a higher percentage of ST depression, T-wave inversion, ST-T changes, and the presence of fragmented QRS complex. Loss of smell, loss of taste, headache, and fatigue were the most prevalent symptoms, with 38.8% (66), 36.5% (62), 32.9% (56), and 25.3% (43), respectively, of the 170 athletes reporting each symptom. CONCLUSION: Preliminary findings indicate a low risk of myocardial injury secondary to COVID-19 infection, with less than 4% of the 170 patients in our study presenting with abnormal ECG findings and a total of 16 patients (9.4%) requiring referral to a cardiologist. Although viral myocarditis was not detected in any athlete referred for cardiological assessment, 2 patients experienced effusive viral pericarditis.
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