Đánh giá kết quả phát hiện các rối loạn nhịp tim ở bệnh COVID-19 nặng và nguy kịch tại Bệnh viện Trung ương Quân đội 108 (12/2021-03/2022)

Abstract

Objective: To assess epidemic and clinical characteristics, risks, the proportion of cardiac arrhythmias in severely ill patients with COVID-19 in Center of Intensive Care for COVID-19 patients at 108 Military Central Hospital. Subject and method: A prospective, descriptive study was performed on 73 patients confirmed definitively with COVID-19 who developed severe and critical illness from December 2021 to March 2022. All patients were monitored for arrhythmias during treatment with a continuous bedside monitor. The monitor is fully equipped with monitoring parameters including heart rate, ECG, SpO₂. The nurses are mostly responsible for detecting arrhythmia alarms during treatment. The parameters were collected and processed on the statistical software SPSS 26. Result: The study patients were of high age, incomplete vaccination, had many co-morbid underlying diseases, and the patients had a very high risk of severe disease progression (68.5%). There were 72 patients (98.6%) having arrhythmias during treatment, of which sinus tachycardia accounted for 83.6%, atrial fibrillation accounted for 53.4%. There were 4 patients (5.5%) had ventricular fibrillation and 30 patients (41.1%) had ventricular escape beat. Conclusion: Relevant arrhythmias are common in severely ill ICU patients with COVID-19. Patients often have advanced age, multiple underlying diseases, and often have a severe prognosis.