Myocardium damage and electrocardiogram characteristics of patients infected with SARS-CoV-2 Omicron variant in Zhuhai
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Cardiovascular Disease Center, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China)

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R512.99

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    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.

    Reference
    [1] LAI C C, LIU Y H, WANG C Y, et al.Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2):facts and myths.J Microbiol Immunol, 0,3:404-412.
    [2] GUAN W J, NI Z Y, HU Y, et al.Clinical characteristics of coronavirus disease 2019 in China.N Engl J Med, 0,2:1708-1720.
    [3] WU Z, MCGOOGAN J M.Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China:summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention.JAMA, 0,3:1239-1242.
    [4] 国家卫生健康委办公厅.新型冠状病毒肺炎诊疗方案(试行第八版).中华临床感染病杂志, 0,3(5):321-328.NATIONAL HEALTH COMMISSION.Guidelines for the diagnosis and treatment of coronavirus disease 2019 (trial version eighth).Chin J Clin Infect Dis, 0,3(5):321-328.
    [5] YU C M, WONG R S, WU E B, et al.Cardiovascular complications of severe acute respiratory syndrome.Postgrad Med J, 6,2(964):140144.
    [6] 王萍, 郭陈君, 刘冀珑.新冠病毒超级突变株:奥密克戎.科学, 2,4(1):26-31.WANG P, GUO J J, LIU Y L.Novel coronavirus super mutant strain:Omicron.Science, 2,4(1):26-31.
    [7] 谭昭充, 付灵华, 王丹丹, 等.新型冠状病毒肺炎患者的心脏表现和治疗建议.中华心血管病杂志, 0,8(6):434-438.TAN Z C, FU L H, WANG D D, et al.Cardiac manifestations of patients with COVID-19 and related treatment recommendations Chinese.J Cardiol, 0,8(6):434-438.
    [8] 谢建华, 廖崇米, 黄海, 等.新型冠状病毒感染相关心肌损伤研究进展.中国动脉硬化杂志, 1,9(9):825-828.XIE J H, LIAO C M, HUAN H, et al.Research progress of myocardial injury associated with novel coronavirus infections.Chin J Arterioscler, 1,9(9):825-828.
    [9] 郭颖, 裴作为, 朱火兰, 等.新型冠状病毒肺炎相关心肌损伤的临床管理专家建议(第一版).中国循环杂志, 0,5(4):326-330.GUO Y, FEI Z W, ZHU H L, et al.Expert recommendations for clinical management of myocardial injury associated with coronavirus disease 2019 (first edition).Chin Circ J, 0,5(4):326-330.
    [10] 陈铀, 王开杰, 罗豫川, 等.中性粒细胞/淋巴细胞比值对新型冠状病毒肺炎重型患者心肌损伤的预测价值.中华心血管病杂志, 0,8(7):572-579.CHEN Y, WANG K J, LUO Y C, et al.Predictive value of neutrophil/lymphocyte ratio on myocardial injury in severe COVID-19 patients.Chin J Cardiol, 0,8(7):572-579.
    [11] HUANG C, WANG Y, LI X, et al.Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.Lancet, 0,5(1223):497-506.
    [12] ZHU Z, CAI T, FAN L, et al.Clinical value of immune-inflammatory parameters to assess the severity of coronavirus disease 2019.Int J Infect Dis, 0,5(20):332-339.
    [13] SUZUKI R, YAMASOBA D, KIMURA I, et al.Attenuated fusogenicity and pathogenicity of SARS-CoV-2 Omicron variant.Nature, 2,3(7902):700-705.
    [14] HALFMANN P J, IIDA S, IWATSUKI-HORIMOTO K, et al.SARS-CoV-2 Omicron virus causes attenuated disease in mice and hamsters.Nature, 2,3(7902):687-692.
    [15] SHUAI H, CHAN J F, HU B, et al.Attenuated replication and pathogenicity of SARS-CoV-2 B.1.1.529 Omicron.Nature, 2,3(7902):693-699.
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WEI Xiaoliang, FANG Zhaoxiong, ZHU Ye, GAN Chongjie, HUANG Mingxing. Myocardium damage and electrocardiogram characteristics of patients infected with SARS-CoV-2 Omicron variant in Zhuhai[J]. Editorial Office of Chinese Journal of Arteriosclerosis,2022,30(10):884-889.

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History
  • Received:March 30,2022
  • Revised:May 23,2022
  • Online: October 09,2022
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