Abstract
Diagnostic accuracy of sinus tachycardia as an independent clinical indicator among different COVID-19 variants
- Department of Family Medicine, Prince Sultan Military Hospital, Taif, Saudi Arabia
- Membership of General Practitioner (MRCGP INT), Royal college of general practitioner, London, United Kingdom
- Arab Board of Family Medicine, Saudi Board of Family Medicine, Riyadh, Saudi Arabia
- Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
- Department of Nursing, University of Perpetual Help System Philippines, Binan, Philipines
- Department of Nursing, University of La Salette, Santiago, Isabla, Philippines
- Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Background
The most common arrhythmia which have been reported frequently in COVID-19 patients is sinus tachycardia. As COVID-19 is usually misdiagnosed with other respiratory tract diseases, introduction of a rapid clinical indicator for out of proportional sinus tachycardia in the diagnosis of COVID-19 during the early viral replication stage is essential for better cost-effective use of resources.
Objectives
This study was conducted to determine the diagnostic accuracy of sinus tachycardia as an independent indicator of COVID-19.
Material and methods
This is a cross-sectional analytical study. It included 152 healthcare workers who fulfilled the inclusion criteria. Multiple logistic regression analysis was conducted to investigate the factors associated with COVID-19 among the entire study sample and among each group.
Results
Among our participants, 32.9% were male, while 67.1% were female, with a mean age of 35.47 ± 7.09 years. It was found that 51.3% of our sample were COVID-19 PCR positive, and the mean number of days of symptoms at presentation was 2.01 ± 1.29. It was found that the prevalence of out of proportional sinus tachycardia among the participants diagnosed with COVID-19 in 2021 was triple that of the participants who were recruited in 2020 (61%, 26%, respectively). It was found that there was significant association between pulse rate and COVID-19, with gender, age, temperature or days of symptoms having no effect.
Conclusions
The study highlights the diagnostic accuracy of sinus tachycardia as an independent indicator of COVID-19, especially the Omicron variant, as a higher pulse rate is associated with higher odds of having COVID-19
Keywords
sinus tachycardia, COVID-19, cardiac arrhythmias
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