Occupational Medicine Quarterly Journal
فصلنامه علمی تخصصی طب کار
tkj
Medical Sciences
http://tkj.ssu.ac.ir
1
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2251-7189
2251-8274
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2024
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بررسی و مقایسه ی تغییرات الکتروکاردیوگرام (ECG) در افراد شاغل با و بدون سابقه ی ابتلا به کووید -19
Electrocardiogram (ECG) changes in working people with and without history of COVID-19
عمومى
General
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در دوران اپیدمی کووید-19 (1398-1400)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بیشتر تمرکز بر روی سیستم تنفسی بوده است، ولی اخیرا آگاهی در مورد تظاهرات قلبی عروقی کووید-19 و تأثیر نامطلوب درگیری قلبی عروقی بر پیش آگهی آن افزایش یافته است. از آنجائیکه تاکنون مطالعه جامعی در کشور به بررسی تغییرات الکتروکاردیوگرام<b> </b>در بیماران مبتلا به کووید نپرداخته است، هدف از انجام این مطالعه بررسی تغییرات الکتروکاردیوگرام در بالغین</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">20-70 سالهی با و بدون سابقهی ابتلا به کووید در این دوره است. </span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مطالعه حاضر از نوع کوهورت بود که بر روی دو گروه افراد شاغل با سابقه ابتلا به کووید-19 و شاهد بدون سابقه ابتلا به کووید-19 انجام شد. افراد مورد و شاهد از شرکتکنندگان مطالعات سلامت مردم یزد (یاس) و کوهورت شاهدیه انتخاب شدند. از هر دو گروه قبل و بعد از مطالعه، نوار قلب گرفته شد و سپس اندازههای </span></span><span dir="LTR" new="" roman="" style="font-family:" time="">Interval QTc</span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و قطعهی </span></span><span dir="LTR" new="" roman="" style="font-family:" time="">ST</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ثبت و مورد تفسیر قرار گرفتند. </span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در مطالعه حاضر، 77 بیمار که شامل 45 بیمار مبتلا به کووید-19(4/58%) و 32 فرد غیر مبتلا به کووید-19 (6/41%) بصورت تصادفی انتخاب شدند. میزان ضربان قلب قبل و بعد از ابتلا به کووید-19 به ترتیب برابر با 89/10</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">08/69 و 05/14</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">5/73 است</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(01/0</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" time="">P<</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) ولی تفاوت معناداری در میزان</span></span> <span dir="LTR" new="" roman="" style="font-family:" time="">QTi</span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" time="">, </span></span><span dir="LTR" new="" roman="" style="font-family:" time="">QTc</span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">قبل و بعد ازکووید-19 مشاهده نشد(05/0</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" time="">P></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). </span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"time new roman","serif""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> نتیجه گیری:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> طبق نتایج، بیماری کووید-19 با تغییر ضربان قلب در این افراد همراه است ولی تاثیری بر میزان پارامترهای </span></span><span dir="LTR" new="" roman="" style="font-family:" time="">QTi</span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" time=""> , </span></span><span dir="LTR" new="" roman="" style="font-family:" time="">QTc</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> نداشت. بنابراین با توجه به نتایج این مطالعه به نظر می­رسد انجام اکوکاردیوگرافی در بیماران مبتلا به کووید-19، ضروری نباشد.</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"time new roman","serif""></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><i><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Introduction:</span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> During the COVID-19 pandemic, the greatest focus was on the respiratory system, but recently awareness has increased about the cardiovascular manifestations of the COVID-19 disease and the adverse effect of cardiovascular involvement on its prognosis. Since so far no comprehensive study has investigated electrocardiogram changes in patients with COVID-19 in Iran, the purpose of this study is to assess electrocardiogram changes in adults aged 20-70 with and without a history of COVID-19.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><i><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Materials and Methods:</span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> The current study was a cohort study conducted on two groups of working people with a history of COVID-19 and controls without a history of COVID-19. The case and control subjects were selected randomly from the participants of the Yazd Health study and the Shahdieh cohort study. ECG was taken from both groups before and after Covid-19 and then QTc interval and ST segment measurements were recorded and interpreted.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><i><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Results:</span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> In the present study, 77 patients including 45 patients with COVID-19 (58.4%) and 32 non-COVID-19 patients (41.6%) were selected. Heart rate/min before and after COVID-19 was 69.08±10.89 and 73.5±14.05, respectively (P<0.01). There was a non-significant difference before and after COVID-19 in terms of QTi, and QTc (P>0.05). </span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><i><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Conclusion:</span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"> According to the results of the present study, COVID-19 disease is associated with a change in heart rate in the two studies' participants, but no effect was observed on the parameters of QTi, and QTC. Therefore, it seems that echocardiography is not necessary in patients with COVID-19.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span>
بالغین, تغییرات الکتروکاردیوگرام (ECG), کووید-19
Adult, ECG, Covid-19
16
22
http://tkj.ssu.ac.ir/browse.php?a_code=A-10-1299-1&slc_lang=fa&sid=1
Seyed yaser
Ghelmani
سید یاسر
غلمانی
y.ghelmani@ssu.ac.ir