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ISSN: 1734-3402
Family Medicine & Primary Care Review
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1/2023
vol. 25
 
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abstract:
Original paper

Diagnostic accuracy of sinus tachycardia as an independent clinical indicator among different COVID-19 variants

Mahmoud Elamary
1, 2
,
Fahad Khamis Alomari
1, 3
,
Ahmed Newera
1, 4
,
Ehab Selim
5
,
Marjorie Cajucom Manalus
6
,
Jazzelle Mhariz C. Laureta
7
,
Eman Esmat Tosson
8

  1. Department of Family Medicine, Prince Sultan Military Hospital, Taif, Saudi Arabia
  2. Membership of General Practitioner (MRCGP INT), Royal college of general practitioner, London, United Kingdom
  3. Arab Board of Family Medicine, Saudi Board of Family Medicine, Riyadh, Saudi Arabia
  4. Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
  5. Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
  6. Department of Nursing, University of Perpetual Help System Philippines, Binan, Philipines
  7. Department of Nursing, University of La Salette, Santiago, Isabla, Philippines
  8. Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Family Medicine & Primary Care Review 2023; 25(1): 29–35
DOI: https://doi.org/10.5114/fmpcr.2023.125489
Online publish date: 2023/03/31
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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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