Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 12, Number 4, August 2021, pages 258-264


Corrected QT Interval Prolongation, Elevated Troponin, and Mortality in Hospitalized COVID-19 Patients

Figure

Figure 1.
Figure 1. Flowchart of the enrollment of COVID-19 patients into study. COVID-19: coronavirus disease 2019; ECG: electrocardiogram; CHF: CHF: congestive heart failure; CAD: coronary artery disease; COPD: chronic obstructive pulmonary disease.

Tables

Table 1. QT and Troponin Measurements
 
Both males and femalesMalesFemales
QT interval
  Normal≤ 430 ms≤ 430 ms≤ 450 ms
  Prolonged> 470 ms> 430 ms> 450 ms
Troponin
  Normal≤ 0.5 ng/mL--
  Elevated> 0.5 ng/mL--

 

Table 2. Distribution of Participants
 
FrequencyPercent
Expired9929.2
Unexpired24070.8
Male20761.1
Female13238.9
White12637.2
Hispanic8324.5
Black9427.7
Asian185.3
Other185.3

 

Table 3. Results of Statistical Analyses
 
Spearman’s rhoP value (95% CI)
The table showed the correlation coefficient of the variables and their independent correlation to expired status in 339 subjects. All analyses are reported at P < 0.05 statistical significance with 95% CI. CI: confidence interval. ECG: electrocardiogram; QTc: corrected QT interval.
Expired status and sex0.0870.109 ( -0.023, 0.195)
Expired status and age-0.2730.000 (-0.372, -0.168)
Expired status and race0.0880.105 (-0.022, 0.196)
Expired status and ECG-0.112< 0.05 (-0.219, -0.003)
Expired status and QTc-0.1730.001 (-0.277, -0.064)
Expired status and calcium0.1340.014 (0.025, 0.240)
Expired status and potassium-0.1560.004 (-0.261, -0.047)
Expired status and troponin-0.2280.000 (-0.345, -0.104)

 

Table 4. Comparison of Elevated Troponin, Prolonged QTc, and Expired Status Among Black and White Patients
 
BlackWhite
%N%N
Sample size for QT interval and expired status was 220 (94 Black patients and 126 White patients). The sample size for troponin was 144 (60 Black patients and 84 White patients). The sample size for troponin was smaller due to missing data. Initial troponin levels were not obtained in all. QTc: corrected QT interval.
Normal troponin50.0%3058.3%49
Elevated troponin50.0%3042.7%35
Normal QTc42.6%4045.2%57
Prolonged QTc57.4%5454.8%69
Expired34.0%3230.2%38
Not expired66.0%6269.8%88