الفهرس 
COVID 19 nOnly 14 pages are availabe for public view
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Abstract
Abstract
Background: COVID-19 may present with cardiac involvement such as shock, elevated troponin or, pro-brain natriuretic peptide level, coronary artery involvement, ventricular dysfunction, and arrhythmia. The most frequent electrocardiographic findings are low QRS amplitude, nonspecific ST segment changes and T-wave abnormalities. PR interval prolongation and first-degree AV block are also common in patients with MIS-C.
Aim of the study: To evaluate the electrocardiogram changes in pediatric patients with COVID-19 and it’s possible correlation with other clinical and laboratory findings.
Patients and methods: The present study is a cross sectional study which included 75 COVID positive patients, which were admitted at El Demerdash Pediatrics hospital. Each child had electrocardiogram (ECG).
Results: The median age of our population was five years. Thirty five were females and fourty were males . On presentation our patients on had regular rythm, bradycardia was found among 9 patients and tachycardia was found among 17 patient, four patients showed prolonged PR interval , one patient showed prolonged QRS complex, one patient showed Right axis deviation and four patients showed left axis deviation, prolonged QT interval was found among four patients of the included patients, regarding T wave their was inversion in V1 in 27 patients and inversion in v4 in 24 patients. All these findings disappeared with follow up on day three of admission.
Conclusion: Electrocardiogram may represent a crucial test in the diagnosis of myocardial injury or heart rythm disturbances in patients with SARS-COV-2.