SHM Converge Scientific Abstract ePoster Gallery-Utility of Cardiac Telemetry in Patients Hospitalized With Covid-19 Pneumonia

Pdf Summary

This study examined whether cardiac telemetry (TLM) monitoring adds prognostic value in patients hospitalized with COVID-19 pneumonia. Because COVID-19 can increase the risk of cardiac complications, many hospitals used routine telemetry, but evidence for its usefulness was limited.<br /><br />The authors reviewed 462 patients admitted to UNC from April to December 2020. Telemetry records were extracted from the electronic medical record and arrhythmias were categorized as tachyarrhythmias, bradycardia, premature ventricular contractions, prolonged QTc, heart blocks, and asystole. The main outcome was a composite of prolonged hospital stay (7 days), ICU transfer, hospice discharge, or in-hospital death.<br /><br />Results showed that age, hypoxia, and tachycardia were significant predictors of adverse outcomes in multivariable analysis. Among telemetry findings, detection of tachycardia was associated with worse outcomes and appeared to provide prognostic information beyond standard clinical factors.<br /><br />The authors concluded that cardiac telemetry may help identify COVID-19 pneumonia patients at higher risk for poor outcomes, especially when tachycardia is present. However, the study had limitations, including lack of data on COVID-related medications, which could also affect heart rate and outcomes.

Asset Subtitle

Carlton R. Moore

Meta Tag

Author List Carlton R. Moore, Michael Craig

Category Research

Concept Inpatient Cardiac Telemetry Monitoring

Concept COVID-19 Pneumonia

Concept Cardiac Arrhythmia

Concept Adverse Outcome

Concept Tachycardia

Distinguished Non-Finalist

Presenter Organization University of North Carolina School of Medicine

Presenting Author Carlton R. Moore

Track Outcomes Research

Keywords

COVID-19 pneumonia

cardiac telemetry

prognostic value

tachycardia

arrhythmias

hospitalized patients

ICU transfer

adverse outcomes

telemetry monitoring

multivariable analysis

Inpatient Cardiac Telemetry Monitoring

COVID-19 Pneumonia

Cardiac Arrhythmia

Adverse Outcome

Tachycardia