Abstract Background SARS‐CoV2 has affected more than 73.8 million individuals. While SARS‐CoV2 is considered a predominantly respiratory virus, we report a trend of bradycardia among hospitalized patients, particularly in association with mortality. Methodology The multi‐center retrospective analysis consisted of 1053 COVID‐19 positive patients from March to August 2020. A trend of bradycardia was noted in the study population. Absolute bradycardia and profound bradycardia was defined as a sustained heart rate < 60 BPM and < 50 BPM, respectively, on two separate occasions, a minimum of 4 h apart during hospitalization. Each bradycardic event was confirmed by two physicians and exclusion criteria included: less than 18 years old, end of life bradycardia, left AMA, or taking AV Nodal blockers. Data was fetched using a SQL program through the EMR and data was analyzed using SPSS 27.0. A logistic regression was done to study the effect of bradycardia, age, gender, and BMI on mortality in the study group. Results 24.9% patients had absolute bradycardia while 13.0% had profound bradycardia. Patients with absolute bradycardia had an odds ratio of 6.59 (95% CI [2.83–15.36]) for mortality compared with individuals with a normal HR response. The logistic regression model explained 19.6% (Nagelkerke R 2 ) of variance in the mortality, correctly classified 88.6% of cases, and was statistically significant X 2 (5)=47.10, p < .001. For each year of age > 18, the odds of dying increased 1.048 times (95% CI [1.25–5.27]). Conclusion The incidence of absolute bradycardia was found in 24.9% of the study cohort and these individuals were found to have a significant increase in mortality.
【저자키워드】 COVID‐19, Mortality, severity, Triage, SARS‐COV2, bradycardia, 【초록키워드】 Hospitalization, Gender, hospitalized patients, COVID‐19, respiratory virus, Patient, Retrospective analysis, Logistic regression, age, incidence, BMI, association, SARS‑CoV2, Odds ratio, exclusion criteria, 95% CI, study population, significant increase, individual, logistic regression model, SPSS, blockers, physician, study cohort, while, bradycardic, Result, defined, analyzed, affected, less, explained, individuals, statistically significant, positive patient, sustained, R 2, was done, AMA, EMR, SQL, the study group, 【제목키워드】 virus, multicenter, Analysis,