{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:46:13Z","timestamp":1772628373334,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Electrocardiographic characteristics in COVID\u201019\u2010related mortality have not yet been reported, particularly in racial\/ethnic minorities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>We reviewed demographics, laboratory and cardiac tests, medications, and cardiac rhythm proximate to death or initiation of comfort care for patients hospitalized with a positive SARS\u2010CoV\u20102 reverse\u2010transcriptase polymerase chain reaction in three New York City hospitals between March 1 and April 3, 2020 who died. We described clinical characteristics and compared factors contributing toward arrhythmic versus nonarrhythmic death. Of 1258 patients screened, 133 died and were enrolled. Of these, 55.6% (74\/133) were male, 69.9% (93\/133) were racial\/ethnic minorities, and 88.0% (117\/133) had cardiovascular disease. The last cardiac rhythm recorded was VT or fibrillation in 5.3% (7\/133), pulseless electrical activity in 7.5% (10\/133), unspecified bradycardia in 0.8% (1\/133), and asystole in 26.3% (35\/133). Most 74.4% (99\/133) died receiving comfort measures only. The most common abnormalities on admission electrocardiogram included abnormal QRS axis (25.8%), atrial fibrillation\/flutter (14.3%), atrial ectopy (12.0%), and right bundle branch block (11.9%). During hospitalization, an additional 17.6% developed atrial ectopy, 14.7% ventricular ectopy, 10.1% atrial fibrillation\/flutter, and 7.8% a right ventricular abnormality. Arrhythmic death was confirmed or suspected in 8.3% (11\/133) associated with age, coronary artery disease, asthma, vasopressor use, longer admission corrected QT interval, and left bundle branch block (LBBB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Conduction, rhythm, and electrocardiographic abnormalities were common during COVID\u201019\u2010related hospitalization. Arrhythmic death was associated with age, coronary artery disease, asthma, longer admission corrected QT interval, LBBB, ventricular ectopy, and usage of vasopressors. Most died receiving comfort measures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14772","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T22:36:28Z","timestamp":1602023788000},"page":"3086-3096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Clinical and cardiac characteristics of COVID\u201019 mortalities in a diverse New York City Cohort"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3219-2823","authenticated-orcid":false,"given":"Mark P.","family":"Abrams","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5328-7282","authenticated-orcid":false,"given":"Elaine Y.","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc P.","family":"Waase","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Morrow","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose M.","family":"Dizon","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6072-5834","authenticated-orcid":false,"given":"Hirad","family":"Yarmohammadi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6474-5800","authenticated-orcid":false,"given":"Jeremy P.","family":"Berman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey A.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1644-643X","authenticated-orcid":false,"given":"Alexander","family":"Kushnir","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J.","family":"Poterucha","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre A.","family":"Elias","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick","family":"Ehlert","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Biviano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nir","family":"Uriel","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Garan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Saluja","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology New York\u2010Presbyterian Hospital\u2013Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001017"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001191"},{"key":"e_1_2_6_4_1","unstructured":"COVID\u201019 Data; 2020.https:\/\/www1.nyc.gov\/site\/doh\/covid\/covid-19-data.page. Accessed May 28 2020."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30211-7"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6775"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-05991-x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1548"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2020.04.005"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.04.113"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.1017"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30566-3"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30079-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00152"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.5394"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.7197"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.04.031"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.06.003"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2010419"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.063"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.120.008662"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.8857"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.8630"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2012410"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2020.03.024"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.03.031"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.10.034"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2018.01847"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2020.04.045"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/106002809502900309"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.04.062"},{"issue":"10","key":"e_1_2_6_34_1","doi-asserted-by":"crossref","first-page":"e005485","DOI":"10.1161\/CIRCEP.117.005485","article-title":"Association between QT\u2010interval components and sudden cardiac death: the ARIC study (Atherosclerosis Risk in Communities)","volume":"10","author":"O'Neal WT","year":"2017","journal-title":"Circ Arrhythm Electrophysiol."},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.9.943"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/HPC.0000000000000225"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.14772","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.14772","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.14772","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T08:32:07Z","timestamp":1693729927000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.14772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":35,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/jce.14772"],"URL":"https:\/\/doi.org\/10.1111\/jce.14772","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,20]]},"assertion":[{"value":"2020-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}