Cardiovascular Complications in Patients with Heart Failure and COVID-19: CARDIO COVID 19-20 Registry

被引:4
作者
Speranza, Mario [1 ,2 ]
Lopez-Lopez, Juan D. [3 ,4 ]
Schwartzmann, Pedro [5 ]
Morr, Igor [6 ]
Rodriguez-Gonzalez, Maria Juliana [7 ]
Buitrago, Andres [8 ]
Pow-Chon-Long, Freddy [2 ,9 ,10 ]
Passos, Luiz Carlos [11 ]
Rossel, Victor [2 ,12 ]
Perna, Eduardo Roque [2 ,13 ]
Escalante, Manuela [3 ]
Romero, Alexander [2 ,14 ]
Arteaga-Tobar, Andrea Alejandra [3 ,15 ]
Quesada, Daniel [2 ,16 ]
Alarco, Walter [2 ,17 ]
Gomez-Mesa, Juan Esteban [2 ,4 ,15 ]
机构
[1] Hosp Clin Biblica, Dept Cardiol, San Jose 10104, Costa Rica
[2] Consejo Interamer Falla Cardiaca & Hipertens Pulm, Soc Interamer Cardiol SIAC, Mexico City 01000, Mexico
[3] Fdn Valle Lili, Ctr Invest Clin, Cali 760026, Colombia
[4] Univ Icesi, Dept Hlth Sci, Cali 760031, Colombia
[5] CAPED Adv Res Ctr & Hosp Unimed, Dept Cardiol, BR-14000000 Ribeirao Preto, Brazil
[6] Soc Venezolana Cardiol, Dept Trop Cardiol, Caracas 1060, Venezuela
[7] LaCardio Fdn Cardio Infantil, Dept Cardiol, Bogota 110131, Colombia
[8] Fdn Santa Fe, Dept Cardiol, Bogota 110111, Colombia
[9] Hosp Luis Vernaza, Dept Cardiol, Guayaquil 090313, Ecuador
[10] Univ Espiritu Santo, Dept Cardiol, Guayaquil 092301, Ecuador
[11] Hosp Ana Nery, Dept Cardiol, BR-40323900 Salvador, Brazil
[12] Inst Nacl Torax, Heart Transplant Program, Santiago 8320000, Chile
[13] Inst Cardiol JF Cabral, Div Heart Failure & Pulm Hypertens, RA-3400 Corrientes, Argentina
[14] Hosp Santo Tomas, Dept Cardiol, Panama City 07093, Panama
[15] Fdn Valle Lili, Dept Cardiol, Cali 760026, Colombia
[16] Hosp San Vicente de Paul, Dept Cardiol, Heredia 40101, Costa Rica
[17] Inst Nacl Cardiovasc, Dept Cardiol, Lima 15072, Peru
关键词
heart failure; COVID-19; intensive care unit; mortality;
D O I
10.3390/jcdd11020034
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since early 2020, different studies have shown an increased prevalence of COVID-19 and poorer prognosis in older adults with cardiovascular comorbidities. This study aimed to assess the impact of heart failure (HF) on cardiovascular complications, intensive care unit (ICU) admissions, and in-hospital mortality in patients hospitalized with COVID-19. The CARDIO COVID 19-20 registry includes 3260 hospitalized patients with a COVID-19 serological diagnosis between May 2020 and June 2021 from Latin American countries. A history of HF was identified in 182 patients (5.6%). In patients with and without previous HF, the incidence of supraventricular arrhythmia was 16.5% vs. 6.3%, respectively (p = 0.001), and that of acute coronary syndrome was 7.1% vs. 2.7%, respectively (p = 0.001). Patients with a history of HF had higher rates of ICU admission (61.5% vs. 53.1%, respectively; p = 0.031) and in-hospital mortality (41.8% vs. 24.5%, respectively; p = 0.001) than patients without HF. Cardiovascular mortality at discharge (42.1% vs. 18.5%, respectively; p < 0.001) and at 30 days post-discharge (66.7% vs. 18.0%, respectively) was higher for patients with a history of HF than for patients without HF. In patients hospitalized with COVID-19, previous history of HF was associated with a more severe cardiovascular profile, with increased risk of cardiovascular complications, and poor in-hospital and 30-day outcomes.
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页数:11
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