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The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards
INTRODUCTION: Some abnormal electrocardiographic findings were independently associated with increased mortality in patients admitted for COVID‐19; however, no studies have focussed on the prognosis impact of the interatrial block (IAB) in this clinical setting. The aim of our study was to assess th...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9111721/ https://www.ncbi.nlm.nih.gov/pubmed/35342933 http://dx.doi.org/10.1111/eci.13781 |
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author | Russo, Vincenzo Albani, Stefano Caturano, Alfredo Weisz, Sara Hana Parisi, Valentina Conte, Maddalena Zaccaro, Lorenzo D’Andrea, Antonello Al‐Turky, Ahmed Marchel, Michal Marano, Marco Sasso, Ferdinando Carlo Attena, Emilio |
author_facet | Russo, Vincenzo Albani, Stefano Caturano, Alfredo Weisz, Sara Hana Parisi, Valentina Conte, Maddalena Zaccaro, Lorenzo D’Andrea, Antonello Al‐Turky, Ahmed Marchel, Michal Marano, Marco Sasso, Ferdinando Carlo Attena, Emilio |
author_sort | Russo, Vincenzo |
collection | PubMed |
description | INTRODUCTION: Some abnormal electrocardiographic findings were independently associated with increased mortality in patients admitted for COVID‐19; however, no studies have focussed on the prognosis impact of the interatrial block (IAB) in this clinical setting. The aim of our study was to assess the prevalence and clinical implications of IAB, both partial and advanced, in hospitalized COVID‐19 patients. MATERIALS: We retrospectively evaluated 300 consecutive COVID‐19 patients (63.22 ± 15.16 years; 70% males) admitted to eight Italian Hospitals from February 2020 to April 2020 who underwent twelve lead electrocardiographic recording at admission. The study population has been dichotomized into two groups according to the evidence of IAB at admission, both partial and advanced. The differences in terms of ARDS in need of intubation, in‐hospital mortality and thromboembolic events (a composite of myocardial infarction, stroke and transient ischaemic attack) have been evaluated. RESULTS: The presence of IAB was noticed in 64 patients (21%). In the adjusted logistic regression model, the partial interatrial block was found to be an independent predictor of ARDS in need of intubation (HR: 1.92; p: .04) and in‐hospital mortality (HR: 2.65; p: .02); moreover, the advanced interatrial block was an independent predictor of thrombotic events (HR: 7.14; p < .001). CONCLUSIONS: Among COVID‐19 patients hospitalized in medical wards, the presence of interatrial block is more frequent than in the general population and it might be useful as an early predictor for increased risk of incident thrombotic events, ARDS in need of intubation and in‐hospital mortality. |
format | Online Article Text |
id | pubmed-9111721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91117212022-05-17 The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards Russo, Vincenzo Albani, Stefano Caturano, Alfredo Weisz, Sara Hana Parisi, Valentina Conte, Maddalena Zaccaro, Lorenzo D’Andrea, Antonello Al‐Turky, Ahmed Marchel, Michal Marano, Marco Sasso, Ferdinando Carlo Attena, Emilio Eur J Clin Invest Original Articles INTRODUCTION: Some abnormal electrocardiographic findings were independently associated with increased mortality in patients admitted for COVID‐19; however, no studies have focussed on the prognosis impact of the interatrial block (IAB) in this clinical setting. The aim of our study was to assess the prevalence and clinical implications of IAB, both partial and advanced, in hospitalized COVID‐19 patients. MATERIALS: We retrospectively evaluated 300 consecutive COVID‐19 patients (63.22 ± 15.16 years; 70% males) admitted to eight Italian Hospitals from February 2020 to April 2020 who underwent twelve lead electrocardiographic recording at admission. The study population has been dichotomized into two groups according to the evidence of IAB at admission, both partial and advanced. The differences in terms of ARDS in need of intubation, in‐hospital mortality and thromboembolic events (a composite of myocardial infarction, stroke and transient ischaemic attack) have been evaluated. RESULTS: The presence of IAB was noticed in 64 patients (21%). In the adjusted logistic regression model, the partial interatrial block was found to be an independent predictor of ARDS in need of intubation (HR: 1.92; p: .04) and in‐hospital mortality (HR: 2.65; p: .02); moreover, the advanced interatrial block was an independent predictor of thrombotic events (HR: 7.14; p < .001). CONCLUSIONS: Among COVID‐19 patients hospitalized in medical wards, the presence of interatrial block is more frequent than in the general population and it might be useful as an early predictor for increased risk of incident thrombotic events, ARDS in need of intubation and in‐hospital mortality. John Wiley and Sons Inc. 2022-04-05 2022-08 /pmc/articles/PMC9111721/ /pubmed/35342933 http://dx.doi.org/10.1111/eci.13781 Text en © 2022 The Authors. European Journal of Clinical Investigation published by John Wiley & Sons Ltd on behalf of Stichting European Society for Clinical Investigation Journal Foundation. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Russo, Vincenzo Albani, Stefano Caturano, Alfredo Weisz, Sara Hana Parisi, Valentina Conte, Maddalena Zaccaro, Lorenzo D’Andrea, Antonello Al‐Turky, Ahmed Marchel, Michal Marano, Marco Sasso, Ferdinando Carlo Attena, Emilio The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title | The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title_full | The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title_fullStr | The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title_full_unstemmed | The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title_short | The prognostic role of interatrial block among COVID‐19 patients hospitalized in medicine wards |
title_sort | prognostic role of interatrial block among covid‐19 patients hospitalized in medicine wards |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9111721/ https://www.ncbi.nlm.nih.gov/pubmed/35342933 http://dx.doi.org/10.1111/eci.13781 |
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