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Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba

INTRODUCTION AND OBJECTIVE: At least one in ten patients infected with COVID develop cardiovascular complications during hospitalization, increasing the number of deaths from this cause. However, the determinants of risk are not clearly elucidated. This study aims to determine whether there is a rel...

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Autores principales: de la Torre Fonseca, Luis Mariano, Cedeño, Robert Alarcón, Díaz, Víctor Alfonso Jiménez, Cedeño, Fabiola Isabel Loor, Juan-Salvadores, Pablo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940473/
https://www.ncbi.nlm.nih.gov/pubmed/36822976
http://dx.doi.org/10.1016/j.carrev.2023.02.014
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author de la Torre Fonseca, Luis Mariano
Cedeño, Robert Alarcón
Díaz, Víctor Alfonso Jiménez
Cedeño, Fabiola Isabel Loor
Juan-Salvadores, Pablo
author_facet de la Torre Fonseca, Luis Mariano
Cedeño, Robert Alarcón
Díaz, Víctor Alfonso Jiménez
Cedeño, Fabiola Isabel Loor
Juan-Salvadores, Pablo
author_sort de la Torre Fonseca, Luis Mariano
collection PubMed
description INTRODUCTION AND OBJECTIVE: At least one in ten patients infected with COVID develop cardiovascular complications during hospitalization, increasing the number of deaths from this cause. However, the determinants of risk are not clearly elucidated. This study aims to determine whether there is a relationship between in-hospital cardiac complications and cardiovascular history and hospital evolution. METHODS: Prospective cohort study of 373 patients with a positive diagnosis of SARS-CoV-2 admitted to an Intensive Care Unit between March and October 2021. RESULTS: Median age was 69 (IQR: 57–77), 29.2 % of patients presented cardiovascular complications: 21.2 % electrical, 5.9 % acute coronary syndrome and 1.9 % pulmonary thromboembolism. Age RR: 1.02 (95 % CI: 1.00–1.04; p = 0.020) and history of ischemic heart disease RR: 2.23 (95 % CI: 1.27–3.92; p = 0.005) were identified as independent predictors of in-hospital cardiac complications. CONCLUSIONS: Age and history of ischemic heart disease were identified as independent predictor variables of cardiovascular complications in patients admitted with severe COVID-19 involvement; being significantly associated with lower survival.
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spelling pubmed-99404732023-02-21 Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba de la Torre Fonseca, Luis Mariano Cedeño, Robert Alarcón Díaz, Víctor Alfonso Jiménez Cedeño, Fabiola Isabel Loor Juan-Salvadores, Pablo Cardiovasc Revasc Med Clinical INTRODUCTION AND OBJECTIVE: At least one in ten patients infected with COVID develop cardiovascular complications during hospitalization, increasing the number of deaths from this cause. However, the determinants of risk are not clearly elucidated. This study aims to determine whether there is a relationship between in-hospital cardiac complications and cardiovascular history and hospital evolution. METHODS: Prospective cohort study of 373 patients with a positive diagnosis of SARS-CoV-2 admitted to an Intensive Care Unit between March and October 2021. RESULTS: Median age was 69 (IQR: 57–77), 29.2 % of patients presented cardiovascular complications: 21.2 % electrical, 5.9 % acute coronary syndrome and 1.9 % pulmonary thromboembolism. Age RR: 1.02 (95 % CI: 1.00–1.04; p = 0.020) and history of ischemic heart disease RR: 2.23 (95 % CI: 1.27–3.92; p = 0.005) were identified as independent predictors of in-hospital cardiac complications. CONCLUSIONS: Age and history of ischemic heart disease were identified as independent predictor variables of cardiovascular complications in patients admitted with severe COVID-19 involvement; being significantly associated with lower survival. Elsevier Inc. 2023-07 2023-02-20 /pmc/articles/PMC9940473/ /pubmed/36822976 http://dx.doi.org/10.1016/j.carrev.2023.02.014 Text en © 2023 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Clinical
de la Torre Fonseca, Luis Mariano
Cedeño, Robert Alarcón
Díaz, Víctor Alfonso Jiménez
Cedeño, Fabiola Isabel Loor
Juan-Salvadores, Pablo
Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title_full Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title_fullStr Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title_full_unstemmed Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title_short Cardiovascular Complications in Patients Hospitalized for COVID-19: A Cohort Study in Havana, Cuba
title_sort cardiovascular complications in patients hospitalized for covid-19: a cohort study in havana, cuba
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940473/
https://www.ncbi.nlm.nih.gov/pubmed/36822976
http://dx.doi.org/10.1016/j.carrev.2023.02.014
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