Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study
Abstract. Objective:. Cardiac damage is commonly reported in patients with coronavirus disease 2019 (COVID-19) but its prevalence and impact on the long-term survival of patients remain uncertain. This study aimed to explore the prevalence of myocardial injury and assess its prognostic value in pati...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2022-06-01
|
| Series: | Cardiology Discovery |
| Online Access: | http://journals.lww.com/10.1097/CD9.0000000000000044 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850217909517811712 |
|---|---|
| author | Fajiu Li Xijie Zhu Ziyang Zhu Yinjian Yang Zhuang Tian Duolao Wang Shi Chen Xiaoyan Gao Yalin Xu Bo Zhang Wei Yu Min Liu Xiqi Xu Chenghong Li Shuyang Zhang Tianyu Xu Xiaoxia Fu |
| author_facet | Fajiu Li Xijie Zhu Ziyang Zhu Yinjian Yang Zhuang Tian Duolao Wang Shi Chen Xiaoyan Gao Yalin Xu Bo Zhang Wei Yu Min Liu Xiqi Xu Chenghong Li Shuyang Zhang Tianyu Xu Xiaoxia Fu |
| author_sort | Fajiu Li |
| collection | DOAJ |
| description | Abstract. Objective:. Cardiac damage is commonly reported in patients with coronavirus disease 2019 (COVID-19) but its prevalence and impact on the long-term survival of patients remain uncertain. This study aimed to explore the prevalence of myocardial injury and assess its prognostic value in patients with COVID-19.
Methods:. A single-center, retrospective cohort study was performed at the Affiliated Hospital of Jianghan University. Data from 766 patients with confirmed COVID-19 who were hospitalized from December 27, 2019 to April 25, 2020 were collected. Demographic, clinical, laboratory, electrocardiogram, treatment data and all-cause mortality during follow-up were collected and analyzed.
Results:. Of the 766 patients with moderate to critically ill COVID-19, 86 (11.2%) died after a mean follow-up of 72.8 days. Myocardial injury occurred in 94 (12.3%) patients. The mortality rate was 64.9% (61/94) and 3.7% (25/672) in patients with and without myocardial injury, respectively. Cox regression showed that myocardial injury was an independent risk factor for mortality (hazard ratio: 8.76, 95% confidence interval: 4.76–16.11, P < 0.001). Of the 90 patients with myocardial injury with electrocardiogram results, sinus tachycardia was present in 29, bundle branch block in 26, low voltage in 10, and abnormal T-wave in 53.
Conclusions:. COVID-19 not only involves pneumonia but also cardiac damage. Myocardial injury is a common complication and an independent risk factor for mortality in COVID-19 patients. |
| format | Article |
| id | doaj-art-775eb3eaed0743cda23fd61bdd44e6f5 |
| institution | OA Journals |
| issn | 2096-952X 2693-8499 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Cardiology Discovery |
| spelling | doaj-art-775eb3eaed0743cda23fd61bdd44e6f52025-08-20T02:07:57ZengWolters Kluwer Health/LWWCardiology Discovery2096-952X2693-84992022-06-0122778210.1097/CD9.0000000000000044202206000-00002Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort StudyFajiu LiXijie ZhuZiyang ZhuYinjian YangZhuang TianDuolao WangShi ChenXiaoyan GaoYalin XuBo ZhangWei YuMin LiuXiqi XuChenghong LiShuyang ZhangTianyu XuXiaoxia FuAbstract. Objective:. Cardiac damage is commonly reported in patients with coronavirus disease 2019 (COVID-19) but its prevalence and impact on the long-term survival of patients remain uncertain. This study aimed to explore the prevalence of myocardial injury and assess its prognostic value in patients with COVID-19. Methods:. A single-center, retrospective cohort study was performed at the Affiliated Hospital of Jianghan University. Data from 766 patients with confirmed COVID-19 who were hospitalized from December 27, 2019 to April 25, 2020 were collected. Demographic, clinical, laboratory, electrocardiogram, treatment data and all-cause mortality during follow-up were collected and analyzed. Results:. Of the 766 patients with moderate to critically ill COVID-19, 86 (11.2%) died after a mean follow-up of 72.8 days. Myocardial injury occurred in 94 (12.3%) patients. The mortality rate was 64.9% (61/94) and 3.7% (25/672) in patients with and without myocardial injury, respectively. Cox regression showed that myocardial injury was an independent risk factor for mortality (hazard ratio: 8.76, 95% confidence interval: 4.76–16.11, P < 0.001). Of the 90 patients with myocardial injury with electrocardiogram results, sinus tachycardia was present in 29, bundle branch block in 26, low voltage in 10, and abnormal T-wave in 53. Conclusions:. COVID-19 not only involves pneumonia but also cardiac damage. Myocardial injury is a common complication and an independent risk factor for mortality in COVID-19 patients.http://journals.lww.com/10.1097/CD9.0000000000000044 |
| spellingShingle | Fajiu Li Xijie Zhu Ziyang Zhu Yinjian Yang Zhuang Tian Duolao Wang Shi Chen Xiaoyan Gao Yalin Xu Bo Zhang Wei Yu Min Liu Xiqi Xu Chenghong Li Shuyang Zhang Tianyu Xu Xiaoxia Fu Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study Cardiology Discovery |
| title | Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study |
| title_full | Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study |
| title_fullStr | Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study |
| title_full_unstemmed | Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study |
| title_short | Non-Ischemic, Non-Hypoxic Myocardial Injury, and Long-Term Mortality in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study |
| title_sort | non ischemic non hypoxic myocardial injury and long term mortality in patients with coronavirus disease 2019 a retrospective cohort study |
| url | http://journals.lww.com/10.1097/CD9.0000000000000044 |
| work_keys_str_mv | AT fajiuli nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT xijiezhu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT ziyangzhu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT yinjianyang nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT zhuangtian nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT duolaowang nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT shichen nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT xiaoyangao nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT yalinxu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT bozhang nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT weiyu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT minliu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT xiqixu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT chenghongli nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT shuyangzhang nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT tianyuxu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy AT xiaoxiafu nonischemicnonhypoxicmyocardialinjuryandlongtermmortalityinpatientswithcoronavirusdisease2019aretrospectivecohortstudy |