Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(14), С. 4649 - 4649
Опубликована: Июль 12, 2023
Since
the
beginning
of
COVID-19
pandemic
in
March
2020,
an
intimate
relationship
between
this
disease
and
cardiovascular
diseases
has
been
seen.
However,
few
studies
assess
development
heart
failure
during
infection.
This
study
aims
to
determine
predisposing
factors
for
(HF)
hospital
admission
patients.A
retrospective
multicenter
patients
with
HF
admitted
150
Spanish
hospitals
(SEMI-COVID-19
Registry).
A
bivariate
analysis
was
performed
relate
different
variables
evaluated
developing
admission.
multivariate
including
most
relevant
clinical
obtained
analyses
predict
outcome
performed.A
total
16.474
hospitalized
were
included
(57.5%
men,
mean
age
67
years),
958
them
(5.8%)
developed
hospitalization.
The
risk
were:
(odds
ratio
[OR]):
1.042;
confidence
interval
95%
(CI
95%):
1.035-1.050;
p
<
0.001),
atrial
fibrillation
(OR:
2.022;
CI
95%:
1.697-2.410;
BMI
>
30
kg/m2
1.460
1.230-1.733;
0001),
peripheral
vascular
1.564;
1.217-2.201;
0.001).
Patients
who
had
a
higher
rate
mortality
(54.1%
vs.
19.1%,
intubation
2,36;
ICU
admissions
2.38;
0001).Patients
presented
older
factors.
age,
fibrillation,
obesity,
disease.
In
addition,
more
frequently
required
be
intubated
or
ICU.
Mechanisms of Ageing and Development,
Год журнала:
2023,
Номер
216, С. 111876 - 111876
Опубликована: Окт. 4, 2023
Elevation
of
cardiac
damage
biomarkers
is
associated
with
adverse
clinical
outcomes
and
increased
mortality
in
COVID-19
patients.
This
study
assessed
the
association
admission
serum
levels
sST2
H-FABP
in-hospital
191
geriatric
patients
(median
age
86
yrs.,
IQR
82-91
yrs.)
available
measures
hs-cTnT
NT-proBNP
at
admission.
Cox
proportional
hazards
models
were
utilized
to
predict
mortality,
considering
clinical/biochemical
confounders
as
covariates.
A
composite
score
was
calculated
improve
predictive
accuracy.
Patients
deceased
during
their
hospital
stay
(26%)
exhibited
higher
all
biomarkers,
which
demonstrated
good
discrimination
for
mortality.
Addition
significantly
improved
discriminatory
power
NT-proBNP.
The
(AUC=0.866)
further
enhanced
Crude
adjusted
regressions
revealed
that
both
independently
(HR
≥129
ng/mL,
4.32
[1.48–12.59];
HR
≥18
7.70
[2.12–28.01]).
also
correlated
1-unit
increase,
1.47
[1.14–1.90]).
In
older
COVID-19,
prognostic
value,
improving
accuracy
routinely
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(14), С. 4090 - 4090
Опубликована: Июль 12, 2024
Background/Objectives:
Persistent
cardiovascular
issues
are
common
in
COVID-19
survivors,
making
the
detection
of
subtle
myocardial
injuries
critical.
This
study
evaluates
work
(MW)
indices
patients
recently
recovering
from
mild-to-moderate
COVID-19.
Methods:
A
total
105
recovered
(who
had
a
mean
age
52
years)
underwent
comprehensive
laboratory
testing
and
advanced
echocardiographic
assessments.
The
median
time
since
their
infections
was
56
days
(IQR:
42–71).
cohort
stratified
based
on
high-sensitive
troponin
I
(hs-TnI)
levels:
undetectable
versus
detectable.
analysis
utilized
pressure-strain
loops
to
evaluate
MW
indices.
Results:
Detectable
hs-TnI
levels
were
observed
42%
patients.
values
for
entire
group
slightly
below
normal
values:
global
index
(GWI)—1834
mmHg%
(IQR
1168–2054
mmHg%),
constructive
(GCW)—2130
2010–2398
wasted
(GWW)—119
78–175
efficiency
(GWE)—94%
92–96%).
Patients
with
detectable
higher
GWW
(168
vs.
97
mmHg%,
p
<
0.005)
lower
GWE
(93%
95%,
0.005).
In
multiple
regression
analysis,
strain
dispersion
(PSD)
sole
predictor
(β
=
0.67,
0.001),
while
GWE,
PSD
−0.67,
0.001)
LVEF
0.16,
0.05)
significant
predictors.
Conclusions:
Among
COVID-19,
elevated
linked
reduction
an
increase
GWW.
is
important
inefficiency
work.
this
group,
disruptions
timing
coordination
cardiac
muscle
contractions
may
play
key
pathophysiological
role
reducing
heart’s
performance.
Atherosclerosis
is
a
chronic
disease,
characterized
by
inflammation,
endothelial
dysfunction,
and
lipid
deposition
in
the
vessel.
Although
many
major,
well-identified
risk
factors
for
atherosclerosis
[e.g.,
hyperlipidemia,
hypertension,
type
2
diabetes
(T2D),
smoking
habit,
obesity]
explain
lot
about
risk,
there
considerable
number
of
patients
who
develop
atherosclerotic
damage
undergo
adverse
events
without
presenting
any
these
established
modifiable
factors.
This
observation
has
stimulated
an
urgent
need
to
expand
knowledge
towards
identification
additional,
less
that
may
help
assessment
fill
gap
cardiovascular
(CV)
setting.
Among
them,
hypothesis
possible
relationship
between
viral
infectious
agents
risen
since
early
1900s.
However,
still
great
deal
debate
regarding
onset
progression
CV
disease
relation
roles
pathogens
(as
active
inducers
or
bystanders),
host
genomic
counterparts,
environmental
triggers,
affecting
both
virus
abundance
composition
communities.
Accordingly,
aim
this
review
discuss
current
state
on
process,
with
particular
focus
two
environmental-related
viruses,
as
examples
familiar
(influenza)
unfamiliar
[severe
acute
respiratory
syndrome
coronavirus-2
(SARS-CoV-2)]
triggers.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(14), С. 4649 - 4649
Опубликована: Июль 12, 2023
Since
the
beginning
of
COVID-19
pandemic
in
March
2020,
an
intimate
relationship
between
this
disease
and
cardiovascular
diseases
has
been
seen.
However,
few
studies
assess
development
heart
failure
during
infection.
This
study
aims
to
determine
predisposing
factors
for
(HF)
hospital
admission
patients.A
retrospective
multicenter
patients
with
HF
admitted
150
Spanish
hospitals
(SEMI-COVID-19
Registry).
A
bivariate
analysis
was
performed
relate
different
variables
evaluated
developing
admission.
multivariate
including
most
relevant
clinical
obtained
analyses
predict
outcome
performed.A
total
16.474
hospitalized
were
included
(57.5%
men,
mean
age
67
years),
958
them
(5.8%)
developed
hospitalization.
The
risk
were:
(odds
ratio
[OR]):
1.042;
confidence
interval
95%
(CI
95%):
1.035-1.050;
p
<
0.001),
atrial
fibrillation
(OR:
2.022;
CI
95%:
1.697-2.410;
BMI
>
30
kg/m2
1.460
1.230-1.733;
0001),
peripheral
vascular
1.564;
1.217-2.201;
0.001).
Patients
who
had
a
higher
rate
mortality
(54.1%
vs.
19.1%,
intubation
2,36;
ICU
admissions
2.38;
0001).Patients
presented
older
factors.
age,
fibrillation,
obesity,
disease.
In
addition,
more
frequently
required
be
intubated
or
ICU.