COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
DOI: | 10.1016/j.ahjo.2021.100069 |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/50857 |
Resumo: | Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. 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. |
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Paulino, Mariah RodriguesMoreira, José Alfredo de SousaCorreia, Marcelo GoulartSantos, Léo Rodrigo Abrahão dosDuarte, Ingrid PaivaSabioni, Letícia RobertoMucillo, Fabiana BergaminGarrido, Rafael QuaresmaPacheco, Stephan LachtermacherLorenzo, Andrea deLamas, Cristiane da Cruz2022-01-24T13:55:06Z2022-01-24T13:55:06Z2021PAULINO, Mariah Rodrigues et al. COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil. American Heart Journal Plus, v. 12, 100069, p. 1-7, 2021.2666-6022https://www.arca.fiocruz.br/handle/icict/5085710.1016/j.ahjo.2021.100069Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. 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.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil / Universidade do Grande Rio, Rio de Janeiro, RJ, Brasil.Background: Cardiovascular disease is associated with severe COVID-19. Our aim was to describe clinical and laboratory features (including electrocardiographic and echocardiographic ones) and outcomes of patients with cardiac disease hospitalized with COVID-19. Methods: This is an observational retrospective study of consecutive adult patients admitted, between March and September of 2020, with confirmed SARSCoV-2 infection. Data were collected as per the ISARIC case report form and complemented with variables related to heart disease. Results: One hundred twenty-one patients were included. Mean age was 60 SD 15.2 years and 80/121(66.1%) were male. Two-thirds of the patients (80/121, 66.1%) had COVID-19 at the time of hospital admission and COVID-19 was the reason for hospitalization in 42 (34.7%). Other reasons for hospital admission were acute coronary syndrome (26%) and decompensated heart failure (14.8%). Chronic cardiac diseases were found in 106/121 (87.6%), mostly coronary artery disease (62%) or valve disease (33.9%). A transthoracic echocardiogram was performed in 93/121(76.8%) and enlarged cardiac chambers were found in 71% (66/93); admission ECG was done in 93 cases (93/121, 76.8%), and 89.2% (83/93) were abnormal. Hospital-acquisition of COVID-19 occurred in 20 (16.5%) of patients and their mortality was 50%. On bivariate analysis for mortality, BNP levels and troponin levels were NOT associated with mortality. On multivariate analysis, only C reactive protein levels and creatinine levels were significant. Conclusions: COVID-19 impacted the profile of hospital admissions in cardiac patients. BNP and troponin levels were not associated with mortality and may not be good prognostic discriminators in cardiac patients.engElsevierCOVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCOVID-19Cardiac diseaseCardiac surgeryCoronavirusHospitalizationMortalityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/50857/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALPaulino_Mariah_etal_INI_COVID-19_2021.pdfPaulino_Mariah_etal_INI_COVID-19_2021.pdfapplication/pdf467765https://www.arca.fiocruz.br/bitstream/icict/50857/2/Paulino_Mariah_etal_INI_COVID-19_2021.pdff4b6483f8af8078c76d7135583099298MD52icict/508572022-01-25 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dc.title.pt_BR.fl_str_mv |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
title |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
spellingShingle |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil Paulino, Mariah Rodrigues COVID-19 Cardiac disease Cardiac surgery Coronavirus Hospitalization Mortality |
title_short |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
title_full |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
title_fullStr |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
title_full_unstemmed |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
title_sort |
COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil |
author |
Paulino, Mariah Rodrigues |
author_facet |
Paulino, Mariah Rodrigues Moreira, José Alfredo de Sousa Correia, Marcelo Goulart Santos, Léo Rodrigo Abrahão dos Duarte, Ingrid Paiva Sabioni, Letícia Roberto Mucillo, Fabiana Bergamin Garrido, Rafael Quaresma Pacheco, Stephan Lachtermacher Lorenzo, Andrea de Lamas, Cristiane da Cruz |
author_role |
author |
author2 |
Moreira, José Alfredo de Sousa Correia, Marcelo Goulart Santos, Léo Rodrigo Abrahão dos Duarte, Ingrid Paiva Sabioni, Letícia Roberto Mucillo, Fabiana Bergamin Garrido, Rafael Quaresma Pacheco, Stephan Lachtermacher Lorenzo, Andrea de Lamas, Cristiane da Cruz |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Paulino, Mariah Rodrigues Moreira, José Alfredo de Sousa Correia, Marcelo Goulart Santos, Léo Rodrigo Abrahão dos Duarte, Ingrid Paiva Sabioni, Letícia Roberto Mucillo, Fabiana Bergamin Garrido, Rafael Quaresma Pacheco, Stephan Lachtermacher Lorenzo, Andrea de Lamas, Cristiane da Cruz |
dc.subject.en.pt_BR.fl_str_mv |
COVID-19 Cardiac disease Cardiac surgery Coronavirus Hospitalization Mortality |
topic |
COVID-19 Cardiac disease Cardiac surgery Coronavirus Hospitalization Mortality |
description |
Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. 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. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-01-24T13:55:06Z |
dc.date.available.fl_str_mv |
2022-01-24T13:55:06Z |
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info:eu-repo/semantics/publishedVersion |
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article |
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dc.identifier.citation.fl_str_mv |
PAULINO, Mariah Rodrigues et al. COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil. American Heart Journal Plus, v. 12, 100069, p. 1-7, 2021. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/50857 |
dc.identifier.issn.pt_BR.fl_str_mv |
2666-6022 |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.ahjo.2021.100069 |
identifier_str_mv |
PAULINO, Mariah Rodrigues et al. COVID-19 in patients with cardiac disease: Impact and variables associated with mortality in a cardiology center in Brazil. American Heart Journal Plus, v. 12, 100069, p. 1-7, 2021. 2666-6022 10.1016/j.ahjo.2021.100069 |
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https://www.arca.fiocruz.br/handle/icict/50857 |
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Elsevier |
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Elsevier |
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