Factores de riesgo de muerte hospitalaria en pacientes con infarto agudo de miocardio durante la pandemia de la COVID-19 |
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Institution: | 1. Departamento de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España;2. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, España;3. Departamento de Cardiología, Hospital Clínico Universitario de Valladolid, Instituto de Ciencias del Corazón (ICICOR), Valladolid, España;4. Departamento de Cardiología, Hospital Universitario 12 de Octubre, Madrid, España;5. Departamento de Cardiología, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España;6. Departamento de Cardiología Intervencionista, Hospital Clínic i Universitari de València - Instituto de Investigación Sanitaria INCLIVA, Valencia, España;7. Departamento de Cardiología, Hospital Universitario La Paz, Madrid, España;8. Departamento de Cardiología, Hospital Universitario Bellvitge, L’Hospitalet de Llobregat, Barcelona, España |
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Abstract: | Introduction and objectivesDespite advances in treatment, patients with acute myocardial infarction (AMI) still exhibit unfavorable short- and long-term prognoses. In addition, there is scant evidence about the clinical outcomes of patients with AMI and coronavirus disease 2019 (COVID-19). The objective of this study was to describe the clinical presentation, complications, and risk factors for mortality in patients admitted for AMI during the COVID-19 pandemic.MethodsThis prospective, multicenter, cohort study included all consecutive patients with AMI who underwent coronary angiography in a 30-day period corresponding chronologically with the COVID-19 outbreak (March 15 to April 15, 2020). Clinical presentations and outcomes were compared between COVID-19 and non-COVID-19 patients. The effect of COVID-19 on mortality was assessed by propensity score matching and with a multivariate logistic regression model.ResultsIn total, 187 patients were admitted for AMI, 111 with ST-segment elevation AMI and 76 with non-ST-segment elevation AMI. Of these, 32 (17%) were diagnosed with COVID-19. GRACE score, Killip-Kimball classification, and several inflammatory markers were significantly higher in COVID-19-positive patients. Total and cardiovascular mortality were also significantly higher in COVID-19-positive patients (25% vs 3.8% P < .001] and 15.2% vs 1.8% P = .001], respectively). GRACE score > 140 (OR, 23.45; 95%CI, 2.52–62.51; P = .005) and COVID-19 (OR, 6.61; 95%CI, 1.82-24.43; P = .02) were independent predictors of in-hospital death.ConclusionsDuring this pandemic, a high GRACE score and COVID-19 were independent risk factors associated with higher in-hospital mortality.Full English text available from:www.revespcardiol.org/en |
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Keywords: | COVID-19 Myocardial infarction Acute coronary syndrome Mortality COVID-19"} {"#name":"keyword" "$":{"id":"kw0050"} "$$":[{"#name":"text" "_":"enfermedad coronavírica de 2019 IAM"} {"#name":"keyword" "$":{"id":"kw0060"} "$$":[{"#name":"text" "_":"infarto agudo de miocardio IAMCEST"} {"#name":"keyword" "$":{"id":"kw0070"} "$$":[{"#name":"text" "_":"infarto agudo de miocardio con elevación del segmento ST IAMSEST"} {"#name":"keyword" "$":{"id":"kw0080"} "$$":[{"#name":"text" "_":"infarto agudo de miocardio sin elevación del segmento ST SDRA"} {"#name":"keyword" "$":{"id":"kw0090"} "$$":[{"#name":"text" "_":"síndrome de dificultad respiratoria aguda |
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