Biomarkers predict in-hospital major adverse cardiac events in covid-19 patients: A multicenter international study

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Biomarkers predict in-hospital major adverse cardiac events in covid-19 patients : A multicenter international study

Henein, Michael Y. (författare): Umeå universitet,Avdelningen för medicin,St George London and Brunel Universities, London, United Kingdom

Mandoli, Giulia Elena (författare): Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

Pastore, Maria Concetta (författare): Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

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Ghionzoli, Nicolò (författare): Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

Hasson, Fouhad (författare): Luton and Dunstable University Hospital, NHS Foundation Trust, Luton, United Kingdom

Nisar, Muhammad K. (författare): Luton and Dunstable University Hospital, NHS Foundation Trust, Luton, United Kingdom

Islam, Mohammed (författare): Luton and Dunstable University Hospital, NHS Foundation Trust, Luton, United Kingdom

Bandera, Francesco (författare): Department for Biomedical Sciences for Health, University of Milano, Milan, Italy; Cardiology University Department, Heart Failure Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy

Marrocco-Trischitta, Massimiliano M. (författare): Clinical Research Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy

Baroni, Irene (författare): Clinical Research Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy

Malagoli, Alessandro (författare): Division of Cardiology, Nephro-Cardiovascular Department, Baggiovara Hospital, University of Modena and Reggio Emilia, Modena, Italy

Rossi, Luca (författare): Division of Cardiology, Cardiovascular and Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy

Biagi, Andrea (författare): Division of Cardiology, Cardiovascular and Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy

Citro, Rodolfo (författare): Cardio-Thoracic-Vascular Department, University Hospital San Giovanni di Dio e Ruggi d’Aragona, Salerno, Italy

Ciccarelli, Michele (författare): Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy

Silverio, Angelo (författare): Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy

Biagioni, Giulia (författare): Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

Moutiris, Joseph A. (författare): Paphos Hospital, University of Nicosia, Nicosia, Cyprus

Vancheri, Federico (författare): Department of Internal Medicine, S. Elia Hospital, Caltanissetta, Italy

Mazzola, Giovanni (författare): Department of Internal Medicine, S. Elia Hospital, Caltanissetta, Italy

Geraci, Giulio (författare): Department of Internal Medicine, S. Elia Hospital, Caltanissetta, Italy

Thomas, Liza (författare): Department of Cardiology, Westmead Hospital and Westmeead Clinical School, University of Sydney, NSW, Sydney, Australia

Altman, Mikhail (författare): Department of Cardiology, Westmead Hospital and Westmeead Clinical School, University of Sydney, NSW, Sydney, Australia

Pernow, John (författare): Karolinska Institutet

Ahmed, Mona (författare): Department of Molecular Medicine and Surgery, Division of Cardiology, Karolinska Institutet, Stockholm, Sweden

Santoro, Ciro (författare): Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy

Esposito, Roberta (författare): Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy

Casas, Guillem (författare): Department of Cardiology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain

Fernández-Galera, Rubén (författare): Department of Cardiology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain

Gonzalez, Maribel (författare): Department of Cardiology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain

Palomares, Jose Rodriguez (författare): Department of Cardiology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain

Bytyci, Ibadete (författare): Umeå universitet,Avdelningen för medicin,Clinic of Cardiology, University Clinical Centre of Kosova, Prishtina Kosovo

Dini, Frank Lloyd (författare): Umeå universitet,Avdelningen för medicin

Cameli, Paolo (författare): Respiratory Diseases Unit, Department of Medical Sciences, Siena University Hospital, Siena, Italy

Franchi, Federico (författare): Department of Medical Biotechnologies, Anesthesia and Intensive Care, University of Siena, Siena, Italy

Bajraktari, Gani (författare): Umeå universitet,Avdelningen för medicin,Clinic of Cardiology, University Clinical Centre of Kosova, Prishtina Kosovo; Medical Faculty, University of Prishtina “Hasan Prishtina”, Prishtina Kosovo

Badano, Luigi Paolo (författare): Istituto Auxologico Italiano, IRCCS, Milan, Italy; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

Cameli, Matteo (författare): Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

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2021-12-14
2021
Engelska.
Ingår i: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 10:24

Relaterad länk:: https://doi.org/10.3...; visa fler...; https://umu.diva-por... (primary) (Raw object); https://www.mdpi.com...; https://urn.kb.se/re...; https://doi.org/10.3...; http://kipublication...; visa färre...

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Background: The COVID-19 pandemic carries a high burden of morbidity and mortality worldwide. We aimed to identify possible predictors of in-hospital major cardiovascular (CV) events in COVID-19.Methods: We retrospectively included patients hospitalized for COVID-19 from 10 centers. Clinical, biochemical, electrocardiographic, and imaging data at admission and medications were collected. Primary endpoint was a composite of in-hospital CV death, acute heart failure (AHF), acute myocarditis, arrhythmias, acute coronary syndromes (ACS), cardiocirculatory arrest, and pulmonary embolism (PE).Results: Of the 748 patients included, 141(19%) reached the set endpoint: 49 (7%) CV death, 15 (2%) acute myocarditis, 32 (4%) sustained-supraventricular or ventricular arrhythmias, 14 (2%) cardiocirculatory arrest, 8 (1%) ACS, 41 (5%) AHF, and 39 (5%) PE. Patients with CV events had higher age, body temperature, creatinine, high-sensitivity troponin, white blood cells, and platelet counts at admission and were more likely to have systemic hypertension, renal failure (creatinine ≥ 1.25 mg/dL), chronic obstructive pulmonary disease, atrial fibrillation, and cardiomyopathy. On univariate and multivariate analysis, troponin and renal failure were associated with the composite endpoint. Kaplan–Meier analysis showed a clear divergence of in-hospital composite event-free survival stratified according to median troponin value and the presence of renal failure (Log rank p < 0.001).Conclusions: Our findings, derived from a multicenter data collection study, suggest the routine use of biomarkers, such as cardiac troponin and serum creatinine, for in-hospital prediction of CV events in patients with COVID-19.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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Av lärosätet: Umeå universitet; Karolinska Institutet

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Biomarkers predict in-hospital major adverse cardiac events in covid-19 patients : A multicenter international study

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