Complicaciones cardiovasculares en pacientes COVID-19 hospitalizados en Unidades de Pacientes Críticos en Chile. Registro COVICAR

Primer Autor
Prieto, Juan Carlos
Co-autores
Rossel, Victor
Larrea, Ricardo
Barria, Alberto
Venegas, Juan Carlos
Verdugo, Fernando
Potthoff, Marcelo
Gidi, Carlos
Villablanca, Alex
Criollo, Ivan
Noriega, Viviana
Cumsille, Francisco
Llancaqueo, Marcelo
Lanas, Fernando
Título
Complicaciones cardiovasculares en pacientes COVID-19 hospitalizados en Unidades de Pacientes Críticos en Chile. Registro COVICAR
Alternative Title
Cardiovascular complications in COVID-19 patients admitted to intensive care units in Chilean hospitals
Editorial
SOC MEDICA SANTIAGO
Revista
REVISTA MEDICA DE CHILE
Lenguaje
es
Resumen
Background: Patients with a cardiovascular (CV) history may be at greater risk of becoming ill and die due to SARS-CoV-2. Aim: To assess the incidence of CV complications in COVID-19 patients, the type of complication, and their association with CV history. Material and Methods: The clinical course of 1,314 patients with COVID-19 admitted consecutively to critical care units of 10 Chilean hospitals was registered between April and August of 2020. Results: The median age of patients was 59 years and 66% were men. One hundred-four (8%) had a CV history, namely heart failure (HF) in 53 (4.1%), coronary heart disease in 50 (3.8 %), and atrial fibrillation in 36 (2.7 %). There were CV complications in 359 patients (27.3%). The most common were venous thrombosis in 10.7% and arrhythmias in 10.5%, HF in 7.2%, type 2 acute myocardial infarction in 4.2%, arterial thrombosis in 2.0% and acute coronary syndrome (ACS) in 1.6%. When adjusted by age, sex and risk factors, only HF (Odds ratio (OR) = 7.16, 95% confidence intervals (CI), 3.96-12.92) and ACS (OR = 5.44, 95% CI, 1.50-19.82) were significantly associated with CV history. There was no association with arrhythmias, type 2 acute myocardial infarction, arterial or venous thrombosis. Conclusions: Patients with a history of CV disease are at greater risk of suffering HF and ACS when hospitalized due to COVID-19. Arrhythmias, type 2 AMI, and arterial or venous thrombosis occur with the same frequency in patients with or without CV history, suggesting that these complications depend on inflammatory phenomena related to the infection.
Fecha Publicación
2022
Tipo de Recurso
artículo original
Derecho de Acceso
Acceso abierto
doi
10.4067/S0034-98872022000600711
Formato Recurso
PDF
Palabras Claves
Acute Coronary Syndrome
COVID-19
Heart Diseases
Intensive Care Units
Thrombosis
Ubicación del archivo
Categoría OCDE
Medicina general e interna
Medicina General e Interna
Sistema Cardiovascular y Cardiaco
Materias
síndrome coronario agudo
COVID-19
Enfermedades cardíacas
Unidades de cuidados intensivos
Trombosis
Página de inicio (Recomendado-único)
711
Página final (Recomendado-único)
719
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000899175900002
Categoría WOS
Medicina general e interna
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