Complicaciones cardiovasculares en pacientes COVID-19 hospitalizados en Unidades de Pacientes Críticos en Chile. Registro COVICAR
Primer Autor |
Prieto, Juan Carlos
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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
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Título |
Complicaciones cardiovasculares en pacientes COVID-19 hospitalizados en Unidades de Pacientes Críticos en Chile. Registro COVICAR
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Alternative Title |
Cardiovascular complications in COVID-19 patients admitted to intensive care units in Chilean hospitals
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Editorial |
SOC MEDICA SANTIAGO
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Revista |
REVISTA MEDICA DE CHILE
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Lenguaje |
es
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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.
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Fecha Publicación |
2022
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Tipo de Recurso |
artículo original
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Derecho de Acceso |
Acceso abierto
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doi |
10.4067/S0034-98872022000600711
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Formato Recurso |
PDF
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Palabras Claves |
Acute Coronary Syndrome
COVID-19
Heart Diseases
Intensive Care Units
Thrombosis
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Ubicación del archivo | |
Categoría OCDE |
Medicina general e interna
Medicina General e Interna
Sistema Cardiovascular y Cardiaco
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Materias |
síndrome coronario agudo
COVID-19
Enfermedades cardíacas
Unidades de cuidados intensivos
Trombosis
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Página de inicio (Recomendado-único) |
711
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Página final (Recomendado-único) |
719
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Identificador del recurso (Mandatado-único) |
artículo original
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Versión del recurso (Recomendado-único) |
versión publicada
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License |
CC BY 4.0
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Condición de la licencia (Recomendado-repetible) |
CC BY 4.0
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Derechos de acceso |
acceso abierto
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Access Rights |
acceso abierto
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Id de Web of Science |
WOS:000899175900002
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Categoría WOS |
Medicina general e interna
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