Repositorio
Institucional

Prieto, Juan Carlos

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

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

Cardiovascular complications in COVID-19 patients admitted to intensive care units in Chilean hospitals

SOC MEDICA SANTIAGO

REVISTA MEDICA DE CHILE

es

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.

2022

artículo original

Acceso abierto

10.4067/S0034-98872022000600711

PDF

Acute Coronary Syndrome

COVID-19

Heart Diseases

Intensive Care Units

Thrombosis

Medicina general e interna

Medicina General e Interna

Sistema Cardiovascular y Cardiaco

síndrome coronario agudo

COVID-19

Enfermedades cardíacas

Unidades de cuidados intensivos

Trombosis

711

719

artículo original

versión publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

WOS:000899175900002

Medicina general e interna