Impact of Cardiovascular Disease on Clinical Characteristics and Outcomes of Coronavirus Disease 2019 (COVID-19).
Identifieur interne : 000153 ( Main/Corpus ); précédent : 000152; suivant : 000154Impact of Cardiovascular Disease on Clinical Characteristics and Outcomes of Coronavirus Disease 2019 (COVID-19).
Auteurs : Yangjing Xie ; Qinghai You ; Chaoran Wu ; Shiyu Cao ; Guangbo Qu ; Xiaoxiang Yan ; Xuan Han ; Changhui Wang ; Hong ZhangSource :
- Circulation journal : official journal of the Japanese Circulation Society [ 1347-4820 ] ; 2020.
Abstract
BACKGROUND
To investigate the effect of cardiovascular disease (CVD) on the global pandemic, coronavirus disease 2019 (COVID-19), we analyzed the cases of laboratory-confirmed COVID-19 patients in Wuhan.Methods and Results:Data were extracted from the medical records. SARS-CoV-2 RNA was confirmed by RT-PCR. A total of 33 (53.2%) of 62 cases with CVD, who had higher prevalence of severe COVID-19 compared with non-CVD patients (P=0.027). The median age of all patients was 66.0 (53.3, 73.0) years old. Coronary artery disease (11.3%) and hypertension (38.7%) were the common coexisting CVDs in COVID-19 patients. High-sensitivity cardiac troponin I (hs-cTnI), creatinine, high-density lipoprotein-cholesterol, interleukin-6, C-reactive protein, prothrombin time, and D-dimer levels in the severe COVID-19 with CVD group were higher than in the non-severe COVID-19 with CVD group (P<0.05). For all patients, chest computed tomography (CT) showed ground-glass opacity (66.1%), local (21.0%), bilateral (77.4%), and interstitial abnormalities (4.8%). In COVID-19 patients with CVD, 27 (81.8%) were cured and discharged. 6 (18.2%) remained in hospital, including 2 (3.2%) patients requiring intubation and mechanical ventilation. The hs-cTnI levels in the remaining hospitalized patients were higher than in the discharged patients (P=0.047).
CONCLUSIONS
CVDs play a vital role in the disease severity of COVID-19. COVID-19 could result in myocardial injury, which affects the prognosis of COVID-19.
DOI: 10.1253/circj.CJ-20-0348
PubMed: 32536672
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University.</nlm:affiliation></affiliation></author><author><name sortKey="Cao, Shiyu" sort="Cao, Shiyu" uniqKey="Cao S" first="Shiyu" last="Cao">Shiyu Cao</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Qu, Guangbo" sort="Qu, Guangbo" uniqKey="Qu G" first="Guangbo" last="Qu">Guangbo Qu</name><affiliation><nlm:affiliation>Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Yan, Xiaoxiang" sort="Yan, Xiaoxiang" uniqKey="Yan X" first="Xiaoxiang" last="Yan">Xiaoxiang Yan</name><affiliation><nlm:affiliation>Intensive Care Unit, Department of Neurology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Xuan" sort="Han, Xuan" uniqKey="Han X" first="Xuan" last="Han">Xuan Han</name><affiliation><nlm:affiliation>Department of Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Changhui" sort="Wang, Changhui" uniqKey="Wang C" first="Changhui" last="Wang">Changhui Wang</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Hong" sort="Zhang, Hong" uniqKey="Zhang H" first="Hong" last="Zhang">Hong Zhang</name><affiliation><nlm:affiliation>Department of Emergency, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32536672</idno><idno type="pmid">32536672</idno><idno type="doi">10.1253/circj.CJ-20-0348</idno><idno type="wicri:Area/Main/Corpus">000153</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000153</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of Cardiovascular Disease on Clinical Characteristics and Outcomes of Coronavirus Disease 2019 (COVID-19).</title><author><name sortKey="Xie, Yangjing" sort="Xie, Yangjing" uniqKey="Xie Y" first="Yangjing" last="Xie">Yangjing Xie</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="You, Qinghai" sort="You, Qinghai" uniqKey="You Q" first="Qinghai" last="You">Qinghai You</name><affiliation><nlm:affiliation>Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Chaoran" sort="Wu, Chaoran" uniqKey="Wu C" first="Chaoran" last="Wu">Chaoran Wu</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Cao, Shiyu" sort="Cao, Shiyu" uniqKey="Cao S" first="Shiyu" last="Cao">Shiyu Cao</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Qu, Guangbo" sort="Qu, Guangbo" uniqKey="Qu G" first="Guangbo" last="Qu">Guangbo Qu</name><affiliation><nlm:affiliation>Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Yan, Xiaoxiang" sort="Yan, Xiaoxiang" uniqKey="Yan X" first="Xiaoxiang" last="Yan">Xiaoxiang Yan</name><affiliation><nlm:affiliation>Intensive Care Unit, Department of Neurology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Xuan" sort="Han, Xuan" uniqKey="Han X" first="Xuan" last="Han">Xuan Han</name><affiliation><nlm:affiliation>Department of Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Changhui" sort="Wang, Changhui" uniqKey="Wang C" first="Changhui" last="Wang">Changhui Wang</name><affiliation><nlm:affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Hong" sort="Zhang, Hong" uniqKey="Zhang H" first="Hong" last="Zhang">Hong Zhang</name><affiliation><nlm:affiliation>Department of Emergency, The First Affiliated Hospital of Anhui Medical University.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Circulation journal : official journal of the Japanese Circulation Society</title><idno type="eISSN">1347-4820</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>To investigate the effect of cardiovascular disease (CVD) on the global pandemic, coronavirus disease 2019 (COVID-19), we analyzed the cases of laboratory-confirmed COVID-19 patients in Wuhan.Methods and Results:Data were extracted from the medical records. SARS-CoV-2 RNA was confirmed by RT-PCR. A total of 33 (53.2%) of 62 cases with CVD, who had higher prevalence of severe COVID-19 compared with non-CVD patients (P=0.027). The median age of all patients was 66.0 (53.3, 73.0) years old. Coronary artery disease (11.3%) and hypertension (38.7%) were the common coexisting CVDs in COVID-19 patients. High-sensitivity cardiac troponin I (hs-cTnI), creatinine, high-density lipoprotein-cholesterol, interleukin-6, C-reactive protein, prothrombin time, and D-dimer levels in the severe COVID-19 with CVD group were higher than in the non-severe COVID-19 with CVD group (P<0.05). For all patients, chest computed tomography (CT) showed ground-glass opacity (66.1%), local (21.0%), bilateral (77.4%), and interstitial abnormalities (4.8%). In COVID-19 patients with CVD, 27 (81.8%) were cured and discharged. 6 (18.2%) remained in hospital, including 2 (3.2%) patients requiring intubation and mechanical ventilation. The hs-cTnI levels in the remaining hospitalized patients were higher than in the discharged patients (P=0.047).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>CVDs play a vital role in the disease severity of COVID-19. COVID-19 could result in myocardial injury, which affects the prognosis of COVID-19.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32536672</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1347-4820</ISSN><JournalIssue CitedMedium="Internet"><Volume>84</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>07</Month><Day>22</Day></PubDate></JournalIssue><Title>Circulation journal : official journal of the Japanese Circulation Society</Title><ISOAbbreviation>Circ. J.</ISOAbbreviation></Journal><ArticleTitle>Impact of Cardiovascular Disease on Clinical Characteristics and Outcomes of Coronavirus Disease 2019 (COVID-19).</ArticleTitle><Pagination><MedlinePgn>1277-1283</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1253/circj.CJ-20-0348</ELocationID><Abstract><AbstractText Label="BACKGROUND">To investigate the effect of cardiovascular disease (CVD) on the global pandemic, coronavirus disease 2019 (COVID-19), we analyzed the cases of laboratory-confirmed COVID-19 patients in Wuhan.Methods and Results:Data were extracted from the medical records. SARS-CoV-2 RNA was confirmed by RT-PCR. A total of 33 (53.2%) of 62 cases with CVD, who had higher prevalence of severe COVID-19 compared with non-CVD patients (P=0.027). The median age of all patients was 66.0 (53.3, 73.0) years old. Coronary artery disease (11.3%) and hypertension (38.7%) were the common coexisting CVDs in COVID-19 patients. High-sensitivity cardiac troponin I (hs-cTnI), creatinine, high-density lipoprotein-cholesterol, interleukin-6, C-reactive protein, prothrombin time, and D-dimer levels in the severe COVID-19 with CVD group were higher than in the non-severe COVID-19 with CVD group (P<0.05). For all patients, chest computed tomography (CT) showed ground-glass opacity (66.1%), local (21.0%), bilateral (77.4%), and interstitial abnormalities (4.8%). In COVID-19 patients with CVD, 27 (81.8%) were cured and discharged. 6 (18.2%) remained in hospital, including 2 (3.2%) patients requiring intubation and mechanical ventilation. The hs-cTnI levels in the remaining hospitalized patients were higher than in the discharged patients (P=0.047).</AbstractText><AbstractText Label="CONCLUSIONS">CVDs play a vital role in the disease severity of COVID-19. COVID-19 could result in myocardial injury, which affects the prognosis of COVID-19.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Xie</LastName><ForeName>Yangjing</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>You</LastName><ForeName>Qinghai</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Chaoran</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cao</LastName><ForeName>Shiyu</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qu</LastName><ForeName>Guangbo</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yan</LastName><ForeName>Xiaoxiang</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Intensive Care Unit, Department of Neurology, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Han</LastName><ForeName>Xuan</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Department of Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Changhui</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cardiology, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Hong</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Emergency, The First Affiliated Hospital of Anhui Medical University.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Circ J</MedlineTA><NlmUniqueID>101137683</NlmUniqueID><ISSNLinking>1346-9843</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Cardiovascular disease</Keyword><Keyword MajorTopicYN="Y">Coronary artery disease</Keyword><Keyword MajorTopicYN="Y">Hypertension</Keyword><Keyword MajorTopicYN="Y">Myocardial injury</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32536672</ArticleId><ArticleId IdType="doi">10.1253/circj.CJ-20-0348</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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