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Prognostic Value of Cardiovascular Biomarkers in COVID-19: A Review
Maryam Aboughdir1,2, Thomas Kirwin1,3, Ashiq Abdul Khader1
1Department of Medicine, Imperial College London, London W12 0NN, UK.
Insights
This review identifies cardiovascular prognostic factors for COVID-19 patients, highlighting biomarkers for cardiac injury and coagulation to predict outcomes and optimize care for those with cardiovascular disease.
Area of Science:
- Cardiology
- Infectious Diseases
- Biomarkers
Background:
- COVID-19, caused by SARS-CoV-2, emerged in late 2019 with significant global impact.
- Hospitalized COVID-19 patients frequently have pre-existing cardiovascular disease (CVD).
- COVID-19 can worsen cardiovascular risk factors, existing CVD, and lead to complications.
Purpose of the Study:
- To identify cardiovascular prognostic factors linked to morbidity and mortality in COVID-19.
- To explore the role of cardiac injury and coagulation biomarkers in predicting COVID-19 outcomes.
- To guide the use of laboratory testing for cardiovascular biomarkers to improve patient management.
Main Methods:
- Literature review of studies on COVID-19 and cardiovascular outcomes.
- Analysis of preliminary findings associating biomarkers with prognosis.
- Synthesis of evidence on cardiovascular risk factors and complications in COVID-19 patients.
Main Results:
- Preliminary data suggest biomarkers of acute cardiac injury and coagulation are associated with worse prognosis in COVID-19.
- Patients with pre-existing CVD or risk factors appear to be at higher risk for adverse outcomes.
- The review consolidates evidence on key cardiovascular prognostic indicators.
Conclusions:
- Identifying patients at increased risk of adverse outcomes is crucial during the COVID-19 pandemic.
- Cardiovascular prognostic factors and biomarkers are vital for managing COVID-19 patients, especially those with comorbidities.
- Incorporating biomarker testing can optimize patient outcomes and inform clinical decision-making.
Abstract:
In early December 2019, the coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first emerged in Wuhan, China. As of May 10th, 2020, a total of over 4 million COVID-19 cases and 280,000 deaths have been reported globally, reflecting the raised infectivity and severity of this virus. Amongst hospitalised COVID-19 patients, there is a high prevalence of established cardiovascular disease (CVD). There is evidence showing that COVID-19 may exacerbate cardiovascular risk factors and preexisting CVD or may lead to cardiovascular complications. With intensive care units operating at maximum capacity and such staggering mortality rates reported, it is imperative during this time-sensitive COVID-19 outbreak to identify patients with an increased risk of adverse outcomes and/or myocardial injury. Preliminary findings from COVID-19 studies have shown the association of biomarkers of acute cardiac injury and coagulation with worse prognosis. While these biomarkers are recognised for CVD, there is emerging prospect that they may aid prognosis in COVID-19, especially in patients with cardiovascular comorbidities or risk factors that predispose to worse outcomes. Consequently, the aim of this review is to identify cardiovascular prognostic factors associated with morbidity and mortality in COVID-19 and to highlight considerations for incorporating laboratory testing of biomarkers of cardiovascular performance in COVID-19 to optimise outcomes.
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