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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Do underlying cardiovascular diseases have any impact on hospitalised patients with COVID-19?
Jixiang Zhang1, Shimin Lu1, Xiaoli Wang2
1Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Insights
Patients with cardiovascular disease (CVD) face a higher risk of severe outcomes and mortality from COVID-19. Early assessment and intervention for CVD are crucial in managing these vulnerable patients.
Area of Science:
- Infectious Diseases
- Cardiology
- Critical Care Medicine
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has led to a global health crisis.
- Cardiovascular disease (CVD) is a common comorbidity, and its impact on COVID-19 prognosis is a critical area of investigation.
Purpose of the Study:
- To investigate the early clinical characteristics of COVID-19 patients with pre-existing cardiovascular disease (CVD).
- To identify associations between CVD and clinical outcomes in patients with COVID-19.
Main Methods:
- Retrospective analysis of 541 COVID-19 patients from a single center.
- Real-time reverse transcription PCR confirmed SARS-CoV-2 infection.
- Demographic, clinical, and laboratory data were collected and analyzed for significant associations.
Main Results:
- 144 patients (26.6%) had a history of CVD, with a significantly higher mortality rate (22.2%) compared to non-CVD patients (9.8%).
- CVD patients exhibited higher rates of liver dysfunction, elevated creatinine, and lactic dehydrogenase, along with more sputum production.
- Critically ill patients were more prevalent in the CVD group (27.8% vs. 8.8%), and CVD was independently associated with critical illness (OR: 2.735).
Conclusions:
- COVID-19 patients with CVD demonstrate increased vulnerability to severe disease and poorer outcomes.
- Thorough cardiovascular assessment and prompt intervention are recommended for COVID-19 patients diagnosed with CVD.
- Coronary heart disease was associated with a lower likelihood of recovery.
Objectives:
An outbreak of the highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has sickened thousands of people in China. The purpose of this study was to explore the early clinical characteristics of COVID-19 patients with cardiovascular disease (CVD).
Methods:
This is a retrospective analysis of patients with COVID-19 from a single centre. All patients underwent real-time reverse transcription PCR for SARS-CoV-2 on admission. Demographic and clinical factors and laboratory data were reviewed and collected to evaluate for significant associations.
Results:
The study included 541 patients with COVID-19. A total of 144 (26.6%) patients had a history of CVD. The mortality of patients with CVD reached 22.2%, which was higher than that of the overall population of this study (9.8%). Patients with CVD were also more likely to develop liver function abnormality, elevated blood creatinine and lactic dehydrogenase (p<0.05). Symptoms of sputum production were more common in patients with CVD (p=0.026). Lymphocytes, haemoglobin and albumin below the normal range were pervasive in the CVD group (p<0.05). The proportion of critically ill patients in the CVD group (27.8%) was significantly higher than that in the non-CVD group (8.8%). Multivariable logistic regression analysis revealed that CVD (OR: 2.735 (95% CI 1.495 to 5.003), p=0.001) was associated with critical COVID-19 condition, while patients with coronary heart disease were less likely to reach recovery standards (OR: 0.331 (95% CI 0.125 to 0.880), p=0.027).
Conclusions:
Considering the high prevalence of CVD, a thorough CVD assessment at diagnosis and early intervention are recommended in COVID-19 patients with CVD. Patients with CVD are more vulnerable to deterioration.
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