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.
Abstract

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