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[The impact of COVID-19 in patients with severe aortic stenosis: Artificial intelligence research]

Virginia Pascual-Tejerina1, Pedro Beneyto2, Tomás Cantón1

  • 1Servicio de Cardiología, Hospital Virgen de la Salud, Toledo, España.

Cirugia Espanola
|August 16, 2021
PubMed

Insights

The COVID-19 pandemic increased mortality for severe aortic stenosis patients. Both COVID-19 positive and negative patients experienced higher death rates during the pandemic compared to pre-COVID times.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Context:

  • Severe aortic stenosis carries a high mortality risk without intervention.
  • The COVID-19 pandemic significantly disrupted healthcare access and patient flow.
  • Understanding the pandemic's impact on cardiovascular disease outcomes is crucial.

Purpose:

  • To assess the effect of the COVID-19 pandemic's first wave on mortality in severe aortic stenosis patients.
  • To compare mortality rates during the pandemic with the same period in the previous year.
  • To analyze mortality differences between COVID-19 positive and negative patients with severe aortic stenosis.

Summary:

  • A Spanish region observed a 13.82% decrease in hospital admissions during the pandemic's first wave.
  • Among 1,112 patients with severe aortic stenosis, 5.48% tested positive for COVID-19.
  • Mortality rates were significantly higher in the pandemic period for both COVID-19 negative (4.37% vs. 2.57%) and positive (11.47%) patients compared to pre-COVID eras.

Impact:

  • The study highlights an excess mortality in severe aortic stenosis patients during the pandemic, irrespective of COVID-19 status.
  • Cardiac surgeries showed a decreasing trend, with a significant reduction in COVID-19 positive patients.
  • Findings underscore the pandemic's adverse effect on outcomes for vulnerable cardiovascular patient populations.
Abstract

Keywords:
Aortic stenosisCOVID-19Cardiac surgeryMortalityStructural heart intervention

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