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Published on: March 8, 2019
An interesting finding: What is the relation between aortic enlargement and COVID-19?
Macit Bitargil1, Tolga Demir1, Hakkı Kürşat Çetin1
1Department of Cardiovascular Surgery, Şişli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey.
Insights
COVID-19 patients had larger ascending aorta diameters compared to COVID-19-free individuals. This study identified COVID-19, age, and coronary artery disease as key factors influencing aortic enlargement.
Area of Science:
- Cardiovascular Research
- Infectious Diseases
- Radiology
Background:
- Ascending aorta diameter assessment in COVID-19 patients.
- Comparison with COVID-19-free individuals in a pandemic hospital setting.
Purpose of the Study:
- To compare ascending aorta diameters between COVID-19 positive and negative patients.
- To identify risk factors associated with aortic enlargement in COVID-19 patients.
Main Methods:
- Case-control study analyzing medical records and thorax tomographies.
- Measurement of ascending aorta diameter via tomography.
- Multivariate regression analysis for risk factors of aortic enlargement.
Main Results:
- 156 patients reviewed (104 COVID-19 positive, 52 negative).
- Statistically significant difference in mean aortic diameter (39 mm vs. 32.5 mm, p=0.01).
- COVID-19, age, and coronary artery disease identified as significant factors for aortic enlargement (p<0.05).
Conclusions:
- COVID-19 patients exhibit larger mean ascending aorta diameters than non-COVID-19 patients.
- COVID-19 is the leading factor, alongside age and coronary artery disease, influencing aortic dimensions.
Background:
We aim to compare the diameters of ascending aorta in COVID-19 patients and COVID-19-free individuals referred to our pandemic hospital.
Methods:
The medical records and thorax tomographies of patients admitted to the "pandemic central" state hospital with symptoms of COVID-19 were observed between April 2020 and May 2020 in this case-control study. The first group consisted of patients diagnosed with COVID-19, and the second group consisted of patients without the disease. The diameter of the ascending aorta is measured via tomography and compared to each other. The most causative risk factors for aortic enlargements underwent a multivariate regression analysis.
Results:
Charts of 156 patients (104 COVID-19 positives, 52 COVID-19 negatives) were reviewed. There was a statistical difference (p: .01) between the mean aortic diameter of COVID-19 patients (39 mm) and COVID-free patients (32.5 mm) even though comorbid factors and patient characteristics were similar in the two groups at the time of hospital admission. The regression analysis result demonstrates that COVID-19 (leading factor), age, and coronary artery disease were the most significant factors associated with increasing aortic dimensions. (p: .001, B: 5.3/, p: .02, B: 3.36/, p: .002, B: 0.13/, R square: 40.2%).
Conclusion:
This study shows that the mean aortic diameter of COVID-19 patients is larger than non-COVID-19 patients with similar comorbidities referred to a pandemic hospital. COVID-19, age, and coronary artery disease are the most influential factors that affect the aortic diameter, and the COVID-19 was the leading factor.
Related Concept Videos
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aortic Regurgitation III: Medical Management
Aortic Regurgitation I: Introduction
Aneurysm I: Introduction
Aneurysm III: Interprofessional Care

