Atrial Fibrillation and Cardiovascular Risk Assessment among COVID-19 Patients Using Different Scores

Md Mashiul Alam1, Timir Paul1, Samira Hayee1

  • 1From Bridgeport Hospital/Yale New Haven Health, Bridgeport, Connecticut, the University of Tennessee College of Medicine, Memphis, the Department of Neurology, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh, and Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital, Dhaka, Bangladesh.

Southern Medical Journal
|December 1, 2022
PubMed

Insights

Physicians explored existing scores to predict atrial fibrillation (AF) and in-hospital mortality in patients with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). This research offers hope for early detection and improved outcomes for COVID-19 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Informatics

Background:

  • Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is associated with significant cardiovascular complications, including thromboembolism and arrhythmia.
  • Atrial fibrillation (AF) is a common arrhythmia that can increase morbidity and mortality in patients with COVID-19.

Purpose of the Study:

  • To investigate the utility of existing clinical scores in predicting atrial fibrillation (AF) and in-hospital mortality among patients infected with SARS-CoV-2.
  • To understand the mechanisms linking SARS-CoV-2 infection to cardiovascular damage and AF.
  • To compare the predictive performance of different scores for in-hospital mortality in COVID-19 patients.

Main Methods:

  • Review and analysis of existing clinical scores used for AF identification and complication prediction.
  • Discussion of the pathophysiological mechanisms of AF and cardiovascular damage in the context of SARS-CoV-2 infection.
  • Comparative analysis of different scores for their efficacy in predicting in-hospital mortality in COVID-19 patients.

Main Results:

  • Existing scores may offer potential for early prediction of AF and in-hospital mortality in SARS-CoV-2 infected individuals.
  • Understanding the specific mechanisms of cardiovascular damage in COVID-19 is crucial for risk stratification.
  • Further validation is needed to confirm the reliability of these scores in diverse COVID-19 patient populations.

Conclusions:

  • Existing clinical scores show promise for predicting atrial fibrillation and in-hospital mortality in COVID-19 patients.
  • Investigating these scores can aid in early risk stratification and management of cardiovascular complications.
  • This research highlights the importance of monitoring cardiovascular health in patients with SARS-CoV-2 infection.

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