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COVID-19 and coronary artery disease; A systematic review and meta-analysis
Bahareh Hajikhani1, Mahshid Safavi2, Nazila Bostanshirin2
1Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Patients with coronary artery disease (CAD) face higher risks of severe COVID-19 and complications. This review highlights the increased prevalence and risks associated with co-occurring COVID-19 and CAD, especially in older men.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Coronary artery disease (CAD) is a significant risk factor for severe COVID-19.
- Patients with cardiovascular disorders are more susceptible to COVID-19 complications.
Purpose of the Study:
- To systematically review and meta-analyze the impact of coronary artery disease (CAD) on patients diagnosed with COVID-19.
- To determine the prevalence of CAD in COVID-19 patients.
Main Methods:
- Systematic review and meta-analysis of original research articles.
- Searched major databases (Medline, EMBASE, Web of Science) for studies published between 2019 and 2021.
- Analyzed 109 selected studies addressing CAD in COVID-19 patients.
Main Results:
- Prevalence of CAD among 20,079 COVID-19 patients across 10 countries was 12.4% (95% CI: 11.1-13.8).
- Case reports/series indicated 50.9% of COVID-19 patients had CAD.
- Common symptoms included fever (47%) and hypertension (36.5%) in these patients.
Conclusions:
- Co-occurrence of COVID-19 and CAD increases risks and complications for both conditions.
- Men and elderly patients with both diseases are at higher risk.
- Prompt diagnosis and treatment are crucial for patients with concurrent COVID-19 and CAD.
Background And Aim:
Patients with underlying cardiovascular disorders such as coronary artery disease (CAD) are more prone to severe forms and multiple complications of COVID-19. The present systematic review and meta-analysis aimed to investigate the impact of CAD on patients with COVID-19.
Methods:
Main electronic databases, including Medline (via PubMed), EMBASE, and Web of Science, were carefully searched and reviewed for original research articles published between 2019 and 2021. One hundred nine studies that address CAD in patients with COVID-19 were selected and analyzed.
Results:
Following search and screening processes, 109 relevant publications were selected for analysis. The meta-analysis of prevalence studies indicated that the frequency of CAD among patients with COVID-19 was reported in 10 countries with an overall frequency of 12.4% [(95% CI) 11.1-13.8] among 20079 COVID-19 patients. According to case reports/case series studies, 50.9% of COVID-19 patients suffered from CAD. Fever was the most common symptom in these patients (47%); 36.5% also had hypertension.
Conclusion:
The results obtained during the present study show that the simultaneous presence of COVID-19 and CAD, especially in men and elderly patients, can increase the risks and complications of both diseases. Therefore, careful examination of the condition of this group of patients for timely diagnosis and treatment is strongly recommended.
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