患有COVID-19住院后心肌干扰因热激素升高而复杂:一个前性,多中心的观察性研究
Jessica Artico1, Hunain Shiwani1, James C Moon1
1Institute of Cardiovascular Science (J.A., H.S., J.C.M., R.D.A., C.M., T.A.T., R.H.D.), University College London, UK.
患有COVID-19且肌水平升高的患者表现出心脏异常的增加,包括心室功能障碍和心肌痕. 心肌痕独立预测主要的心血管不良事件.
科学领域:
- 心脏病学
- 传染性疾病
- 医学成像
背景情况:
- COVID-19 患者的急性心肌损伤与不良结果有关.
- 这种损伤的确切原因和联系尚不清楚.
- 这项研究调查了COVID-19患者的心肌损伤.
研究的目的:
- 评估心肌损伤的存在,性质和程度.
- 确定COVID-19患者主要心血管不良事件的预测因素.
主要方法:
- 342名冠状病毒患者的热水平升高 (COVID+/热+) 进行了核磁共振.
- 使用了两组对照组:COVID-19 具有正常的热血素 (COVID+/热血素-) 和非COVID-19 具有并发性疾病 (COVID-/并发性疾病+).
- 通过回归模型确定了12个月内主要心血管不良事件的预测因素.
主要成果:
- 与对照组相比,COVID+/troponin+患者心脏异常的发生率显著更高 (61%).
- 在COVID+/troponin+患者中,心室功能障碍和心肌痕更为普遍.
- 心肌痕,而不是之前的COVID-19或热水平,独立预测主要的心血管不良事件 (OR 2.25).
结论:
- 冠状病毒患者的热血素水平升高,增加了心室功能障碍和心肌痕.
- 这项研究发现了多种痕病变,包括微型心脏病发作.
- 这些患者的心肌痕是未来心血管事件的重要预测因素.
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