在COVID-19和其影响之后的鼻高心率
Borna Amir-Kabirian1, Frank H Annie2, Morgan Koontz3
1Internal Medicine, CAMC Institute for Academic Medicine, Charleston, USA.
Cureus
|May 1, 2024
概括
持续性心力衰竭影响了COVID-19后2.2%的患者,导致死亡率和医疗保健使用率增加,特别是在未接种疫苗的人群中. 这突显了SARS-COV-2感染的显著心血管并发症.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 鼻高心率是COVID-19后综合征中一个公认的发现.
- 了解SARS-COV-2感染后持续性心力衰竭对于患者管理至关重要.
研究的目的:
- 在SARS-COV-2诊断后12-16周内,确定鼻高心率的患病率.
- 分析COVID-19后心力衰竭和重症监护,呼吸机使用和死亡率之间的相关性.
- 为了比较接种疫苗的患者与未接种疫苗的患者在COVID-19后心动减速后的结果.
主要方法:
- 对2020年1月至2022年2月被诊断患有SARS-COV-2的成年患者的回顾性分析.
- 队列创建,比较患有和没有心力衰竭的患者在诊断后12-16周.
- 倾向性得分匹配 (PSM) 来控制混变量.
- 按疫苗接种状况对心跳动队列的分层.
主要成果:
- 在1,363,907名患者中,有2.2%的患者患有持续性心跳动.
- 在PSM后,心跳动患者的死亡率较高 (5.1%与2.1%相比),重症监护使用 (5.8%与2.2%相比),呼吸机使用 (1.8%与0.5%相比).
- 与PSM后的接种疫苗的同行相比,未接种疫苗的患有心力衰竭的患者的死亡率,重症监护和呼吸机使用率显著增加.
结论:
- 持续性心力衰竭是SARS-COV-2感染的一个显著并发症,患病率为2.2%.
- 患有持续性心动减速症的患者经历了死亡率和医疗保健利用率的增加.
- 没有接种疫苗的未接种疫苗的人患有COVID-19后心力衰竭风险不成比例地更高.
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