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Cardiac Complications in Patients Hospitalised With COVID-19 in Australia.
- Source :
-
Heart, Lung & Circulation . Dec2021, Vol. 30 Issue 12, p1834-1840. 7p. - Publication Year :
- 2021
-
Abstract
- <bold>Objectives: </bold>Describe the incidence of cardiac complications in patients admitted to hospital with COVID-19 in Australia.<bold>Design: </bold>Observational cohort study.<bold>Setting: </bold>Twenty-one (21) Australian hospitals.<bold>Participants: </bold>Consecutive patients aged ≥18 years admitted to hospital with laboratory confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.<bold>Main Outcome Measures: </bold>Incidence of cardiac complications.<bold>Results: </bold>Six-hundred-and-forty-four (644) hospitalised patients (62.5±20.1 yo, 51.1% male) with COVID-19 were enrolled in the study. Overall in-hospital mortality was 14.3%. Twenty (20) (3.6%) patients developed new atrial fibrillation or flutter during admission and 9 (1.6%) patients were diagnosed with new heart failure or cardiomyopathy. Three (3) (0.5%) patients developed high grade atrioventricular (AV) block. Two (2) (0.3%) patients were clinically diagnosed with pericarditis or myopericarditis. Among the 295 (45.8%) patients with at least one troponin measurement, 99 (33.6%) had a peak troponin above the upper limit of normal (ULN). In-hospital mortality was higher in patients with raised troponin (32.3% vs 6.1%, p<0.001). New onset atrial fibrillation or flutter (6.4% vs 1.0%, p=0.001) and troponin elevation above the ULN (50.3% vs 16.4%, p<0.001) were more common in patients 65 years and older. There was no significant difference in the rate of cardiac complications between males and females.<bold>Conclusions: </bold>Among patients with COVID-19 requiring hospitalisation in Australia, troponin elevation was common but clinical cardiac sequelae were uncommon. The incidence of atrial arrhythmias and troponin elevation was greatest in patients 65 years and older. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COVID-19
*CARDIAC patients
*ATRIAL arrhythmias
*HEART failure
*ATRIAL flutter
Subjects
Details
- Language :
- English
- ISSN :
- 14439506
- Volume :
- 30
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Heart, Lung & Circulation
- Publication Type :
- Academic Journal
- Accession number :
- 153417282
- Full Text :
- https://doi.org/10.1016/j.hlc.2021.08.001