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Arch Med Sci Atheroscler Dis . Trends in admissions for COVID-19 in the United States between April 2020 and December 2021 and cardiovascular events

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  • Arch Med Sci Atheroscler Dis . Trends in admissions for COVID-19 in the United States between April 2020 and December 2021 and cardiovascular events

    Arch Med Sci Atheroscler Dis


    . 2024 Mar 30:9:e60-e65.
    doi: 10.5114/amsad/185410. eCollection 2024. Trends in admissions for COVID-19 in the United States between April 2020 and December 2021 and cardiovascular events

    Kamleshun Ramphul 1 , Jasninder Singh Dhaliwal 2 , Shaheen Sombans 3 , Jatin Kumar Passi 4 , Shruti Aggarwal 4 , Nomesh Kumar 5 , Hemamalini Sakthivel 6 , Raheel Ahmed 7 , Renuka Verma 8



    AffiliationsAbstract

    Introduction: Coronavirus disease 2019 (COVID-19) can lead to cardiovascular complications. We aimed to understand the trends in admission for COVID-19 and the incidence of various cardiovascular events.
    Material and methods: The 2020 and 2021 National Inpatient Sample (NIS) was studied for cases of COVID-19 between April 2020 and December 2021 in the United States. Linear-by-linear association helped us understand the trends of various events.
    Results: The number of cases of COVID-19 was highest in January 2021 (261,469 patients). The incidence of acute pulmonary embolism rose from 2.08% in April 2020 to 4.82% in November 2021, while deep vein thrombosis cases rose from 1.74% in April 2020 to 2.63% in December 2021. The incidence of cardiac arrest varied, with a maximum of 3.00% in August 2021. Similarly, acute ischemic stroke cases experienced their highest incidence in January 2021 (0.91%). The incidence of myocarditis was highest in April and May 2020 (0.42% each). Peak takotsubo cases were seen between October and December 2021. The highest overall all-cause mortality among COVID-19 cases was seen in April 2020 (16.74%).
    Conclusions: Throughout the 21 months of our analysis, various trends in COVID-19 cases and incidence of cardiac events were noticed. This could relate to the different variants of COVID-19, their direct and indirect impact on coagulation pathways and the myocardial tissues, and the protective roles of the vaccines.

    Keywords: COVID-19; death; deep vein thrombosis; epidemiology; ischemic stroke; myocarditis; takotsubo; trends; united states.

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