tetano
Editor, Senior Moderator
Prog Cardiovasc Dis
. 2022 Dec 14;S0033-0620(22)00154-2.
doi: 10.1016/j.pcad.2022.12.002. Online ahead of print.
Impact of COVID-19 in patients hospitalized with stress cardiomyopathy: A nationwide analysis
Adrija Hajra[SUP] 1 [/SUP], Aaqib Malik[SUP] 2 [/SUP], Dhrubajyoti Bandyopadhyay[SUP] 3 [/SUP], Akshay Goel[SUP] 2 [/SUP], Ameesh Isath[SUP] 2 [/SUP], Rahul Gupta[SUP] 4 [/SUP], Suraj Krishnan[SUP] 5 [/SUP], Devesh Rai[SUP] 6 [/SUP], Chayakrit Krittanawong[SUP] 7 [/SUP], Salim S Virani[SUP] 8 [/SUP], Gregg C Fonarow[SUP] 9 [/SUP], Carl J Lavie[SUP] 10 [/SUP]
Affiliations
Abstract
Stress cardiomyopathy was noted to occur at a higher incidence during coronavirus disease of 2019 (COVID-19) pandemic. This database analysis has been done to compare the in-hospital outcomes in patients with stress cardiomyopathy and concurrent COVID-19 infection with those without COVID-19 infection. The National Inpatient Sample database for the year 2020 was queried to identify all admissions diagnosed with stress cardiomyopathy. These patients were then stratified based on whether they had concomitant COVID-19 infection or not. A 1:1 propensity score matching was performed. Multivariate logistic regression analysis was done to identify predictors of mortality. We identified 41,290 hospitalizations for stress cardiomyopathy, including 1665 patients with concurrent diagnosis of COVID-19. The female preponderance was significantly lower in patients with stress cardiomyopathy and COVID-19. Patients with concomitant COVID-19 were more likely to be African American, diabetic and have chronic kidney disease. After propensity matching, the incidence of complications, including acute kidney injury (AKI), AKI requiring dialysis, coagulopathy, sepsis, cardiogenic shock, cases with prolonged intubation of >24 h, requirement of vasopressor and inpatient mortality, were noted to be significantly higher in patients with COVID-19. Concomitant COVID-19 infection was independently associated with worse outcomes and increased mortality in patients hospitalized with stress cardiomyopathy.
Keywords: Acute coronary syndrome; Congestive heart failure; Covid; Stress cardiomyopathy.
. 2022 Dec 14;S0033-0620(22)00154-2.
doi: 10.1016/j.pcad.2022.12.002. Online ahead of print.
Impact of COVID-19 in patients hospitalized with stress cardiomyopathy: A nationwide analysis
Adrija Hajra[SUP] 1 [/SUP], Aaqib Malik[SUP] 2 [/SUP], Dhrubajyoti Bandyopadhyay[SUP] 3 [/SUP], Akshay Goel[SUP] 2 [/SUP], Ameesh Isath[SUP] 2 [/SUP], Rahul Gupta[SUP] 4 [/SUP], Suraj Krishnan[SUP] 5 [/SUP], Devesh Rai[SUP] 6 [/SUP], Chayakrit Krittanawong[SUP] 7 [/SUP], Salim S Virani[SUP] 8 [/SUP], Gregg C Fonarow[SUP] 9 [/SUP], Carl J Lavie[SUP] 10 [/SUP]
Affiliations
- PMID: 36528166
- DOI: 10.1016/j.pcad.2022.12.002
Abstract
Stress cardiomyopathy was noted to occur at a higher incidence during coronavirus disease of 2019 (COVID-19) pandemic. This database analysis has been done to compare the in-hospital outcomes in patients with stress cardiomyopathy and concurrent COVID-19 infection with those without COVID-19 infection. The National Inpatient Sample database for the year 2020 was queried to identify all admissions diagnosed with stress cardiomyopathy. These patients were then stratified based on whether they had concomitant COVID-19 infection or not. A 1:1 propensity score matching was performed. Multivariate logistic regression analysis was done to identify predictors of mortality. We identified 41,290 hospitalizations for stress cardiomyopathy, including 1665 patients with concurrent diagnosis of COVID-19. The female preponderance was significantly lower in patients with stress cardiomyopathy and COVID-19. Patients with concomitant COVID-19 were more likely to be African American, diabetic and have chronic kidney disease. After propensity matching, the incidence of complications, including acute kidney injury (AKI), AKI requiring dialysis, coagulopathy, sepsis, cardiogenic shock, cases with prolonged intubation of >24 h, requirement of vasopressor and inpatient mortality, were noted to be significantly higher in patients with COVID-19. Concomitant COVID-19 infection was independently associated with worse outcomes and increased mortality in patients hospitalized with stress cardiomyopathy.
Keywords: Acute coronary syndrome; Congestive heart failure; Covid; Stress cardiomyopathy.