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10.1136/heartjnl-2020-317062

http://scihub22266oqcxt.onion/10.1136/heartjnl-2020-317062
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suck abstract from ncbi


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pmid32461330      Heart 2020 ; 106 (15): 1142-1147
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  • Impact of cardiovascular disease and cardiac injury on in-hospital mortality in patients with COVID-19: a systematic review and meta-analysis #MMPMID32461330
  • Li X; Guan B; Su T; Liu W; Chen M; Bin Waleed K; Guan X; Gary T; Zhu Z
  • Heart 2020[Aug]; 106 (15): 1142-1147 PMID32461330show ga
  • BACKGROUND: Coronavirus disease 2019 (COVID-19) has produced a significant health burden worldwide, especially in patients with cardiovascular comorbidities. The aim of this systematic review and meta-analysis was to assess the impact of underlying cardiovascular comorbidities and acute cardiac injury on in-hospital mortality risk. METHODS: PubMed, Embase and Web of Science were searched for publications that reported the relationship of underlying cardiovascular disease (CVD), hypertension and myocardial injury with in-hospital fatal outcomes in patients with COVID-19. The ORs were extracted and pooled. Subgroup and sensitivity analyses were performed to explore the potential sources of heterogeneity. RESULTS: A total of 10 studies were enrolled in this meta-analysis, including eight studies for CVD, seven for hypertension and eight for acute cardiac injury. The presence of CVD and hypertension was associated with higher odds of in-hospital mortality (unadjusted OR 4.85, 95% CI 3.07 to 7.70; I(2)=29%; unadjusted OR 3.67, 95% CI 2.31 to 5.83; I(2)=57%, respectively). Acute cardiac injury was also associated with a higher unadjusted odds of 21.15 (95% CI 10.19 to 43.94; I(2)=71%). CONCLUSION: COVID-19 patients with underlying cardiovascular comorbidities, including CVD and hypertension, may face a greater risk of fatal outcomes. Acute cardiac injury may act as a marker of mortality risk. Given the unadjusted results of our meta-analysis, future research are warranted.
  • |*Betacoronavirus[MESH]
  • |*Hospital Mortality[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19[MESH]
  • |Cardiovascular Diseases/*mortality[MESH]
  • |Coronavirus Infections/*mortality[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*mortality[MESH]
  • |SARS-CoV-2[MESH]


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