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10.1016/j.amjcard.2020.11.009

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33217345!7671934!33217345
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suck abstract from ncbi

pmid33217345      Am+J+Cardiol 2021 ; 141 (?): 140-146
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  • Meta-analysis Comparing Outcomes in Patients With and Without Cardiac Injury and Coronavirus Disease 2019 (COVID 19) #MMPMID33217345
  • Bansal A; Kumar A; Patel D; Puri R; Kalra A; Kapadia SR; Reed GW
  • Am J Cardiol 2021[Feb]; 141 (?): 140-146 PMID33217345show ga
  • Current evidence is limited to small studies describing the association between cardiac injury and outcomes in patients with coronavirus disease 2019 (COVID-19). To address this, we performed a comprehensive meta-analysis of studies in COVID-19 patients to evaluate the association between cardiac injury and all-cause mortality, intensive care unit (ICU) admission, mechanical ventilation, acute respiratory distress syndrome, acute kidney injury and coagulopathy. Further, studies comparing cardiac biomarker levels in survivors versus nonsurvivors were included. A total of 14 studies (3,175 patients) were utilized for the final analysis. Cardiac injury in patients with COVID-19 was associated with higher risk of mortality (risk ratio [RR]:7.79; 95% confidence interval [CI]: 4.69 to 13.01; I(2)=58%), ICU admission (RR: 4.06; 95% CI: 1.50 to 10.97; I(2)?=?61%), mechanical ventilation (RR: 5.53; 95% CI: 3.09 to 9.91; I(2)?=?0%), and developing coagulopathy (RR: 3.86; 95% CI:2.81 to 5.32; I(2)?=?0%). However, cardiac injury was not associated with increased risk of acute respiratory distress syndrome (RR:3.22; 95% CI:0.72 to 14.47; I(2)?=?73%) or acute kidney injury (RR: 11.52, 95% CI:0.03 to 4,159.80; I(2)?=?0%). The levels of hs-cTnI (MD:34.54 pg/ml;95% CI: 24.67 to 44.40 pg/ml; I(2)?=?88%), myoglobin (MD:186.81 ng/ml; 95% CI: 121.52 to 252.10 ng/ml; I(2)?=?88%), NT-pro BNP (MD:1183.55 pg/ml; 95% CI: 520.19 to 1846.91 pg/ml: I(2)?=?96%) and CK-MB (MD:2.49 ng/ml;95% CI: 1.86 to 3.12 ng/ml; I(2)?=?90%) were significantly elevated in nonsurvivors compared with survivors with COVID-19 infection. The results of this meta-analysis suggest that cardiac injury is associated with higher mortality, ICU admission, mechanical ventilation and coagulopathy in patients with COVID-19.
  • |*Pandemics[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Global Health[MESH]
  • |Heart Diseases/*epidemiology[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]


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