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10.1016/j.amjcard.2020.12.059

http://scihub22266oqcxt.onion/10.1016/j.amjcard.2020.12.059
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33385357!7771301!33385357
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suck abstract from ncbi


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pmid33385357      Am+J+Cardiol 2021 ; 144 (ä): 8-12
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  • Comparison of Characteristics and Outcomes of Patients With Acute Myocardial Infarction With Versus Without Coronarvirus-19 #MMPMID33385357
  • Case BC; Yerasi C; Forrestal BJ; Shea C; Rappaport H; Medranda GA; Zhang C; Satler LF; Ben-Dor I; Hashim H; Rogers T; Waksman R
  • Am J Cardiol 2021[Apr]; 144 (ä): 8-12 PMID33385357show ga
  • The coronavirus disease 2019 (COVID-19) pandemic has greatly impacted the US healthcare system. Cardiac involvement in COVID-19 is common and manifested by troponin and natriuretic peptide elevation and tends to have a worse prognosis. We analyzed patients who presented to the MedStar Health system (11 hospitals in Washington, DC, and Maryland) with either an ST-elevation myocardial infarction or non-ST-elevation myocardial infarction early in the pandemic (March 1, 2020 to June 30, 2020) using the International Classification of Diseases, Tenth Revision. Patients' clinical course and outcomes, including in-hospital mortality, were compared on the basis of the results of COVID-19 status (positive or negative). The cohort included 1533 patients admitted with an acute myocardial infarction (AMI), of whom 86 had confirmed severe acute respiratory syndrome coronavirus 2 infection, during the study period. COVID-19-positive patients were older and non-White and had more co-morbidities. Furthermore, inflammatory markers and N-terminal-proB-type-natriuretic peptide were higher in COVID-19-positive AMI patients. Only 20.0% (17) of COVID-19-positive patients underwent coronary angiography. In-hospital mortality was significantly higher in AMI patients with concomitant COVID-19-positive status (27.9%) than in patients without COVID-19 during the same period (3.7%; p < 0.001). Patients with AMI and COVID-19 tended to be older, with more co-morbidities, when compared to those with an AMI and without COVID-19. In conclusion, myocardial infarction with concomitant COVID-19 was associated with increased in-hospital mortality. Efforts should be focused on the early recognition, evaluation, and treatment of these patients.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*complications/diagnosis/mortality[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Myocardial Infarction/*complications/diagnosis/mortality[MESH]
  • |Retrospective Studies[MESH]


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