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10.1016/j.amjcard.2021.01.039

http://scihub22266oqcxt.onion/10.1016/j.amjcard.2021.01.039
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33617812!7895683!33617812
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suck abstract from ncbi

pmid33617812      Am+J+Cardiol 2021 ; 147 (?): 52-57
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  • Frequency of Atrial Arrhythmia in Hospitalized Patients With COVID-19 #MMPMID33617812
  • Yarmohammadi H; Morrow JP; Dizon J; Biviano A; Ehlert F; Saluja D; Waase M; Elias P; Poterucha TJ; Berman J; Kushnir A; Abrams MP; Rubin GA; Jou S; Hennessey J; Uriel N; Wan EY; Garan H
  • Am J Cardiol 2021[May]; 147 (?): 52-57 PMID33617812show ga
  • There is growing evidence that COVID-19 can cause cardiovascular complications. However, there are limited data on the characteristics and importance of atrial arrhythmia (AA) in patients hospitalized with COVID-19. Data from 1,029 patients diagnosed with of COVID-19 and admitted to Columbia University Medical Center between March 1, 2020 and April 15, 2020 were analyzed. The diagnosis of AA was confirmed by 12 lead electrocardiographic recordings, 24-hour telemetry recordings and implantable device interrogations. Patients' history, biomarkers and hospital course were reviewed. Outcomes that were assessed were intubation, discharge and mortality. Of 1,029 patients reviewed, 82 (8%) were diagnosed with AA in whom 46 (56%) were new-onset AA 16 (20%) recurrent paroxysmal and 20 (24%) were chronic persistent AA. Sixty-five percent of the patients diagnosed with AA (n=53) died. Patients diagnosed with AA had significantly higher mortality compared with those without AA (65% vs 21%; p < 0.001). Predictors of mortality were older age (Odds Ratio (OR)=1.12, [95% Confidence Interval (CI), 1.04 to 1.22]); male gender (OR=6.4 [95% CI, 1.3 to 32]); azithromycin use (OR=13.4 [95% CI, 2.14 to 84]); and higher D-dimer levels (OR=2.8 [95% CI, 1.1 to 7.3]). In conclusion, patients diagnosed with AA had 3.1 times significant increase in mortality rate versus patients without diagnosis of AA in COVID-19 patients. Older age, male gender, azithromycin use and higher baseline D-dimer levels were predictors of mortality.
  • |*Disease Management[MESH]
  • |*Pandemics[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Atrial Fibrillation/*epidemiology[MESH]
  • |COVID-19/*epidemiology/therapy[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |New York/epidemiology[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]


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