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10.1093/europace/euab146

http://scihub22266oqcxt.onion/10.1093/europace/euab146
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34297833!8344555!34297833
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suck abstract from ncbi


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pmid34297833      Europace 2021 ; 23 (10): 1603-1611
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  • Implications of atrial fibrillation on the clinical course and outcomes of hospitalized COVID-19 patients: results of the Cardio-COVID-Italy multicentre study #MMPMID34297833
  • Paris S; Inciardi RM; Lombardi CM; Tomasoni D; Ameri P; Carubelli V; Agostoni P; Canale C; Carugo S; Danzi G; Di Pasquale M; Sarullo F; La Rovere MT; Mortara A; Piepoli M; Porto I; Sinagra G; Volterrani M; Gnecchi M; Leonardi S; Merlo M; Iorio A; Giovinazzo S; Bellasi A; Zaccone G; Camporotondo R; Catagnano F; Dalla Vecchia L; Maccagni G; Mapelli M; Margonato D; Monzo L; Nuzzi V; Pozzi A; Provenzale G; Specchia C; Tedino C; Guazzi M; Senni M; Metra M
  • Europace 2021[Oct]; 23 (10): 1603-1611 PMID34297833show ga
  • AIMS: To assess the clinical relevance of a history of atrial fibrillation (AF) in hospitalized patients with coronavirus disease 2019 (COVID-19). METHODS AND RESULTS: We enrolled 696 consecutive patients (mean age 67.4 +/- 13.2 years, 69.7% males) admitted for COVID-19 in 13 Italian cardiology centres between 1 March and 9 April 2020. One hundred and six patients (15%) had a history of AF and the median hospitalization length was 14 days (interquartile range 9-24). Patients with a history of AF were older and with a higher burden of cardiovascular risk factors. Compared to patients without AF, they showed a higher rate of in-hospital death (38.7% vs. 20.8%; P < 0.001). History of AF was associated with an increased risk of death after adjustment for clinical confounders related to COVID-19 severity and cardiovascular comorbidities, including history of heart failure (HF) and increased plasma troponin [adjusted hazard ratio (HR): 1.73; 95% confidence interval (CI) 1.06-2.84; P = 0.029]. Patients with a history of AF also had more in-hospital clinical events including new-onset AF (36.8% vs. 7.9%; P < 0.001), acute HF (25.3% vs. 6.3%; P < 0.001), and multiorgan failure (13.9% vs. 5.8%; P = 0.010). The association between AF and worse outcome was not modified by previous or concomitant use of anticoagulants or steroid therapy (P for interaction >0.05 for both) and was not related to stroke or bleeding events. CONCLUSION: Among hospitalized patients with COVID-19, a history of AF contributes to worse clinical course with a higher mortality and in-hospital events including new-onset AF, acute HF, and multiorgan failure. The mortality risk remains significant after adjustment for variables associated with COVID-19 severity and comorbidities.
  • |*Atrial Fibrillation/diagnosis/epidemiology[MESH]
  • |*COVID-19[MESH]
  • |*Heart Failure/diagnosis/epidemiology[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Risk Factors[MESH]


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