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10.1016/j.amjcard.2021.07.022 http://scihub22266oqcxt.onion/10.1016/j.amjcard.2021.07.022 34384590!8302841!34384590     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Cardiol 2021 ; 157 (ä): 42-47 Nephropedia Template TP {{tp|p=34384590|t=2021. Evolution of Management and Outcomes of Patients with Myocardial Injury During the COVID-19 Pandemic |pdf=|usr=}}{{34384590}} gab.com Text Evolution of Management and Outcomes of Patients with Myocardial Injury During the COVID-19 Pandemic JO: Am J Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=34384590 #FOAvip Cardiac involvement in coronavirus disease 2019 (COVID-19) has been established. This is manifested by troponin elevation and associated with worse patient prognosis. We evaluated whether patient outcomes improved as experience accumulated during the pandemic. We analyzed COVID-19-positive patients with myocardial injury (defined as troponin elevation) who presented to the MedStar Health system (11 hospitals in Washington, DC, and Maryland) during the "Early Phase" of the pandemic (March 1 - June 30, 2020) and compared their characteristics and outcomes to the COVID-19-positive patients with the presence of troponin elevation in the "Later Phase" of the pandemic (October 1, 2020 - January 31, 2021). The cohort included 788 COVID-19-positive admitted patients for whom troponin was elevated, 167 during the "Early Phase" and 621 during the "Later Phase." Maximum troponin-I in the "Early Phase" was 13.46+/-34.72 ng/mL versus 11.21+/-20.57 ng/mL in the "Later Phase" (p = 0.553). In-hospital mortality was significantly higher in the "Later Phase" (50.3% vs. 24.6%; p<0.001), as were incidence of intensive-care-unit admission (77.8% vs. 46.1%; p<0.001) and need for mechanical ventilation (61.7% versus 28%; p<0.001). In addition, more "Early Phase" patients underwent coronary angiography (6% vs. 2.3%; p=0.013). Finally, 3% of "Early Phase" and 0.8% of "Later Phase" patients underwent percutaneous coronary intervention (p=0.025). In conclusion, treatment outcomes have significantly improved since the beginning of the pandemic in COVID-19-positive patients with troponin elevation. This may be attributed to awareness, severity of the disease, improvements in therapies, and provider experience. Twit Text FOAVip Evolution of Management and Outcomes of Patients with Myocardial Injury During the COVID-19 Pandemic ????Am J Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=34384590 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34384590 #FOAvip English Wikipedia <ref>{{Cite pmid|34384590}}</ref> Evolution of Management and Outcomes of Patients with Myocardial Injury During the COVID-19 Pandemic #MMPMID34384590 Case BC; Abramowitz J; Shea C; Rappaport H; Yerasi C; Forrestal BJ; Chezar-Azerrad C; Medranda GA; Zhang C; Satler LF; Ben-Dor I; Hashim H; Rogers T; Weintraub WS; Waksman R Am J Cardiol 2021[Oct]; 157 (ä): 42-47 PMID34384590show ga Cardiac involvement in coronavirus disease 2019 (COVID-19) has been established. This is manifested by troponin elevation and associated with worse patient prognosis. We evaluated whether patient outcomes improved as experience accumulated during the pandemic. We analyzed COVID-19-positive patients with myocardial injury (defined as troponin elevation) who presented to the MedStar Health system (11 hospitals in Washington, DC, and Maryland) during the "Early Phase" of the pandemic (March 1 - June 30, 2020) and compared their characteristics and outcomes to the COVID-19-positive patients with the presence of troponin elevation in the "Later Phase" of the pandemic (October 1, 2020 - January 31, 2021). The cohort included 788 COVID-19-positive admitted patients for whom troponin was elevated, 167 during the "Early Phase" and 621 during the "Later Phase." Maximum troponin-I in the "Early Phase" was 13.46+/-34.72 ng/mL versus 11.21+/-20.57 ng/mL in the "Later Phase" (p = 0.553). In-hospital mortality was significantly higher in the "Later Phase" (50.3% vs. 24.6%; p<0.001), as were incidence of intensive-care-unit admission (77.8% vs. 46.1%; p<0.001) and need for mechanical ventilation (61.7% versus 28%; p<0.001). In addition, more "Early Phase" patients underwent coronary angiography (6% vs. 2.3%; p=0.013). Finally, 3% of "Early Phase" and 0.8% of "Later Phase" patients underwent percutaneous coronary intervention (p=0.025). In conclusion, treatment outcomes have significantly improved since the beginning of the pandemic in COVID-19-positive patients with troponin elevation. This may be attributed to awareness, severity of the disease, improvements in therapies, and provider experience. |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19/*epidemiology[MESH] |Clinical Competence[MESH] |Cohort Studies[MESH] |Coronary Angiography/statistics & numerical data[MESH] |District of Columbia/epidemiology[MESH] |Female[MESH] |Hospital Mortality[MESH] |Humans[MESH] |Intensive Care Units[MESH] |Male[MESH] |Maryland/epidemiology[MESH] |Middle Aged[MESH] |Myocardial Infarction/epidemiology/*therapy[MESH] |Pandemics[MESH] |Patient Admission/statistics & numerical data[MESH] |Percutaneous Coronary Intervention/statistics & numerical data[MESH] |Respiration, Artificial/statistics & numerical data[MESH]Evolution of Management and Outcomes of Patients with Myocardial Injur(epmc).pdf DeepDyve Pubget Overpricing