Cardiac complications in a geriatric population hospitalized with COVID-19: The OCTA-COVID cohort.

Autor:	Mónica RS; Cardiology Department, Hospital Central de la Cruz Roja, Madrid, Spain; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain. Electronic address: monica.ramos81@gmail.com., Maribel QF; Cardiology Department, Hospital Central de la Cruz Roja, Madrid, Spain; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain., Javier J; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain; Geriatrics Department, Hospital Central de la Cruz Roja, Madrid, Spain., Isabel LM; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain; Geriatrics Department, Hospital Central de la Cruz Roja, Madrid, Spain., Rocío T; University and Instituto de Investigación e Innovación en Ciencias Biomédicas de Cádiz (INiBICA), Spain; Cardiology Department, School of Medicine, Cádiz, Spain., Rocío A; Cardiology Department, Hospital Central de la Cruz Roja, Madrid, Spain; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain., Javier GF; Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, Spain; Geriatrics Department, Hospital Central de la Cruz Roja, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2022 Mar-Apr; Vol. 57 (2), pp. 63-70. Date of Electronic Publication: 2022 Feb 01.
DOI:	10.1016/j.regg.2022.01.003
Abstrakt:	Purpose: The geriatric population is especially vulnerable to coronavirus disease (COVID-19) and its potential complications. We sought to analyze the incidence of cardiological complications in an elderly population hospitalized for COVID-19. Methods: A prospective observational longitudinal that included patients ≥75 years of age with diagnosis of COVID-19 admitted to the Geriatric Department from March to May 2020. Epidemiological, geriatric, clinical and laboratory test variables were collected. Cardiovascular events, including de novo atrial fibrillation (AF), acute coronary syndrome (ACS), congestive heart failure (CHF), pulmonary embolism and in-hospital death, were documented. A follow-up was carried out at 12 months through a telephone interview as well as using electronic medical records, collecting cardiac events and mortality. Results: 305 patients were included; 190 (62.3%) were female, with median age of 87 years (interquartile range (82-91)). More than half of the patients had a history of cardiac disease, with AF being the most common and affecting 85 (27.9%) patients. During hospitalization, 112 (36.7%) patients died. Eighty-nine (29.2%) patients presented cardiac complications. Acute heart failure was the most prevalent (46; 15.1%), followed by new-onset AF (20; 6.5%), pulmonary embolism (17; 5.6%), and ACS (5; 1.6%). Patients with cardiac complications had a longer hospital stay (p<0.001). During follow-up, 29 (15.1%) died, and 40 (20.8%) patients had a cardiovascular event being CHF the most prevalent complication (16.7%). Conclusion: The incidence of cardiovascular complications in geriatric patients is high and is associated with a longer hospital stay. CHF was the most frequent event, followed by AF. (Copyright © 2022 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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