Association Between History of Polymerase Chain Reaction-verified COVID-19 Infection and Outcomes of Subsequent ST-Elevation Myocardial Infarction.
| Autor: | Dogan, Zeki, Erden, Ismail, Bektasoglu, Gokhan, Karabulut, Ahmet |
|---|---|
| Předmět: |
COVID-19 testing
POLYMERASE chain reaction TREATMENT effectiveness RETROSPECTIVE studies DESCRIPTIVE statistics SYMPTOMS ODDS ratio PERCUTANEOUS coronary intervention MEDICAL records ACQUISITION of data COMPARATIVE studies CORONARY angiography CONFIDENCE intervals COVID-19 pandemic ST elevation myocardial infarction EVALUATION |
| Zdroj: | Angiology; Feb2024, Vol. 75 Issue 2, p131-138, 8p |
| Abstrakt: | While the acute phase of coronavirus disease 2019 (COVID-19) is associated with worsening cardiac outcomes, it is unclear whether it affects the outcome of patients with ST-segment elevation myocardial infarction (STEMI) after the acute phase. In addition, while many studies compared the course of STEMI during the COVID-19 pandemic with the years before the outbreak, we evaluated the course of STEMI during the pandemic according to whether or not patients had history of COVID-19. Patients diagnosed with STEMI during the ongoing COVID-19 pandemic were included in the study. The Ministry of Health database was analyzed retrospectively, and patients with (n = 191) and without (n = 127) a history of polymerase chain reaction (PCR) confirmed COVID-19 infection were divided into groups. Clinical and angiographic characteristics were assessed. The rates of in-hospital major adverse cardiac events (MACE) were higher in those who had a history of PCR-verified COVID-19 infection. Angiographic and procedural findings indicating successful reperfusion were better in patients without a history of COVID-19. A history of COVID-19 infection (odds ratio 1.40, 95% confidence interval 1.25–1.60, P <.01) independently predicted MACE. A history of COVID-19 infection is a predictor of worse outcomes following coronary intervention and in-hospital MACE among patients with STEMI. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|