Assessing the cardiovascular events and clinical outcomes of COVID-19 on patients with primary aldosteronism

Autor: Vin-Cent Wu, Jui-Yi Chen, Yen-Hung Lin, Cheng-Yi Wang, Chih-Cheng Lai
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Microbiology, Immunology and Infection, Vol 56, Iss 6, Pp 1158-1168 (2023)
Druh dokumentu: article
ISSN: 1684-1182
DOI: 10.1016/j.jmii.2023.09.005
Popis: Background: Primary Aldosteronism (PA) is a common subtype of hypertension that increases the risk of adverse cardiovascular and kidney events. The impact of COVID-19 on patients with PA is not well understood.This study aimed to investigate the impact of COVID-19 on patients with PA and compare their outcomes with hypertensive patients with essential hypertension. Methods: A cohort study was conducted using data from the Trinetx platform, including 9,817,307 participants enrolled between January 1, 2020, and July 31, 2022. The study group consisted of participants who tested positive for PCR SARS-CoV-2. The primary outcome was critical care and all-cause mortality, while the secondary outcomes were major adverse cardiac events (MACE) or major adverse kidney events (MAKE). The study included 4814 patients with PA and 4814 hypertensive controls. Results: Patients with PA had a higher risk of critical outcomes than the hypertensive control group (adjusted hazard ratio [aHR] 1.14, p = 0.001). Moreover, they had higher risks of MACE (aHR 1.32, p
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