| Revue: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000455018 |
| ISSN: | 0034-9887 |
| Autores: | Prieto, Juan Carlos1 Rossel, Víctor2 Larrea, Ricardo3 Barría, Alberto1 Venegas, Juan Carlos4 Verdugo, Fernando5 Potthoff, Marcelo6 Gidi, Carlos7 Villablanca, Alex8 Criollo, Iván9 Noriega, Viviana10 Cumsille, Francisco11 Llancaqueo, Marcelo1 Lanas, Fernando6 |
| Instituciones: | 1Universidad de Chile, Hospital Clínico, Santiago de Chile. Chile 2Hospital del Salvador, Unidad Paciente Crítico, Santiago de Chile. Chile 3Clínica Dávila, Departamento Cardiovascular, Santiago de Chile. Chile 4Clínica Las Condes, Unidad Coronaria, Santiago de Chile. Chile 5Hospital Militar, Departamento Enfermedades Cardiovasculares, Santiago de Chile. Chile 6Hospital Dr. Hernán Henríquez Aravena, Deprtamento de Cardiología, Temuco, Araucanía. Chile 7Hospital San Juan de Dios, Servicio de Cardiología, Curicó. Chile 8Hospital Las Higueras, Departamento Medicina Cardiovascular, Talcahuano, Concepción. Chile 9Hospital Regional Dr. Juan Noé Crevani, Servicio de Cardiología, Arica. Chile 10Universidad de Chile, Hospital Clínico, Santiago de Chile. Chile 11Universidad de Chile, Facultad de Medicina, Santiago de Chile. Chile |
| Año: | 2022 |
| Periodo: | Jun |
| Volumen: | 150 |
| Número: | 6 |
| Paginación: | 711-719 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Background: Patients with a cardiovascular (CV) history may be at greater risk of becoming ill and die due to SARS-CoV-2. Aim: To assess the incidence of CV complications in COVID-19 patients, the type of complication, and their association with CV history. Material and Methods: The clinical course of 1,314 patients with COVID-19 admitted consecutively to critical care units of 10 Chilean hospitals was registered between April and August of 2020. Results: The median age of patients was 59 years and 66% were men. One hundred-four (8%) had a CV history, namely heart failure (HF) in 53 (4.1%), coronary heart disease in 50 (3.8 %), and atrial fibrillation in 36 (2.7 %). There were CV complications in 359 patients (27.3%). The most common were venous thrombosis in 10.7% and arrhythmias in 10.5%, HF in 7.2%, type 2 acute myocardial infarction in 4.2%, arterial thrombosis in 2.0% and acute coronary syndrome (ACS) in 1.6%. When adjusted by age, sex and risk factors, only HF (Odds ratio (OR) = 7.16; 95% confidence intervals (CI), 3.96-12.92) and ACS (OR = 5.44; 95% CI, 1.50-19.82) were significantly associated with CV history. There was no association with arrhythmias, type 2 acute myocardial infarction, arterial or venous thrombosis. Conclusions: Patients with a history of CV disease are at greater risk of suffering HF and ACS when hospitalized due to COVID-19. Arrhythmias, type 2 AMI, and arterial or venous thrombosis occur with the same frequency in patients with or without CV history, suggesting that these complications depend on inflammatory phenomena related to the infection |
| Disciplinas: | Medicina |
| Palabras clave: | Sistema cardiovascular, Neumología, COVID-19, Complicaciones cardiovasculares, Síndrome coronario agudo, Trombosis |
| Keyword: | Cardiovascular system, Pneumology, COVID-19, Cardiovascular complications, Acute coronary syndrome, Thrombosis |
| Texte intégral: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
