Association of right ventricular dysfunction and pulmonary hypertension with adverse 30-day outcomes in COVID-19 patients.
Pulm Circ
; 11(2): 20458940211007040, 2021.
Article
in English
| MEDLINE | ID: covidwho-1215077
ABSTRACT
BACKGROUND:
Cardiac manifestations in COVID-19 are multifactorial and are associated with increased mortality. The clinical utility and prognostic value of echocardiography in COVID-19 inpatients is not clearly defined. We aim to identify echocardiographic parameters that are associated with 30-day clinical outcomes secondary to COVID-19 hospitalization.METHODS:
This retrospective cohort study was conducted in a large tertiary hospital in New York City during the COVID-19 pandemic. It included 214 adult inpatients with a laboratory-confirmed diagnosis of COVID-19 by reverse transcriptase polymerase chain reaction assay (RT-PCR) for SARS-CoV-2 on nasopharyngeal swab and had a transthoracic echocardiogram performed during the index hospitalization. Primary outcome was 30-day all-cause inpatient mortality. Secondary outcomes were 30-day utilization of mechanical ventilator support, vasopressors, or renal replacement therapy.RESULTS:
Mild right ventricular systolic dysfunction (odds ratio (OR) 3.51, 95% confidence interval (CI) 1.63-7.57, p = 0.001), moderate to severe right ventricular systolic dysfunction (OR 7.30, 95% CI 2.20-24.25, p = 0.001), pulmonary hypertension (OR 5.39, 95% CI 1.96-14.86, p = 0.001), and moderate to severe tricuspid regurgitation (OR 3.92, 95% CI 1.71-9.03, p = 0.001) were each associated with increased odds of 30-day all-cause inpatient mortality. Pulmonary hypertension and moderate to severe right ventricular dysfunction were each associated with increased odds of 30-day utilization of mechanical ventilator support and vasopressors.CONCLUSIONS:
Right ventricular dysfunction, pulmonary hypertension, and moderate to severe tricuspid regurgitation were associated with increased odds for 30-day inpatient mortality. This study highlights the importance of echocardiography and its clinical utility and prognostic value for evaluating hospitalized COVID-19 patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Language:
English
Journal:
Pulm Circ
Year:
2021
Document Type:
Article
Affiliation country:
20458940211007040
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