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COVID-19 and cardiovascular complications - preliminary results of the LATE-COVID study.
Lewek, Joanna; Jatczak-Pawlik, Izabela; Maciejewski, Marek; Jankowski, Piotr; Banach, Maciej.
  • Lewek J; Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland.
  • Jatczak-Pawlik I; Department of Cardiology and Adult Congenital Heart Diseases, Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland.
  • Maciejewski M; Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland.
  • Jankowski P; Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland.
  • Banach M; Department of Cardiology and Adult Congenital Heart Diseases, Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland.
Arch Med Sci ; 17(3): 818-822, 2021.
Article in English | MEDLINE | ID: covidwho-1217140
ABSTRACT

INTRODUCTION:

Coronavirus disease 2019 (COVID-19) may affect many organs and may be responsible for numerous complications including cardiovascular problems.

METHODS:

We analysed consecutive patients (n = 51) admitted to the cardiology department between 1st October 2020 and 31st January 2021 due to symptoms which might have reflected cardiovascular complications following COVID-19. We collected data concerning clinical characteristics, results of laboratory tests, echocardiography and 24-hour ambulatory ECG recording.

RESULTS:

The post-COVID-19 complications appeared 1-4 months after disease recovery. Severe cardiovascular complications were observed in 27.5% of hospitalized patients. In comparison to those with mild complications, patients with severe complications had significantly higher prevalence of diabetes (36 vs. 8%; p = 0.01), decrease in ejection fraction (36% vs. 0%, p < 0.001), higher resting heart rate at admission (85 vs. 72 bpm; p < 0.001), and higher levels of C-reactive protein (p = 0.02) and troponin T (17.9 vs. 4.2 pg/ml; p = 0.01). Dyspnoea and exercise intolerance were also more frequent in patients with severe complications.

CONCLUSIONS:

Diabetes, elevated level of CRP and troponin, heart rate variability parameters and worsening of left ventricular ejection fraction are related to the severity of cardiovascular complications following COVID-19 infection.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Topics: Long Covid Language: English Journal: Arch Med Sci Year: 2021 Document Type: Article Affiliation country: Aoms

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Topics: Long Covid Language: English Journal: Arch Med Sci Year: 2021 Document Type: Article Affiliation country: Aoms