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Syncope and presyncope in patients with COVID-19.
Oates, Connor P; Turagam, Mohit K; Musikantow, Daniel; Chu, Edward; Shivamurthy, Poojita; Lampert, Joshua; Kawamura, Iwanari; Bokhari, Mahmoud; Whang, William; Miller, Marc A; Choudry, Subbarao; Langan, Noelle; Sofi, Aamir; Dukkipati, Srinivas R; Reddy, Vivek Y; Koruth, Jacob S.
  • Oates CP; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Turagam MK; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Musikantow D; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Chu E; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Shivamurthy P; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Lampert J; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Kawamura I; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Bokhari M; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Whang W; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Miller MA; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Choudry S; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Langan N; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Sofi A; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Dukkipati SR; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Reddy VY; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Koruth JS; Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York.
Pacing Clin Electrophysiol ; 43(10): 1139-1148, 2020 10.
Article in English | MEDLINE | ID: covidwho-729341
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Syncope PROCESS_OF Patients
Subject
Syncope
Predicate
PROCESS_OF
Object
Patients
3. Presyncope PROCESS_OF Patients
Subject
Presyncope
Predicate
PROCESS_OF
Object
Patients
4. Coronary Arteriosclerosis COEXISTS_WITH Severe (severity modifier)
Subject
Coronary Arteriosclerosis
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
5. Diabetes COEXISTS_WITH Severe (severity modifier)
Subject
Diabetes
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
6. Hypertensive disease COEXISTS_WITH Severe (severity modifier)
Subject
Hypertensive disease
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
7. Symptoms NEG_PROCESS_OF Patients
Subject
Symptoms
Predicate
NEG_PROCESS_OF
Object
Patients
8. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
9. Syncope PROCESS_OF Patients
Subject
Syncope
Predicate
PROCESS_OF
Object
Patients
10. Presyncope PROCESS_OF Patients
Subject
Presyncope
Predicate
PROCESS_OF
Object
Patients
11. Coronary Arteriosclerosis COEXISTS_WITH Severe (severity modifier)
Subject
Coronary Arteriosclerosis
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
12. Diabetes COEXISTS_WITH Severe (severity modifier)
Subject
Diabetes
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
13. Hypertensive disease COEXISTS_WITH Severe (severity modifier)
Subject
Hypertensive disease
Predicate
COEXISTS_WITH
Object
Severe (severity modifier)
14. Symptoms NEG_PROCESS_OF Patients
Subject
Symptoms
Predicate
NEG_PROCESS_OF
Object
Patients
ABSTRACT

INTRODUCTION:

Recent studies have described several cardiovascular manifestations of COVID-19 including myocardial ischemia, myocarditis, thromboembolism, and malignant arrhythmias. However, to our knowledge, syncope in COVID-19 patients has not been systematically evaluated. We sought to characterize syncope and/or presyncope in COVID-19.

METHODS:

This is a retrospective analysis of consecutive patients hospitalized with laboratory-confirmed COVID-19 with either syncope or presyncope. This "study" group (n = 37) was compared with an age and gender-matched cohort of patients without syncope ("control") (n = 40). Syncope was attributed to various categories. We compared telemetry data, treatments received, and clinical outcomes between the two groups.

RESULTS:

Among 1000 COVID-19 patients admitted to the Mount Sinai Hospital, the incidence of syncope/presyncope was 3.7%. The median age of the entire cohort was 69 years (range 26-89+ years) and 55% were men. Major comorbidities included hypertension, diabetes, and coronary artery disease. Syncopal episodes were categorized as (a) unspecified in 59.4% patients, (b) neurocardiogenic in 15.6% patients, (c) hypotensive in 12.5% patients, and (d) cardiopulmonary in 3.1% patients with fall versus syncope and seizure versus syncope in 2 of 32 (6.3%) and 1 of 33 (3.1%) patients, respectively. Compared with the "control" group, there were no significant differences in both admission and peak blood levels of d-dimer, troponin-I, and CRP in the "study" group. Additionally, there were no differences in arrhythmias or death between both groups.

CONCLUSIONS:

Syncope/presyncope in patients hospitalized with COVID-19 is uncommon and is infrequently associated with a cardiac etiology or associated with adverse outcomes compared to those who do not present with these symptoms.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Syncope / Coronavirus Infections Type of study: Incidence study / Observational study / Prognostic study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Pacing Clin Electrophysiol Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Syncope / Coronavirus Infections Type of study: Incidence study / Observational study / Prognostic study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Pacing Clin Electrophysiol Year: 2020 Document Type: Article