Circulation:重症新冠肺炎患者的心肌损伤风险及相关临床因素

2021-02-14 MedSci原创 MedSci原创

新冠肺炎(COVID-19)心肌损伤的流行病学和临床意义仍未完全明确。本研究旨在确定与非COVID-19的急性呼吸窘迫综合征(ARDS)相比,COVID-19重症患者心肌损伤的发生率和预后。

新冠肺炎COVID-19)心肌损伤的流行病学和临床意义仍未完全明确。本研究旨在确定与非COVID-19的急性呼吸窘迫综合征(ARDS)相比,COVID-19重症患者心肌损伤的发生率和预后。

纳入2020年3月15日-6月11日在5家医院治疗的COVID-19患者,评估其肌钙蛋白水平。研究人员将其与来自ARDS心肌损伤队列研究的患者进行比较,并对与心肌损伤相关的住院死亡的主要结局进行生存分析。此外,我采用线性回归来确定与COVID-19心肌损伤相关的临床因素。

同肌钙蛋白水平患者预后

共纳入了243位COVID-19患者,其中51%的患者的肌钙蛋白水平高于正常上限,慢性肾病、乳酸、铁蛋白和纤维蛋白原均与心肌损伤相关。肌钙蛋白低于正常值上限的COVID-19患者的死亡率为22.7%,而肌钙蛋白水平高于正常值上限10倍的患者的死亡率高达61.5%(P<0.001)。经年龄、性别和多系统器官功能障碍校整后,心肌损伤与死亡率的相关性在统计学上没有显著意义。

COVID-19患者的存活曲线

与非COVID-19的ARDS患者相比,COVID-19患者年龄较大,肌酐水平较高,生命体征较差经调整后,与非COVID-19相关的ARDS相比,cCOVID-19相关的ARDS心肌损伤发生率更低(优势比 0.55 [95% CI, 0.36-0.84];P=0.005)。

综上,与传统ARDS类似,COVID-19重症患者的心肌损伤发生风险与基线共病、高龄和多系统脏器功能障碍有关。COVID-19心肌损伤的不良预后主要与多系统器官受累和危重疾病有关

原始出处:

Thomas S. Metkus, et al. Myocardial Injury in Severe COVID-19 Compared With Non–COVID-19 Acute Respiratory Distress Syndrome. Circulation. 2021;143:553–565

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    2021-09-24 howi
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    2021-02-15 carrotlyl

    沾边covid好发文

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    2021-02-14 公卫新人

    新冠肺炎,疫情何时才能消失

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