scholarly journals Association between Cardiovascular Burden and Requirement of Intensive Care among Patients with Mild COVID-19

2020 ◽  
Author(s):  
Shi Tai ◽  
Jianjun Tang ◽  
Bilian Yu ◽  
Liang Tang ◽  
Yang Wang ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Intensive Care ◽  
Heart Disease ◽  
Disease Progression ◽  
Independent Risk Factor ◽  
Severe Disease ◽  
Disease Status ◽  
Care Groups ◽  
The Impact

AbstractBackgroundInformation regarding the impact of cardiovascular disease (CVD) on disease progression among patients with mild coronavirus disease 2019 (COVID-19) is limited.MethodsThis study evaluated the association of underlying CVD with disease progression in patients with mild COVID-19. The primary outcome was the need to be transferred to intensive care due to disease progression. The patients were divided with and without CVD as well as stable and intensive care groups.ResultsOf 332 patients with mild COVID-19, median age was 51 years (IQR, 40-59 years), and 200 (61.2%) were female. Of 48 (14.5%) patients with CVD, 23 (47.9%) progressed to severe disease status and required intensive care. Compared with patients without CVD, patients with CVD were older, and more likely to have fatigue, chest tightness, and myalgia. The rate of requiring intensive care was significantly higher among patients with CVD than in patients without CVD (47.92% vs. 12.4%; P<0.001). In subgroup analysis, rate of requiring intensive care was also higher among patients with either hypertension or coronary heart disease than in patients without hypertension or coronary heart disease. The multivariable regression model showed CVD served as an independent risk factor for intensive care (Odd ratio [OR], 2.652 [95% CI, 1.019-6.899]) after adjustment for various cofounders.ConclusionsPatients with mild COVID-19 complicating CVD in are susceptible to develop severe disease status and requirement for intensive care.Key PointsQuestionWhat is the impact of coexisting cardiovascular diseases (CVD) on disease progression in patients with mild COVID-19?FindingsAlthough most patients with mild COVID-19 were discharged alive from hospital, approximately 47.9% patients with coexisting CVD developed severe disease status and required intensive care. CVD is an independent risk factor of intensive care among patients with mild COVID-19.MeaningCoexisting CVD is associated with unfavorable outcomes among patients with mild COVID-19. Special monitoring is required for these patients to improve their outcome.

scholarly journals Association between Cardiovascular Burden and Requirement of Intensive Care among Patients with Mild COVID-19

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shi Tai ◽  
Jianjun Tang ◽  
Bilian Yu ◽  
Liang Tang ◽  
Yang Wang ◽  
...  
Keyword(s):  
Intensive Care ◽  
Disease Progression ◽  
Primary Outcome ◽  
Severe Disease ◽  
Disease Status ◽  
Chest Tightness ◽  
Care Groups ◽  
Multivariable Regression Model ◽  
Multivariable Regression ◽  
The Impact

Background. Information regarding the impact of cardiovascular (CV) conditions on disease progression among patients with mild coronavirus disease 2019 (COVID-19) is limited. Methods. This study evaluated the association of underlying CV conditions with disease progression in patients with mild COVID-19. The primary outcome was the need to be transferred to the designated hospital for intensive care due to COVID-19 disease progression. The patients were divided into with and without CV conditions as well as stable and intensive care groups. Results. Of the 332 patients with mild COVID-19, the median age was 51 years (IQR, 40-59 years), and 200 (61.2%) were female. Of the 48 (14.5%) patients with CV conditions, 23 (47.9%) progressed to severe disease status and required intensive care. Compared with patients without CV conditions, patients with CV conditions were older and more likely to have fatigue, chest tightness, and myalgia. The rate of requiring intensive care was significantly higher among patients with CV conditions than in patients without CV conditions (47.92% vs. 12.4%; P<0.001). In subgroup analysis, the rate of requiring intensive care was also higher among patients with either hypertension or coronary heart disease (CHD) than in patients without hypertension or CHD. The multivariable regression model showed that CV condition served as an independent risk factor for intensive care (odds ratio (OR), 2.652 (95% CI, 1.019-6.899)) after adjustment for various cofounders. Conclusions. Patients with mild COVID-19 complicating CV conditions are susceptible to develop severe disease status and requirement for intensive care.

scholarly journals Reply to: Hyperuricemia does not seem to be an independent risk factor for coronary heart disease

2018 ◽  
Vol 56 (3) ◽  
pp. e63-e64 ◽  
Author(s):  
Federica Braga ◽  
Simona Ferraro ◽  
Sara Pasqualetti ◽  
Mauro Panteghini
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Independent Risk Factor

scholarly journals Hyperhomocysteinemia as an Independent Risk Factor for Coronary Heart Disease. Comparison with Conventional Risk Factors

2023 ◽  
Vol 83 ◽  
Author(s):  
R. Muzaffar ◽  
M. A. Khan ◽  
M. H. Mushtaq ◽  
M. Nasir ◽  
A. Khan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Logistic Regression ◽  
Risk Factor ◽  
Heart Disease ◽  
Independent Risk Factor ◽  
Plasma Homocysteine ◽  
History Of ◽  
The Mean ◽  
Conventional Risk Factors

Abstract The present study was designed to evaluate the strength of association of raised plasma homocysteine concentration as a risk factor for coronary heart disease independent of conventional risk factor. It was a case control study conducted at Punjab Institute of Cardiology Lahore. A total of 210 subjects aged 25 to 60 years comprising of 105 newly admitted patients of CHD as cases and 105 age and sex matched healthy individuals with no history of CHD as control were recruited for the study. Fasting blood samples were obtained from cases and controls. Plasma homocysteine was analyzed by fluorescence polarization immunoassay (FPIA) method on automated immunoassay analyzer (Abbott IMX). Total cholesterol, triglyceride and HDL cholesterol were analyzed using calorimetric kit methods. The concentration of LDL cholesterol was calculated using Friedewald formula. The patients were also assessed for traditional risk factors such as age, sex, family history of CVD, hypertension, smoking and physical activity, and were compared with control subjects. The collected data was entered in SPSS version 24 for analysis and interpretation.The mean age in controls and experimental groups were 43.00± 8.42 years and 44.72± 8.59 years with statistically same distribution (p- value= 0.144). The mean plasma homocysteine for cases was 22.33± 9.22 µmol/L where as it was 12.59±3.73 µmol/L in control group. Highly significant difference was seen between the mean plasma level of homocysteine in cases and controls (p˂0.001).Simple logistic regression indicates a strong association of coronary heart disease with hyperhomocysteinemia (OR 7.45), which remained significantly associated with coronary heart disease by multivariate logistic regression (OR 7.10, 95%C1 3.12-12.83, p=0.000). The present study concludes that elevated levels of Plasma homocysteine is an independent risk factor for coronary heart disease independent of conventional risk factors and can be used as an indicator for predicting the future possibility for the onset of CVD.

SERUM TRIGLYCERIDES AS AN INDEPENDENT RISK FACTOR FOR DEATH FROM CORONARY HEART DISEASE IN MTDDLE-AGED NORWEGIAN MEN

1989 ◽  
Vol 129 (3) ◽  
pp. 458-465 ◽  
Author(s):  
AAGE TVERDAL ◽  
OLAV PER FOSS ◽  
PAUL LEREN ◽  
INGAR HOLME ◽  
PER G. LUND-LARSEN ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Independent Risk Factor ◽  
Serum Triglycerides

scholarly journals Diabetes and Coronary Heart Disease: A Risk Factor for the Global Epidemic

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Maguy Chiha ◽  
Mario Njeim ◽  
Edgar G. Chedrawy
Keyword(s):  
Cardiovascular Disease ◽  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
The United States ◽  
Global Scale ◽  
Diabetic Patients ◽  
Global Epidemic ◽  
The Impact

Cardiovascular disease remains a leading cause of death in the United States and the world. In this we will paper focus on type 2 diabetes mellitus as a risk factor for coronary heart disease, review the mechanisms of atherogenesis in diabetics, the impact of hypertension and the treatment goals in diabetics, the guidelines for screening, and review the epidemiologic consequences of diabetes and heart disease on a global scale. The underlying premise to consider diabetes a cardiovascular disease equivalent will be explored as well as the recommendations for screening and cardiac testing for asymptomatic diabetic patients.

scholarly journals The impact of demographic and risk factor changes on coronary heart disease deaths in Beijing, 1999–2010

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Jun Cheng ◽  
Dong Zhao ◽  
Zhechun Zeng ◽  
Julia Alison Critchley ◽  
Jing Liu ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
The Impact
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