Published August 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article99.pdf
Journal article Open

Prevalence of Cardiac Manifestations of COVID-19 at a Tertiary Centre in Western Rajasthan

  • 1. Associate Professor, Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan
  • 2. Senior Resident, Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan
  • 3. Associate Professor& Head, Department of Cardiology, Dr SN Medical College, Jodhpur Rajasthan
  • 4. Assistant Professor, Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan

Description

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has brought unprecedented challenges to global healthcare systems, with the respiratory system being predominantly affected. However, emerging evidence suggests that COVID-19 can also lead to various cardiovascular complications. This retrospective study aims to investigate the prevalence of cardiac manifestations in COVID-19 patients and its association with disease severity. Methods: We conducted a retrospective analysis of medical records from 350 patients admitted with COVID-19 infection at a tertiary care hospital between June 2020 and July 2022. Patients were categorized into severe and non-severe groups based on clinical, lab parameters. Various cardiac manifestations, including heart failure, arrhythmias, myocarditis, acute coronary syndrome (ACS), and pulmonary embolism, were evaluated. Results: Our findings revealed a clear correlation between the severity of COVID-19 and the prevalence of cardiovascular complications. Heart failure was observed in 7.4% of patients, with a significantly higher incidence rate in the severe COVID-19 group (10.9% versus 2.7% in non-severe group, p < 0.01). Similarly, the overall incidence of cardiac arrhythmias was 7.1%, with a higher prevalence in the severe COVID-19 group (10.5% versus 2.7% in non-severe group, p < 0.01). Myocarditis and ACS were reported in 6.6% and 10.3% of patients, respectively, with significantly higher rates in severe COVID-19 cases (p < 0.01). Additionally, pulmonary embolism was identified in 1.4% of patients, predominantly in the severe COVID-19 group (p < 0.01). Conclusion: Our study provides valuable insights into the diverse cardiac complications associated with COVID-19. The findings underscore the importance of vigilance among clinicians to recognize and manage these manifestations, particularly in severe cases. By understanding the impact of COVID-19 on cardiovascular health, healthcare providers can take proactive measures to optimize patient outcomes. Further research is needed to explore the underlying mechanisms and develop targeted interventions for these cardiac complications.

 

 

Abstract (English)

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has brought unprecedented challenges to global healthcare systems, with the respiratory system being predominantly affected. However, emerging evidence suggests that COVID-19 can also lead to various cardiovascular complications. This retrospective study aims to investigate the prevalence of cardiac manifestations in COVID-19 patients and its association with disease severity. Methods: We conducted a retrospective analysis of medical records from 350 patients admitted with COVID-19 infection at a tertiary care hospital between June 2020 and July 2022. Patients were categorized into severe and non-severe groups based on clinical, lab parameters. Various cardiac manifestations, including heart failure, arrhythmias, myocarditis, acute coronary syndrome (ACS), and pulmonary embolism, were evaluated. Results: Our findings revealed a clear correlation between the severity of COVID-19 and the prevalence of cardiovascular complications. Heart failure was observed in 7.4% of patients, with a significantly higher incidence rate in the severe COVID-19 group (10.9% versus 2.7% in non-severe group, p < 0.01). Similarly, the overall incidence of cardiac arrhythmias was 7.1%, with a higher prevalence in the severe COVID-19 group (10.5% versus 2.7% in non-severe group, p < 0.01). Myocarditis and ACS were reported in 6.6% and 10.3% of patients, respectively, with significantly higher rates in severe COVID-19 cases (p < 0.01). Additionally, pulmonary embolism was identified in 1.4% of patients, predominantly in the severe COVID-19 group (p < 0.01). Conclusion: Our study provides valuable insights into the diverse cardiac complications associated with COVID-19. The findings underscore the importance of vigilance among clinicians to recognize and manage these manifestations, particularly in severe cases. By understanding the impact of COVID-19 on cardiovascular health, healthcare providers can take proactive measures to optimize patient outcomes. Further research is needed to explore the underlying mechanisms and develop targeted interventions for these cardiac complications.

 

 

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Additional details

Dates

Accepted
2023-05-25

References

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