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Interpretation of myocardial injury subtypes in COVID-19 disease per fourth version of Universal Definition of Myocardial Infarction
- Source :
- Biomarkers. 26:401-409
- Publication Year :
- 2021
- Publisher :
- Informa UK Limited, 2021.
-
Abstract
- BACKGROUND: Application of the 4th version of Universal Definition of Myocardial Infarction (UDMI) to characterize rates and prognostic relevance of myocardial injury in COVID-19 disease. METHODS: This retrospective, single-centre observational study enrolled 104 patients hospitalized with SARS-CoV-2 infection. Kaplan-Meier analysis and multivariate Cox regression were used to identify influence of acute or chronic myocardial injury on a composite primary (mortality, incident acute respiratory distress syndrome, incident mechanical ventilation) and secondary endpoint (mortality, incident acute myocardial injury during hospitalization, incident venous thrombosis, pulmonary embolism or stroke). RESULTS: A total of 27 (26.0%) patients presented with chronic myocardial injury, and 19 (18.3%) with acute myocardial injury. 42 patients(40.4%) developed an incident myocardial injury during hospitalization. The presence of acute or chronic myocardial injury on admission and incident myocardial injury during hospitalization were associated with higher rates of endpoints. Independent predictors for the primary endpoint were higher severity stages according to Siddiqi et al. classification system and history of dyslipidaemia. Maximal hs-cTnT and D-dimer concentrations during hospitalization showed an association (r = 0.61). CONCLUSIONS: Objective description of myocardial injury according to the 4th UDMI in the current COVID-19 pandemic is crucial in order to discriminate patients with acute myocardial infarction and acute, chronic or incident myocardial injury.
- Subjects :
- Adult
Male
medicine.medical_specialty
Heart Injury
Health, Toxicology and Mutagenesis
medicine.medical_treatment
Clinical Biochemistry
Myocardial Infarction
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
Biochemistry
Fibrin Fibrinogen Degradation Products
03 medical and health sciences
0302 clinical medicine
Troponin T
Germany
Internal medicine
Prevalence
medicine
Clinical endpoint
Humans
Myocardial infarction
Pandemics
Stroke
Aged
Retrospective Studies
Aged, 80 and over
Mechanical ventilation
SARS-CoV-2
business.industry
COVID-19
Middle Aged
Prognosis
medicine.disease
Pulmonary embolism
Hospitalization
Heart Injuries
030220 oncology & carcinogenesis
Cardiology
Female
Myocardial infarction diagnosis
business
Subjects
Details
- ISSN :
- 13665804 and 1354750X
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Biomarkers
- Accession number :
- edsair.doi.dedup.....32c26da92983214cb435a8aa7e5c3e30