Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19)
Background. There is no data on the effect of COVID-19 on patients with chronic heart failure (CHF) and its ability to cause acute heart failure (AHF). The purpose of the work is to study the characteristics, cardiovascular outcomes and mortality in patients with confirmed COVID-19 infection and...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Penza State University Publishing House
2023-06-01
|
| Series: | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| Subjects: |
| _version_ | 1797802594895134720 |
|---|---|
| author | L.F. Burmistrova M.V. Petrov A.E. Sheina M.E. Burmistrov E.V. Antipova K.P. Kondrat'eva |
| author_facet | L.F. Burmistrova M.V. Petrov A.E. Sheina M.E. Burmistrov E.V. Antipova K.P. Kondrat'eva |
| author_sort | L.F. Burmistrova |
| collection | DOAJ |
| description | Background. There is no data on the effect of COVID-19 on patients with chronic
heart failure (CHF) and its ability to cause acute heart failure (AHF). The purpose of the
work is to study the characteristics, cardiovascular outcomes and mortality in patients with
confirmed COVID-19 infection and a previous diagnosis of heart failure (HF), as well as to
identify predictors and prognostic consequences of CHF decompensation during hospitalization.
Materials and methods. Data were analyzed from 330 patients with confirmed
COVID-19 infection and followed up for at least 30 days. Results. The analysis showed that
the presence of CHF in the anamnesis, as well as chronic obstructive pulmonary disease
and old age, determined a more severe initial clinical condition and were independent predictors
of the development of AHF during hospitalization for COVID-19. However, the
most important predictor of AHF in these patients was the development of atrial arrhythmias
during hospitalization. Atrial fibrillation was by far the most common arrhythmia in
these patients. Its consequences can be mediated by numerous and well-known mechanisms,
such as loss of mechanical atrial contraction, poor heart rate control, impaired diastolic
filling, irregular R-R intervals and neurohormonal activation. Conclusions. Patients
with COVID-19 have a significant frequency of CHF, which is associated with a poor
prognosis. Moreover, patients with a history of CHF are prone to developing acute decompensation
after the diagnosis of COVID-19. Cardiac arrhythmias are the main predictor of
the development of AHF. |
| first_indexed | 2024-03-13T05:09:01Z |
| format | Article |
| id | doaj.art-81cef995a09a4efa93ec6104f615fd0c |
| institution | Directory Open Access Journal |
| issn | 2072-3032 |
| language | English |
| last_indexed | 2024-03-13T05:09:01Z |
| publishDate | 2023-06-01 |
| publisher | Penza State University Publishing House |
| record_format | Article |
| series | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| spelling | doaj.art-81cef995a09a4efa93ec6104f615fd0c2023-06-16T06:22:57ZengPenza State University Publishing HouseИзвестия высших учебных заведений. Поволжский регион: Медицинские науки2072-30322023-06-01110.21685/2072-3032-2023-1-6Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19)L.F. Burmistrova0M.V. Petrov1A.E. Sheina2M.E. Burmistrov3E.V. Antipova4K.P. Kondrat'eva5Penza State UniversityPenza State UniversityPenza State UniversityPenza State UniversityOgarev Mordovia State UniversityPenza State UniversityBackground. There is no data on the effect of COVID-19 on patients with chronic heart failure (CHF) and its ability to cause acute heart failure (AHF). The purpose of the work is to study the characteristics, cardiovascular outcomes and mortality in patients with confirmed COVID-19 infection and a previous diagnosis of heart failure (HF), as well as to identify predictors and prognostic consequences of CHF decompensation during hospitalization. Materials and methods. Data were analyzed from 330 patients with confirmed COVID-19 infection and followed up for at least 30 days. Results. The analysis showed that the presence of CHF in the anamnesis, as well as chronic obstructive pulmonary disease and old age, determined a more severe initial clinical condition and were independent predictors of the development of AHF during hospitalization for COVID-19. However, the most important predictor of AHF in these patients was the development of atrial arrhythmias during hospitalization. Atrial fibrillation was by far the most common arrhythmia in these patients. Its consequences can be mediated by numerous and well-known mechanisms, such as loss of mechanical atrial contraction, poor heart rate control, impaired diastolic filling, irregular R-R intervals and neurohormonal activation. Conclusions. Patients with COVID-19 have a significant frequency of CHF, which is associated with a poor prognosis. Moreover, patients with a history of CHF are prone to developing acute decompensation after the diagnosis of COVID-19. Cardiac arrhythmias are the main predictor of the development of AHF.covid-19heart failuremorbiditymortalitynt-probnp |
| spellingShingle | L.F. Burmistrova M.V. Petrov A.E. Sheina M.E. Burmistrov E.V. Antipova K.P. Kondrat'eva Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) Известия высших учебных заведений. Поволжский регион: Медицинские науки covid-19 heart failure morbidity mortality nt-probnp |
| title | Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) |
| title_full | Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) |
| title_fullStr | Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) |
| title_full_unstemmed | Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) |
| title_short | Clinical and prognostic criteria for the course of heart failure in new coronavirus infection (COVID-19) |
| title_sort | clinical and prognostic criteria for the course of heart failure in new coronavirus infection covid 19 |
| topic | covid-19 heart failure morbidity mortality nt-probnp |
| work_keys_str_mv | AT lfburmistrova clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 AT mvpetrov clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 AT aesheina clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 AT meburmistrov clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 AT evantipova clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 AT kpkondrateva clinicalandprognosticcriteriaforthecourseofheartfailureinnewcoronavirusinfectioncovid19 |