Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19

Aim. To evaluate the medical treatment of patients with cardiovascular disease (CVD) during the first year of follow-up after hospitalization for coronavirus disease 2019 (COVID-19) in a prospective registry.Material and methods. The material for the study was obtained from the database of the TARGE...

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Main Authors: N. P. Kutishenko, M. M. Lukyanov, S. Yu. Martsevich, A. A. Pulin, E. Yu. Andreenko, V. P. Voronina, V. A. Dindikova, N. A. Dmitrieva, M. M. Kudryavtseva, O. V. Lerman, A. N. Makoveeva, E. Yu. Okshina, А. А. Smirnov, E. N. Belova, V. G. Klyashtorny, E. V. Kudryashov, O. E. Karpov, O. M. Drapkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-01-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/3467
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author N. P. Kutishenko
M. M. Lukyanov
S. Yu. Martsevich
A. A. Pulin
E. Yu. Andreenko
V. P. Voronina
V. A. Dindikova
N. A. Dmitrieva
M. M. Kudryavtseva
O. V. Lerman
A. N. Makoveeva
E. Yu. Okshina
А. А. Smirnov
E. N. Belova
V. G. Klyashtorny
E. V. Kudryashov
O. E. Karpov
O. M. Drapkina
author_facet N. P. Kutishenko
M. M. Lukyanov
S. Yu. Martsevich
A. A. Pulin
E. Yu. Andreenko
V. P. Voronina
V. A. Dindikova
N. A. Dmitrieva
M. M. Kudryavtseva
O. V. Lerman
A. N. Makoveeva
E. Yu. Okshina
А. А. Smirnov
E. N. Belova
V. G. Klyashtorny
E. V. Kudryashov
O. E. Karpov
O. M. Drapkina
author_sort N. P. Kutishenko
collection DOAJ
description Aim. To evaluate the medical treatment of patients with cardiovascular disease (CVD) during the first year of follow-up after hospitalization for coronavirus disease 2019 (COVID-19) in a prospective registry.Material and methods. The material for the study was obtained from the database of the TARGET-VIP inhospital registry. The registry included 1130 people. Of 863 patients discharged from the hospital with a diagnosis of COVID-19, 473 (548%) patients with CVD were selected, and 31 (40,8%) patients were selected from 76 patients in whom the diagnosis of COVID-19 was not confirmed with CVD.Results. At the stage of discharge from the hospital, the quality of therapy for CVD was insufficient on average, the frequency of proper prescriptions was 59,5%. During the first year, there was a significant trend towards a decrease in the prevalence of antihypertensive therapy for hypertension (p=0,018), anticoagulants for atrial fibrillation (p<0,001) and an increase in prescribing angiotensinconverting enzyme inhibitors/angiotensin receptor blockers for heart failure (p=0,037). The average prevalence of prescribing proper cardiovascular pharmacotherapy after 30-60 days and 6 months of follow-up was significantly less than at discharge from the hospital. In both groups of patients, when comparing the average frequency of compliance with proper prescriptions at all follow-up periods, as well as when comparing these indicators between groups, no significant differences were found, with the exception of the stage of 30-60 days after discharge from the hospital (p=0,009).Conclusion. In the TARGET-VIP registry after discharge from the hospital, the prevalence of proper appointments for CVD was insufficient. During the first year of observation, patients with CVD showed a significant decrease in the frequency of proper prescription of antihypertensive therapy for hypertension and anticoagulants for atrial fibrillation. When comparing groups of patients with confirmed and non-confirmed COVID-19, a higher average rate of adherence to proper prescriptions was found in patients with confirmed COVID-19. However, significant differences were found only 30-60 days after discharge.
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spelling doaj.art-bc957a2b07cf4c4fb61273111532e7ed2024-10-17T12:21:43Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-01-01211210.15829/1728-8800-2022-34672596Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19N. P. Kutishenko0M. M. Lukyanov1S. Yu. Martsevich2A. A. Pulin3E. Yu. Andreenko4V. P. Voronina5V. A. Dindikova6N. A. Dmitrieva7M. M. Kudryavtseva8O. V. Lerman9A. N. Makoveeva10E. Yu. Okshina11А. А. Smirnov12E. N. Belova13V. G. Klyashtorny14E. V. Kudryashov15O. E. Karpov16O. M. Drapkina17National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicinePirogov National Medical and Surgical CenterNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicinePirogov National Medical and Surgical CenterNational Medical Research Center for Therapy and Preventive MedicineAim. To evaluate the medical treatment of patients with cardiovascular disease (CVD) during the first year of follow-up after hospitalization for coronavirus disease 2019 (COVID-19) in a prospective registry.Material and methods. The material for the study was obtained from the database of the TARGET-VIP inhospital registry. The registry included 1130 people. Of 863 patients discharged from the hospital with a diagnosis of COVID-19, 473 (548%) patients with CVD were selected, and 31 (40,8%) patients were selected from 76 patients in whom the diagnosis of COVID-19 was not confirmed with CVD.Results. At the stage of discharge from the hospital, the quality of therapy for CVD was insufficient on average, the frequency of proper prescriptions was 59,5%. During the first year, there was a significant trend towards a decrease in the prevalence of antihypertensive therapy for hypertension (p=0,018), anticoagulants for atrial fibrillation (p<0,001) and an increase in prescribing angiotensinconverting enzyme inhibitors/angiotensin receptor blockers for heart failure (p=0,037). The average prevalence of prescribing proper cardiovascular pharmacotherapy after 30-60 days and 6 months of follow-up was significantly less than at discharge from the hospital. In both groups of patients, when comparing the average frequency of compliance with proper prescriptions at all follow-up periods, as well as when comparing these indicators between groups, no significant differences were found, with the exception of the stage of 30-60 days after discharge from the hospital (p=0,009).Conclusion. In the TARGET-VIP registry after discharge from the hospital, the prevalence of proper appointments for CVD was insufficient. During the first year of observation, patients with CVD showed a significant decrease in the frequency of proper prescription of antihypertensive therapy for hypertension and anticoagulants for atrial fibrillation. When comparing groups of patients with confirmed and non-confirmed COVID-19, a higher average rate of adherence to proper prescriptions was found in patients with confirmed COVID-19. However, significant differences were found only 30-60 days after discharge.https://cardiovascular.elpub.ru/jour/article/view/3467cardiovascular diseasecovid-19registryprospective follow-updrug treatment
spellingShingle N. P. Kutishenko
M. M. Lukyanov
S. Yu. Martsevich
A. A. Pulin
E. Yu. Andreenko
V. P. Voronina
V. A. Dindikova
N. A. Dmitrieva
M. M. Kudryavtseva
O. V. Lerman
A. N. Makoveeva
E. Yu. Okshina
А. А. Smirnov
E. N. Belova
V. G. Klyashtorny
E. V. Kudryashov
O. E. Karpov
O. M. Drapkina
Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
Кардиоваскулярная терапия и профилактика
cardiovascular disease
covid-19
registry
prospective follow-up
drug treatment
title Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
title_full Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
title_fullStr Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
title_full_unstemmed Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
title_short Medical treatment of patients with cardiovascular diseases during the first year after hospitalization for COVID-19
title_sort medical treatment of patients with cardiovascular diseases during the first year after hospitalization for covid 19
topic cardiovascular disease
covid-19
registry
prospective follow-up
drug treatment
url https://cardiovascular.elpub.ru/jour/article/view/3467
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