Open AccessMyocardial injury assessment in severe Covid-19 patients at the Intensive Care Unit in Sa Dec General Hospital
Author(s) -
Hoang Trung Kien,
Nguyen Tran Thuy,
Bui Thi Thu Thuy,
Bui Thi Lien,
Nguyễn Thị Ngọc Trâm,
Nghiem Huyen Trang,
Vu Phuong Nga,
Nguyễn Văn Huynh,
Trần Thanh Tùng,
Phan Thao Nguyen
Publication year - 2022
Publication title -
tim mạch và lồng ngực
Language(s) - English
Resource type - Journals
ISSN - 0866-7551
DOI - 10.47972/vjcts.v36i.740
Subject(s) - medicine , intensive care unit , mortality rate , troponin , coronary artery disease , covid-19 , troponin i , coronary care unit , cardiology , disease , myocardial infarction , infectious disease (medical specialty)
Overview
Covid-19 is an emerging infectious disease, and a current pandemic with the death rate about 2.3%. It causes cardiovascular complications. Myocardial injury (MI) is the most common one.
Method
50 inpatients at Sa Dec General Hospital from 1st Aug to 10th Sep, 2021 were recruited, and divided into 2 groups (with and without MI, which based on levels of Troponin Ths on admission).
Results
Patient characteristics, clinical manifestations, and lab tests were assessed and compared between two groups. Comparison to the group without MI, the group with MI has higher age (68.33 ± 14.67 vs 55.65 ± 15.09, p = 0.004), more underlying cardiovascular diseases (34.1% vs 11.1%, p = 0.02), and coronary artery disease (19.6% vs 2.8%, p = 0.03). MI increases 28-day mortality rate in the intensive care unit (p = 0.002). The age of more than 60 also contributes to increase the mortality rate.
Conclusion
Myocardial injury is a common complication in severe Covid-19 patients, which increases the mortality rate in this group.