Language

English

Publication Date

1-1-2023

Journal

Progress in Cardiovascular Diseases

DOI

10.1016/j.pcad.2022.12.002

PMID

36528166

PMCID

PMC9749379

PubMedCentral® Posted Date

12-14-2022

PubMedCentral® Full Text Version

Post-print

Abstract

Stress cardiomyopathy was noted to occur at a higher incidence during coronavirus disease of 2019 (COVID-19) pandemic. This database analysis has been done to compare the in-hospital outcomes in patients with stress cardiomyopathy and concurrent COVID-19 infection with those without COVID-19 infection. The National Inpatient Sample database for the year 2020 was queried to identify all admissions diagnosed with stress cardiomyopathy. These patients were then stratified based on whether they had concomitant COVID-19 infection or not. A 1:1 propensity score matching was performed. Multivariate logistic regression analysis was done to identify predictors of mortality. We identified 41,290 hospitalizations for stress cardiomyopathy, including 1665 patients with concurrent diagnosis of COVID-19. The female preponderance was significantly lower in patients with stress cardiomyopathy and COVID-19. Patients with concomitant COVID-19 were more likely to be African American, diabetic and have chronic kidney disease. After propensity matching, the incidence of complications, including acute kidney injury (AKI), AKI requiring dialysis, coagulopathy, sepsis, cardiogenic shock, cases with prolonged intubation of >24 h, requirement of vasopressor and inpatient mortality, were noted to be significantly higher in patients with COVID-19. Concomitant COVID-19 infection was independently associated with worse outcomes and increased mortality in patients hospitalized with stress cardiomyopathy.

Keywords

Humans, Female, COVID-19, Hospitalization, Shock, Cardiogenic, Inpatients, Acute Kidney Injury, Retrospective Studies, Covid, Acute coronary syndrome, Stress cardiomyopathy, Congestive heart failure

Published Open-Access

yes

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