Naeini Mehri Bemani, Sahebi Mahdieh, Nikbakht Fateme, Jamshidi Zahra, Ahmadimanesh Mahnaz, Hashemi Maryam, Ramezani Javad, Miri Hamid Heidarian, Yazdian-Robati Rezvan
Nanotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Determinants of Health Research Center, Department of Epidemiology, Mashhad University of Medical Sciences, Mashhad, Iran.
Obes Med. 2021 Mar;22:100323. doi: 10.1016/j.obmed.2021.100323. Epub 2021 Jan 23.
On January 2020, WHO confirmed the epidemic outbreak of SARS-CoV-2 as a Health Emergency of International Concern. The aim of this meta-meta-analysis is quantifying meta-analytic findings on the association of cardiovascular disease (CVD) comorbidities and COVID-19 severity. Findings suggest that chances of getting severe COVID-19 disease in patients with CVD is greater than those without CVD. Also, prevalence of CVD in patents with COVID-19 is 0.08 (95% CI = 0.07-0.08). The OR as 3.44 indicates that the odds of getting severe COVID-19 is more than 3 times higher in those with CVD. Also, prevalence of hypertension in patient with COVID-19 is 0.27 (95%CI = 0.27-0.28) and the OR as 2.68 indicates that the odds of getting severe COVID-19 in cases with high blood pressure is more than 2.5 times higher than those without hypertension. It is rational to suppose that persons with coronary artery disease are prone to severe viral infection thereby, guideline-directed diagnosis and medical therapy is vital in CVD patients.
2020年1月,世界卫生组织确认严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫情爆发为国际关注的突发公共卫生事件。这项元元分析的目的是量化关于心血管疾病(CVD)合并症与2019冠状病毒病(COVID-19)严重程度之间关联的元分析结果。研究结果表明,患有心血管疾病的患者患重症COVID-19的几率高于未患心血管疾病的患者。此外,COVID-19患者中心血管疾病的患病率为0.08(95%置信区间=0.07-0.08)。比值比为3.44表明,患有心血管疾病的患者患重症COVID-19的几率高出3倍多。此外,COVID-19患者中高血压的患病率为0.27(95%置信区间=0.27-0.28),比值比为2.68表明,高血压患者患重症COVID-19的几率比未患高血压的患者高出2.5倍多。有理由认为,冠状动脉疾病患者更容易发生严重的病毒感染,因此,遵循指南进行诊断和药物治疗对心血管疾病患者至关重要。