探讨了因急性冠状动脉综合征被转诊至中心心脏病医院的 COVID-19 患者的特征。
An exploration of the characteristics of COVID-19 patients referred to a central cardiology hospital with acute coronary syndrome.
机构信息
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
Indian Heart J. 2022 Mar-Apr;74(2):135-138. doi: 10.1016/j.ihj.2021.12.013. Epub 2022 Jan 3.
This study aimed to evaluate the clinical features of COVID-19 patients diagnosed with acute coronary syndrome (ACS). After obtaining patients' demographic and clinical data, ECG and transthoracic echocardiography were performed for all 228 patients. On average, patients aged 63.23 years. The most common underlying disease was hypertension (59.2%). The most common ECG abnormalities in COVID-19 patients with ACS were ST-T changes and pathological Q wave, and 12.3% experienced atrial fibrillation. According to the Multiple logistic regression analysis, a significant relationship between on admission tachycardia and left ventricular ejection fraction with in-hospital mortality was found (OR = 24.06, 95% CI: 4.63-125.11, OR = 0.92, 95% CI: 0.087-0.98).
本研究旨在评估诊断为急性冠状动脉综合征 (ACS) 的 COVID-19 患者的临床特征。在获得 228 名患者的人口统计学和临床数据后，对所有患者进行了心电图和经胸超声心动图检查。患者平均年龄为 63.23 岁。最常见的基础疾病是高血压（59.2%）。COVID-19 合并 ACS 患者最常见的心电图异常是 ST-T 改变和病理性 Q 波，12.3%的患者发生心房颤动。根据多因素逻辑回归分析，入院时心动过速和左心室射血分数与住院死亡率之间存在显著关系（OR=24.06，95%CI：4.63-125.11，OR=0.92，95%CI：0.087-0.98）。
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