In patients with cardiovascular long COVID, cardiovascular disorders were identified in 27% of cases, with a severe condition during hospitalization acting as an independent risk factor (OR 5.789).
Observational (n=52)
No
What is the prevalence and what are the risk factors of cardiovascular disorders identified by multi-modality imaging in patients with cardiovascular long COVID?
Approximately 27% of patients with suspected cardiovascular long COVID have objective cardiovascular disorders on multi-modality imaging, with severe initial infection and in-hospital cardiac events being significant risk factors.
Odds Ratio: 5.789 (95% CI 1.442–45.22)
p-value: p=0.017
Background The possibility of permanent cardiovascular damage causing cardiovascular long COVID has been suggested; however, data are insufficient. This study investigated the prevalence of cardiovascular disorders, particularly in patients with cardiovascular long COVID using multi-modality imaging. Methods A total of 584 patients admitted to the hospital due to COVID-19 between January 2020 and September 2021 were initially considered. Upon outpatient follow-up, 52 (9%) were suspected to have cardiovascular long COVID, had complaints of chest pain, dyspnea, or palpitations, and were finally enrolled in this study. This study is registered with the Japanese University Hospital Medical Information Network (UMIN 000047978). Results Of 52 patients with long COVID who were followed up in the outpatient clinic for cardiovascular symptoms, cardiovascular disorders were present in 27% (14/52). Among them, 15% (8/52) had myocardial injury, 8% (4/52) pulmonary embolisms, and 4% (2/52) both. The incidence of a severe condition (36% 5/14 vs. 8% 3/38, p = 0.014) and in-hospital cardiac events (71% 10/14 vs. 24% 9/38, p = 0.002) was significantly higher in patients with cardiovascular disorders than in those without. A multivariate logistic regression analysis revealed that a severe condition (OR, 5.789; 95% CI 1.442–45.220; p = 0.017) and in-hospital cardiac events (OR, 8.079; 95% CI 1.306–25.657; p = 0.021) were independent risk factors of cardiovascular disorders in cardiovascular long COVID patients. Conclusions Suspicion of cardiovascular involvement in patients with cardiovascular long COVID in this study was approximately 30%. A severe condition during hospitalization and in-hospital cardiac events were risk factors of a cardiovascular sequalae in CV long COVID patients.
Murata et al. (Fri,) conducted a observational in Cardiovascular long COVID (n=52). Severe condition during COVID-19 hospitalization vs. Non-severe condition during COVID-19 hospitalization was evaluated on Presence of cardiovascular disorders (myocardial injury and/or pulmonary embolism) (OR 5.789, 95% CI 1.442-45.220, p=0.017). In patients with cardiovascular long COVID, cardiovascular disorders were identified in 27% of cases, with a severe condition during hospitalization acting as an independent risk factor (OR 5.789).