Key result
A prior history of atrial fibrillation was associated with an increased risk of major adverse cardiovascular events during COVID-19 illness.
Why the study?
It was unknown whether a prior history of AF is an independent cardiovascular risk factor predicting worse outcomes in COVID-19 patients.
Does a prior history of atrial fibrillation increase the risk of major adverse cardiovascular events in patients with COVID-19?
Cohort (n=7,233)
Does a prior history of atrial fibrillation increase the risk of major adverse cardiovascular events in patients with COVID-19?
A prior history of atrial fibrillation independently predicts worse cardiovascular outcomes (MACE) in patients infected with COVID-19.
Answers are grounded in this paper and cite their sources.
Prior AF independently predicts worse COVID-19 outcomes; confirms it as a prognostic factor in acute viral illness.
Background: New-onset atrial fibrillation (AF) during COVID-19 infection is associated with worse cardiovascular outcomes and mortality, with new-onset AF being associated with worse clinical outcomes than recurrent AF. However, it is not known whether a prior history of AF is an independent cardiovascular risk factor predicting worse outcomes in COVID-19 patients. The present investigation sought to determine whether AF should be considered a risk factor for worse outcomes in COVID-19 illness. Methods: From March 2020-September 2021 patients testing positive for SARS-CoV-2 with a prior AF diagnosis (n = 3623) were propensity matched to non-AF SARS-CoV-2 positive patients (n = 3610). Multivariable Cox hazard regression was used to determine subsequent MACE (all-cause death, myocardial infarction, HF and stroke) risk among patients with and without AF. Conclusion: AF history was shown to be an independent risk factor for MACE during a COVID-19 illness. Both recurrent and principally new-onset AF were associated with an increased risk of poor clinical outcomes during COVID-19 illness.
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Cutler et al. (2022) conducted a cohort in COVID-19 (n=7,233). Prior history of atrial fibrillation vs. No prior history of atrial fibrillation was evaluated on Major adverse cardiovascular events (all-cause death, myocardial infarction, heart failure, and stroke) (p=0.0009). A prior history of atrial fibrillation was associated with an increased risk of major adverse cardiovascular events during COVID-19 illness.
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