Health
Patients with acute heart failure at high risk when infected with Covid: Study
According to a study published in ESC heart failureAccording to the journal of the European Society of Cardiology (ESC), patients with acute heart failure are almost twice as likely to die if infected with Covid-19.
The study emphasizes the need to take special precautions to prevent patients with heart failure from becoming infected with Covid-19.
Dr. Amaldeep Dustydal, Senior Researcher, Consultant Intervention Cardiologist at the North Bristol NHS Trust and the Bristol Heart Institute in the United Kingdom, said:
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“In the meantime, heart failure patients of all ages should be considered a high-risk group and should be advised to maintain a social distance and wear a face mask to prevent infection.”
This study investigated referral rates for acute heart failure during pandemics and at 30-day mortality. The analysis included 283 patients with acute heart failure who were admitted to the cardiology department of the North Bristol NHS Trust.
The study states that two-thirds of patients suffer from chronic heart failure and have shown acute exacerbations. March 2, 2020, the first date of death from the British coronavirus, was the deadline for defining the two groups. That is, during a pandemic).
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During the pandemic, hospitalization for acute heart failure was significantly reduced, but not statistically significant. The study added that a total of 164 patients were hospitalized in the eight weeks after Covid, compared with a 27% decrease in 119 patients after Covid.
Poor prognosis
Dr. Dastidar said: “The findings may reflect public concerns about the social distance at the start of the blockade, delays in reporting symptoms, and anxiety about hospitalization.”
“To support these explanations, our data increased referrals in the last few weeks of the blockade, in line with UK media reports encouraging patients to seek medical attention as needed. It shows, “he added.
The 30-day mortality rate for patients with acute heart failure almost doubled during the pandemic. Approximately 11% of patients in the pre-covid group died within 30 days, compared to 21% in the post-covid group.
The researchers noted that there was no difference in mortality between groups before and after Covid when patients with a positive Covid test were excluded from the analysis. This indicates a poor prognosis for both patients with acute heart failure and Covid-19.
“This may indicate a direct interaction or susceptibility to worse outcomes in patients with acute heart failure with a combination of Covid infections,” said Dr. Dastidar. “It is worth noting that despite the very low Covid infection rates in our area during the study, the association with increased mortality remained clear.”
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