Patients with acute heart failure are almost twice as likely to die if infected with COVID-19.

Healthcare administrations around the world are completely affected by the COVID-19 pandemic. Recent reports have shown a reduction in hospitalizations due to urgent heart disease. The effects of the COVID-19 pandemic on hospitalization, especially mortality, due to the collapse of acute heart failure are not fully described.

A new study published in the European Society of Cardiology (ESC) journal ESC Heart Failure suggests that patients with acute heart failure are nearly doubled in risk of dying if infected with COVID-19.This study emphasizes the need to take special precautions to avoid getting caught in patients with heart failure. COVID-19 (new coronavirus infection) (# If there is no character limit, add parentheses when it first appears..

This study affected acute reference rates heart failure Between pandemic and 30-day mortality. The study included 283 patients with acute heart failure who were admitted to the cardiology department of the North Bristol NHS Trust. Two-thirds of the patients had chronic heart failure, showing acute exacerbations.

The first death date of the UK coronavirus, March 2, 2020, is before COVID (January 7 to March 2; 8 weeks) and after COVID (March 3 to April 27; 8). Weeks; that is, during a pandemic).

During the pandemic, hospitalization for acute heart failure was substantial but not statistically significant. A total of 164 patients were hospitalized in the 8 weeks prior to COVID compared to 119 patients after COVID – a 27% reduction (p = 0.06).

Dr. Amaldeep Dustydal, Senior Researcher, Consultant Intervention Cardiologist at the North Bristol NHS Trust and the Bristol Heart Institute in the United Kingdom, said: “Our results support prioritization of COVID-19 vaccination once it becomes available to heart failure patients. In the meantime, heart failure patients of all ages are considered a high-risk group. , You should be advised to maintain a social distance and wear a face mask to prevent infection. “

“The findings show the social distance at the start of the country’s blockade, delays in reporting symptoms, and anxiety Regarding going to the hospital. To support these explanations, our data show an increase in referrals in the last few weeks of the blockade, in line with British media reports encouraging patients to seek medical attention as needed. I am.

Scientists then identified the factors that could contribute to the increased mortality rate during a pandemic. Older age and hospitalization during the pandemic were associated with death after adapting to various factors that could affect the relationship, with risks of 1.04 and 2.1, respectively. When patients with a positive COVID test were excluded from the test, there was no difference in mortality between the COVID groups, indicating a poor prognosis for both patients with acute heart failure and COVID-19.

Dr. Dustydar said, “This may suggest a direct interaction or susceptibility to worse outcomes in patients with acute heart failure with overlapping COVID infections. During the study, the low COVID infection rates in our area were It’s worth noting, but it was still clearly associated with increased mortality. “

Dr. Dastidar pointed out that routine testing for COVID-19 infection had not been conducted at the time of the study.he Said: “It would be beneficial to consider more recent hospitalizations when COVID testing was performed more widely to further support our findings. Since this was a single-center study, we would like to provide a national analysis. It is worth checking. In addition, we are keen to look at longer-term data to look for patterns of prognosis in the later stages of this patient population. “

Journal reference:

1. Gemina Doolub et al. Effect of COVID-19 on Inpatient Referral for Acute Heart Failure: Single-Center Experience from the Southwestern United Kingdom. DOI: 10.1002 / ehf2.13158