open access

Vol 79, No 7-8 (2021)
Original article
Published online: 2021-04-29
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Association between cardiovascular disease, cardiovascular drug therapy, and in-hospital outcomes in patients with COVID-19: data from a large single-center registry in Poland

Michał Terlecki1, Wiktoria Wojciechowska1, Marek Klocek1, Agnieszka Olszanecka1, Katarzyna Stolarz-Skrzypek1, Tomasz Grodzicki2, Maciej Małecki3, Barbara Katra3, Aleksander Garlicki4, Monika Bociąga-Jasik4, Krzysztof Sładek5, Andrzej Matyja6, Jerzy Wordliczek7, Agnieszka Słowik8, Tomasz Mach9, Katarzyna Krzanowska10, Marcin Krzanowski10, Paweł Stręk11, Piotr Chłosta12, Piotr Hydzik13, Mariusz Korkosz14, Tadeusz Popiela15, Maciej Pilecki16, Artur Gądek17, Marek Rajzer1
DOI: 10.33963/KP.15990
·
Pubmed: 33926173
·
Kardiol Pol 2021;79(7-8):773-780.
Affiliations
  1. Department of Cardiology, Interventional Electrocardiology and Arterial Hypertension, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Internal Diseases and Geriatrics, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Metabolic Diseases and Diabetology, Jagiellonian University Medical College, Kraków, Poland
  4. Department of Infectious and Tropical Diseases, Jagiellonian University Medical College, Kraków, Poland
  5. Department of Pulmonology and Allergology, Jagiellonian University Medical College, Kraków, Poland
  6. Department of General, Oncological, Metabolic, and Emergency Surgery, Jagiellonian University Medical College, Kraków, Poland
  7. Department of Interdisciplinary Intensive Care, Jagiellonian University Medical College, Kraków, Poland
  8. Department of Neurology, Jagiellonian University Medical College, Kraków, Poland
  9. Department of Gastroenterology and Hepatology, Jagiellonian University Medical College, Kraków, Poland
  10. Department of Nephrology and Dialysis, Jagiellonian University Medical College, Kraków, Poland
  11. Department of Otolaryngology, Jagiellonian University Medical College, Kraków, Poland
  12. Department of Urology and Oncological Urology, Jagiellonian University Medical College, Kraków, Poland
  13. Department of Toxicology, Jagiellonian University Medical College, Kraków, Poland
  14. Department of Rheumatology and Immunology, Jagiellonian University Medical College, Kraków, Poland
  15. Department of Diagnostic Imaging Unit, Jagiellonian University Medical College, Kraków, Poland
  16. Department of Psychiatry for Adults, Children, and Youth, Jagiellonian University Medical College, Kraków, Poland
  17. Department of Trauma and Orthopedics, Jagiellonian University Medical College, Kraków, Poland

open access

Vol 79, No 7-8 (2021)
Original article
Published online: 2021-04-29

Abstract

Background: The coronavirus disease 19 (COVID-19) recently became one of the leading causes of death worldwide, similar to cardiovascular disease (CVD). Coexisting CVD may influence the prognosis of patients with COVID-19.
Aims: We analyzed the impact of CVD and the use of cardiovascular drugs on the in-hospital course and mortality of patients with COVID-19.
Methods: We retrospectively studied data for consecutive patients admitted to our hospital, with COVID-19 between March 6th and October 15th, 2020.
Results: 1729 patients (median interquartile range age 63 [50–75] years; women 48.8%) were included. Overall, in-hospital mortality was 12.9%. The most prevalent CVD was arterial hypertension (56.1%), followed by hyperlipidemia (27.4%), diabetes mellitus (DM) (25.7%), coronary artery disease (16.8%), heart failure (HF) (10.3%), atrial fibrillation (13.5%), and stroke (8%). Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs/ARBs) were used in 25.0% of patients, β-blockers in 40.7%, statins in 15.6%, and antiplatelet therapy in 19.9%. Age over 65 years (odds ratio [OR], 6.4; 95% CI, 4.3–9.6), male sex (OR, 1.4; 95% CI, 1.1–2.0), pre-existing DM (OR, 1.5; 95% CI, 1.1–2.1), and HF (OR, 2.3; 95% CI, 1.5–3.5) were independent predictors of in-hospital death, whereas treatment with ACEIs/ARBs (OR, 0.4; 95% CI, 0.3–0.6), β-blockers (OR, 0.6; 95% CI, 0.4–0.9), statins (OR, 0.5; 95% CI, 0.3–0.8), or antiplatelet therapy (OR, 0.6; 95% CI: 0.4–0.9) was associated with lower risk of death.
Conclusions: Among cardiovascular risk factors and diseases, HF and DM appeared to increase in-hospital COVID-19 mortality, whereas the use of cardiovascular drugs was associated with lower mortality.

Abstract

Background: The coronavirus disease 19 (COVID-19) recently became one of the leading causes of death worldwide, similar to cardiovascular disease (CVD). Coexisting CVD may influence the prognosis of patients with COVID-19.
Aims: We analyzed the impact of CVD and the use of cardiovascular drugs on the in-hospital course and mortality of patients with COVID-19.
Methods: We retrospectively studied data for consecutive patients admitted to our hospital, with COVID-19 between March 6th and October 15th, 2020.
Results: 1729 patients (median interquartile range age 63 [50–75] years; women 48.8%) were included. Overall, in-hospital mortality was 12.9%. The most prevalent CVD was arterial hypertension (56.1%), followed by hyperlipidemia (27.4%), diabetes mellitus (DM) (25.7%), coronary artery disease (16.8%), heart failure (HF) (10.3%), atrial fibrillation (13.5%), and stroke (8%). Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs/ARBs) were used in 25.0% of patients, β-blockers in 40.7%, statins in 15.6%, and antiplatelet therapy in 19.9%. Age over 65 years (odds ratio [OR], 6.4; 95% CI, 4.3–9.6), male sex (OR, 1.4; 95% CI, 1.1–2.0), pre-existing DM (OR, 1.5; 95% CI, 1.1–2.1), and HF (OR, 2.3; 95% CI, 1.5–3.5) were independent predictors of in-hospital death, whereas treatment with ACEIs/ARBs (OR, 0.4; 95% CI, 0.3–0.6), β-blockers (OR, 0.6; 95% CI, 0.4–0.9), statins (OR, 0.5; 95% CI, 0.3–0.8), or antiplatelet therapy (OR, 0.6; 95% CI: 0.4–0.9) was associated with lower risk of death.
Conclusions: Among cardiovascular risk factors and diseases, HF and DM appeared to increase in-hospital COVID-19 mortality, whereas the use of cardiovascular drugs was associated with lower mortality.

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Keywords

COVID-19, cardiovascular disease, cardiovascular drugs, in-hospital mortality

About this article
Title

Association between cardiovascular disease, cardiovascular drug therapy, and in-hospital outcomes in patients with COVID-19: data from a large single-center registry in Poland

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 79, No 7-8 (2021)

Article type

Original article

Pages

773-780

Published online

2021-04-29

Page views

1613

Article views/downloads

1379

DOI

10.33963/KP.15990

Pubmed

33926173

Bibliographic record

Kardiol Pol 2021;79(7-8):773-780.

Keywords

COVID-19
cardiovascular disease
cardiovascular drugs
in-hospital mortality

Authors

Michał Terlecki
Wiktoria Wojciechowska
Marek Klocek
Agnieszka Olszanecka
Katarzyna Stolarz-Skrzypek
Tomasz Grodzicki
Maciej Małecki
Barbara Katra
Aleksander Garlicki
Monika Bociąga-Jasik
Krzysztof Sładek
Andrzej Matyja
Jerzy Wordliczek
Agnieszka Słowik
Tomasz Mach
Katarzyna Krzanowska
Marcin Krzanowski
Paweł Stręk
Piotr Chłosta
Piotr Hydzik
Mariusz Korkosz
Tadeusz Popiela
Maciej Pilecki
Artur Gądek
Marek Rajzer

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