Cardiovascular Complications in the Hospitalized COVID-19 Patients

نویسندگان

1 Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

2 Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

6 Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

doi
10.22034/ircmj.2025.457646.1192
چکیده

Background and Objectives: In the last month of 2019, the novel Coronavirus (COVID-19) emerged in Wuhan, China, and raised worldwide attention. The clinical manifestation of COVID-19 ranges from respiratory to organ failure. In this regard, cardiovascular complications have caused significant concern due to the increasing reports.   Methods: In this study, we aimed to investigate the cardiovascular complications caused by COVID-19 in patients admitted to Ghaem Hospital in Mashhad, between June 2020 and June 2021. All patients with a definite diagnosis of COVID-19 admitted to the hospital with cardiac consultation were included and followed using patient files and the Hospital Information System (HIS).   Results: Of the 3,628 patients with a confirmed COVID-19 diagnosis, 54.4% were men and 45.5% were women, with an average age of 68.34 ± 15.47 years. About 15% of these patients required cardiac consultation, and cardiovascular complications were identified in 154 patients (27.2%) who had cardiac consultations. The most common complications were coronary artery ischemia (37.7% of cases), atrial fibrillation (22.7%), and heart failure (11.7%). Mortality among those with cardiovascular complications was significantly higher than in those without, with 55.8% of ICU patients succumbing compared to 36% in the general ward.   Conclusion: Based on the results obtained from the present study, the mortality rate in patients who underwent cardiac consultation is significantly higher, also, it appears that coronary artery ischemia is the most common cardiac complication following AF (atrial fibrillation) and heart failure.