نوع مقاله : Original Article(s)
نویسندگان
1 دانشیار˓ گروه قلب و عروق˓ بیمارستان چمران˓ دانشکدهی پزشکی˓ دانشگاه علوم پزشکی اصفهان˓ اصفهان˓ ایران
2 دستیار تخصصی بیماریهای داخلی˓ دانشکدهی پزشکی˓ دانشگاه علوم پزشکی اصفهان˓ اصفهان˓ ایران
3 استادیار˓ گروه داخلی˓ بیمارستان الزهرا˓ دانشکدهی پزشکی˓ دانشگاه علوم پزشکی اصفهان˓ اصفهان˓ ایران
4 استادیار پزشکی اجتماعی˓ گروه پزشکی اجتماعی˓ دانشکدهی پزشکی˓ دانشگاه علوم پرشکی اصفهان، اصفهان˓ ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background: The aims of this study were to determine the prognosis of patients with heart infarction who were also diagnosed with COVID-19 disease and investigate its relationship with underlying diseases and blood factors and the severity of pulmonary involvement.
Methods: This cross-sectional descriptive study gathered data from medical records of patients hospitalized in Alzahra, Chamran, and Khorsheed hospitals in Isfahan city betveen 2020 and 2021. The study included Individuals over 18 years old who were diagnosed with myocardial infarction and positive polymerase chain reaction (PCR) test placed under angiography.The variables examined included age, gender, comorbidities, medications, smoking history, vaccination status, laboratory findings, echocardiography, angiography, and mortality. The data were analyzed using logistic regression.
Findings: A total of 65 patients were examined. The most common comorbidity was hypertension (55.4%) and the most prevalent symptom was chest pain (84.6%). There was a decreased in Left ventricular ejection fraction (38.2%), which was significant in patients with ST-elevation myocardial infarction (33.5% vs. 43.7%, P = 0.0009). Thrombosis was observed in 14 patients, which was more common in the ST-elevation myocardial infarction (STEMI) group compared to the non-ST-elevation myocardial infarction (NSTEMI) group (30.8% vs. 7.7%,
P = 0.03). The most involved artery was LAD (60%). There was no significant association between the severity of COVID-19 and myocardial infarction subtypes. Moreover, these subgroups did not exhibit a significant association with mortality rates.
Conclusion: Our study did not find a significant association between the severity of COVID-19 and myocardial infarction subtypes.
کلیدواژهها [English]
https://ssrn.com/abstract=3741968