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10-1016-j-cardfail-2021-12-020 |
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|a 10719164 (ISSN)
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|a Epidemiology of Acute Heart Failure in Critically Ill Patients With COVID-19: An Analysis From the Critical Care Cardiology Trials Network
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|b Elsevier B.V.
|c 2022
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|a 7
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|z View Fulltext in Publisher
|u https://doi.org/10.1016/j.cardfail.2021.12.020
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|a Background: Acute heart failure (HF) is an important complication of coronavirus disease 2019 (COVID-19) and has been hypothesized to relate to inflammatory activation. Methods: We evaluated consecutive intensive care unit (ICU) admissions for COVID-19 across 6 centers in the Critical Care Cardiology Trials Network, identifying patients with vs without acute HF. Acute HF was subclassified as de novo vs acute-on-chronic, based on the absence or presence of prior HF. Clinical features, biomarker profiles and outcomes were compared. Results: Of 901 admissions to an ICU due to COVID-19, 80 (8.9%) had acute HF, including 18 (2.0%) with classic cardiogenic shock (CS) and 37 (4.1%) with vasodilatory CS. The majority (n = 45) were de novo HF presentations. Compared to patients without acute HF, those with acute HF had higher cardiac troponin and natriuretic peptide levels and similar inflammatory biomarkers; patients with de novo HF had the highest cardiac troponin levels. Notably, among patients critically ill with COVID-19, illness severity (median Sequential Organ Failure Assessment, 8 [IQR, 5–10] vs 6 [4–9]; P = 0.025) and mortality rates (43.8% vs 32.4%; P = 0.040) were modestly higher in patients with vs those without acute HF. Conclusions: Among patients critically ill with COVID-19, acute HF is distinguished more by biomarkers of myocardial injury and hemodynamic stress than by biomarkers of inflammation. © 2022 The Author(s)
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|a biomarkers
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|a COVID-19
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|a heart failure
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|a Alviar, C.L.
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|a Baird-Zars, V.M.
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|a Barnett, C.F.
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|a Berg, D.D.
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|a Bhatt, A.S.
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|a Bohula, E.A.
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|a Daniels, L.B.
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|a Defilippis, A.P.
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|a Fagundes, A., JR
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|a Guo, J.
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|a Katrapati, P.
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|a Keller, N.
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|a Kenigsberg, B.B.
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|a Lopes, M.S.
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|a Mody, A.
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|a Morrow, D.A.
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|a Papolos, A.I.
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|a Phreaner, N.
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|a Sedighi, R.
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|a Sinha, S.S.
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|a Toomu, S.
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|a Varshney, A.S.
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|t Journal of Cardiac Failure
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