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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
The prognostic value of serial troponin measurements in patients admitted for COVID-19
ESC Heart Failure, Volume 8, No. 5, Year 2021
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Description
Aims: Myocardial injury (MI) in coronavirus disease-19 (COVID-19) is quite prevalent at admission and affects prognosis. Little is known about troponin trajectories and their prognostic role. We aimed to describe the early in-hospital evolution of MI and its prognostic impact. Methods and results: We performed an analysis from an Italian multicentre study enrolling COVID-19 patients, hospitalized from 1 March to 9 April 2020. MI was defined as increased troponin level. The first troponin was tested within 24 h from admission, the second one between 24 and 48 h. Elevated troponin was defined as values above the 99th percentile of normal values. Patients were divided in four groups: normal, normal then elevated, elevated then normal, and elevated. The outcome was in-hospital death. The study population included 197 patients; 41% had normal troponin at both evaluations, 44% had elevated troponin at both assessments, 8% had normal then elevated troponin, and 7% had elevated then normal troponin. During hospitalization, 49 (25%) patients died. Patients with incident MI, with persistent MI, and with MI only at admission had a higher risk of death compared with those with normal troponin at both evaluations (P < 0.001). At multivariable analysis, patients with normal troponin at admission and MI injury on Day 2 had the highest mortality risk (hazard ratio 3.78, 95% confidence interval 1.10–13.09, P = 0.035). Conclusions: In patients admitted for COVID-19, re-test MI on Day 2 provides a prognostic value. A non-negligible proportion of patients with incident MI on Day 2 is identified at high risk of death only by the second measurement. © 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.
Authors & Co-Authors
Specchia, Claudia
Italy, Brescia
Università Degli Studi Di Brescia
Iorio, Anna Maria Aria
Italy, Bergamo
Papa Giovanni Xxiii Hospital
Camporotondo, Rita
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Giovinazzo, Stefano
Italy, Genoa
Irccs San Martino Polyclinic Hospital
Mapelli, Massimo
Italy, Milan
Irccs Centro Cardiologico Monzino
Italy, Milan
Università Degli Studi Di Milano
Pozzi, Andrea
Italy, Bergamo
Papa Giovanni Xxiii Hospital
Tomasoni, Daniela
Italy, Brescia
Spedali Civili Di Brescia
Ameri, Pietro
Italy, Genoa
Irccs San Martino Polyclinic Hospital
Gnecchi, Massimiliano
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Italy, Pavia
Università Degli Studi Di Pavia
Leonardi, Sergio
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Italy, Pavia
Università Degli Studi Di Pavia
Agostoni, Piergiuseppe
Italy, Milan
Irccs Centro Cardiologico Monzino
Italy, Milan
Università Degli Studi Di Milano
Carugo, Stefano
Italy, Milan
Ospedale San Paolo
Guazzi, Marco
Italy, Milan
Università Degli Studi Di Milano
Italy, San Donato Milanese
Gruppo Ospedaliero San Donato
La Rovere, Maria Teresa
Italy, Pavia
Istituti Clinici Scientifici Maugeri Spa – sb
Mortara, Andrea
Italy, Monza
Policlinico Di Monza
PIEPOLI, MASSIMO Francesco
Italy, Piacenza
Ospedale Guglielmo da Saliceto
Italy, Pisa
Sant'anna Scuola Universitaria Superiore Pisa
Porto, Italo
Italy, Genoa
Irccs San Martino Polyclinic Hospital
Volterrani, Maurizio
Italy, Rome
Irccs San Raffaele Pisana
Senni, Michele
Italy, Bergamo
Papa Giovanni Xxiii Hospital
Metra, Marco
Italy, Brescia
Spedali Civili Di Brescia
Sinagra, Gianfranco F.
Italy, Trieste
Università Degli Studi Di Trieste
Statistics
Citations: 23
Authors: 21
Affiliations: 18
Identifiers
Doi:
10.1002/ehf2.13462
ISSN:
20555822
Research Areas
Covid
Environmental
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study