Cor Vasa 2023, 65(3):461-467 | DOI: 10.33678/cor.2022.095

The impact of the cardiovascular risk factors on short-term in-hospital outcome of patients with COVID-19

Noha Hassanin Hanboly, Sameh Wadie, Reda Hussain Diab, Mohamed Omar

Cardiovascular Department, Faculty of Medicine, Cairo University, Cairo, Egypt

Background: Coronavirus disease (COVID-19) has caused significant morbidity and mortality. COVID-19 is more than a respiratory illness, it had multiple systemic effects such as myocarditis, arrhythmias, and venous thromboembolism. Aim of the study: We aimed to study the frequency of cardiovascular risk factors in patients with COVID-19 and the impact of these risk factors on short-term in-hospital outcome of patients newly discovered with COVID-19.

Materials and methods: Cross-sectional analytic study conducted in Egypt on 200 patients (mean age of 44.2±12.7 years old) with positive polymerase chain reaction for COVID-19 recruited from different isolation hospitals. Patients were subjected to history taking, physical examination, and cardiac examination. The cardiovascular risk profile was studied among the enrolled patients. Twelve-lead electrocardiogram, routine laboratory tests, and computed tomography chest study were done for all patients. Patients were grouped into two groups A and B for survivors and non-survivors, respectively. Data were entered using the statistical package for social sciences, version 20.0 (SPSS Inc., Chicago, Illinois, USA).

Results: The study was conducted on two hundred patients aged 20 to 79 years with male predominance. The study found that 181 patients (90.5%) survived (Group A) and 19 patients (9.5%) died (Group B). Multivariate analysis revealed that significant predictors of death were age above 60 years old, systemic hypertension, diabetes mellitus, obesity and dyslipidemia.

Conclusions: Systemic hypertension, diabetes mellitus, obesity, and dyslipidemia were more prevalent in non-survivor patients with COVID-19.

Keywords: COVID-19, Diabetes mellitus, Systemic hypertension,

Received: July 27, 2022; Revised: July 27, 2022; Accepted: August 22, 2022; Published: June 20, 2023  Show citation