Cardio-oncology & other

Relation of Myocardial Dysfunction to Biomarkers, COVID-19 Severity and All-Cause Mortality

ESC Heart FailPublished Prospective cohort study

Main finding · All-cause deathResult — go to the resultHazard ratio 4.007 95% CI 11.347–11.919

Authors' conclusion

GLS, GCS and GRS are significantly related to myocardial dysfunction in patients with COVID-19. Worsening GCS poses an increased risk of death in COVID-19.

Study context

Population
Patients with COVID-1919 deaths
Participants
220 patients
Exposure
Global longitudinal strain (GLS), global circumferential strain (GCS) and global radial strain (GRS) (speckle-tracking echocardiography) in relation to biomarkers, COVID-19 severity and all-cause mortality
  • Mildn = 127
  • Moderaten = 43
  • Severe/criticaln = 50
Outcome
All-cause mortality
Follow-up
Average 11 days

Main finding

All-cause death

Hazard ratio

4.007

95% CI 11.347–11.919

As reported in the abstract

Observational data: associations, not effects.

Further findings

Correlation of GLS, GCS, GRS with blood urea nitrogen (BUN)

GLS vs BUN r
0.206
GCS vs BUN r
0.221
GRS vs BUN r
0.355

Correlation of Cardiac troponin I (cTnI) with GLS and GCS

cTnI vs GLS r
0.240
cTnI vs GCS r
0.324

Original publication

Relation of Myocardial Dysfunction to Biomarkers, COVID-19 Severity and All-Cause Mortality. ESC Heart Fail. Published 29 May 2024. doi:10.1002/ehf2.14881

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