CARDIOVASCULAR MORBIDITY AMONG CRITICAL PATIENTS OF COVID-19: A SYSTEMATIC REVIEW
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Abstract
Introduction: The etiology of COVID-19 is related to the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) virus, which gains entry into host cells through the utilization of angiotensin converting enzyme-2 (ACE 2) receptors located on the cellular membrane. The user's text is already academic. Numerous investigations have documented the range of clinical presentations associated with the condition and emphasized the impact on the cardiovascular system.
Methods: We conducted a literature search of PubMed, Medline, EMBASE, and Google Scholar databases identified all relevant studies reporting cardiovascular comorbidities, disease severity, and survival. It was conducted to assess the demographic characteristics and prevalence of hypertension and congestive heart failure among individuals diagnosed with COVID-19 and to evaluate the death rates in patients with COVID-19 infection who also have hypertension and congestive heart failure.
Results: The study encompassed a diverse spectrum of patients, spanning from 23 to 95 years of age. The prevalence of females within the sample varied between 19% and 52%. The study findings revealed that the incidence rates of hypertension, diabetes mellitus, and smoking varied between 10% and 82%, 8% and 24%, and 4% and 14%, respectively. Our study revealed a statistically significant increase in the risk of death among patients with congestive heart failure, with a relative risk of 3.38 (1.80-6.32) and a p-value of 0.004.
Conclusion: In brief, the coexistence of congestive heart failure (CHF) in individuals diagnosed with COVID 19 is linked to heightened death rates and unfavorable outcomes throughout the initial hospitalization period.
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Dr. Zulfiqar Ali
Additional Professor, Department of Anaesthesiology, SKIMS Soura
Dr Anurag Rawat
Professor, Himalayan Institute Of Medical Science
Dr. Anil kumar Gupta
Assistant professor, Department of Anaesthesia, Autonomous State Medical College Firozabad,
Ashok Kumar Patel
Assistant professor, Dept of Community Medicine, Dr Sonelal Patel Autonomous State Medical College, Pratapgarh
Dr. Aman Kumar
Associate Professor, Department of Community Medicine, Rama Medical College Hospital & Research Centre, Kanpur (UP)
Dr. K P Srinivasakumar
6Post Doctoral Fellow, Texas A&M University