Percutaneous Coronary Intervention Associated with a Higher Risk of Hypoxemia and COVID-19 Severity
- Authors: Shayan S.1, Nasrollahi E.2, Bahramvand Y.2, Zarei M.3, Atarodi A.4, Farsi Y.5, Tavakolizadeh M.6, Shirvaliloo M.7, Abbasifard M.8, Jamialahmadi T.9, Banach M.10, Sahebkar A.11
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Affiliations:
- Clinical Research Development Unit, Bohlool Hospital, Gonabad University of Medical Sciences
- School of Medicine, Shiraz University of Medical Sciences
- Student Research Committee, Tabriz University of Medical Sciences
- tudent Research Committee, School of Medicine, Gonabad University of Medical Sciences
- Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences
- Clinical Research Development Unit, Gonabad University of Medical Sciences
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences
- Immunology of Infectious Diseases Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences
- Surgical Oncology Research Center, Mashhad University of Medical Sciences
- Department of Preventive Cardiology and Lipidology, Chair of Nephrology and Hypertension, Medical University of Lodz,
- Applied Biomedical Research Center, Mashhad University of Medical Sciences
- Issue: Vol 31, No 10 (2024)
- Pages: 1265-1277
- Section: Anti-Infectives and Infectious Diseases
- URL: https://jdigitaldiagnostics.com/0929-8673/article/view/644156
- DOI: https://doi.org/10.2174/0929867330666230222104345
- ID: 644156
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Abstract
Objective:The primary goal of the present study was to measure the implications of hypoxemia in COVID-19 patients with a history of coronary artery disease (CAD).
Methods:A systematic search of the literature published from November 1, 2019 to May 1, 2021, was conducted on PubMed/MEDLINE, Embase, and Web of Science databases. Afterwards, an observational study was designed based on the electronic health records of COVID-19 patients hospitalized in a tertiary referral hospital during the same period. A total of 179 COVID-19 cases were divided into two groups: cases with a history of CAD and percutaneous coronary intervention (CAD/PCI+, n = 89) and controls (n = 90). Clinical data were extracted from the electronic database of the hospital and statistically analyzed.
Results:After the application of inclusion/exclusion criteria, only three studies were deemed eligible, one of which was concerned with the impact of CAD on the all-cause mortality of COVID-19. Results from our observational study indicated that the cases were older (median age: 74 vs. 45) and more likely to develop hypoxemia (25.8% vs. 8.8%) than the controls. CAD/PCI+ was correlated with a more severe COVID-19 (11% vs. 1%). Age was a moderately significant independent predictor of increased COVID-19 severity, while hypoxemia was not.
Conclusion:Considering the negative impact of hypoxemia on the prognosis of COVID-19 and its higher prevalence among COVID-19 patients with underlying CAD, further research is warranted to unravel the negative effects of COVID-19 on the mechanisms of gas exchange and delivery in patients with pre-existing CAD.
About the authors
Sepideh Shayan
Clinical Research Development Unit, Bohlool Hospital, Gonabad University of Medical Sciences
Email: info@benthamscience.net
Elham Nasrollahi
School of Medicine, Shiraz University of Medical Sciences
Email: info@benthamscience.net
Yaser Bahramvand
School of Medicine, Shiraz University of Medical Sciences
Email: info@benthamscience.net
Mahdi Zarei
Student Research Committee, Tabriz University of Medical Sciences
Email: info@benthamscience.net
Ahmadreza Atarodi
tudent Research Committee, School of Medicine, Gonabad University of Medical Sciences
Email: info@benthamscience.net
Yeganeh Farsi
Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences
Email: info@benthamscience.net
Mitra Tavakolizadeh
Clinical Research Development Unit, Gonabad University of Medical Sciences
Email: info@benthamscience.net
Milad Shirvaliloo
Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences
Email: info@benthamscience.net
Mitra Abbasifard
Immunology of Infectious Diseases Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences
Email: info@benthamscience.net
Tannaz Jamialahmadi
Surgical Oncology Research Center, Mashhad University of Medical Sciences
Email: info@benthamscience.net
Maciej Banach
Department of Preventive Cardiology and Lipidology, Chair of Nephrology and Hypertension, Medical University of Lodz,
Email: info@benthamscience.net
Amirhossein Sahebkar
Applied Biomedical Research Center, Mashhad University of Medical Sciences
Author for correspondence.
Email: info@benthamscience.net
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