COVID 19 at ischemic heart disease, A retrospective study

Vlachopoulou, M.; Chatzis, G.; Karish, M. A.; Alslmy, A.A.A.; Almansori, A.N.D.; Gawish, A. E.; Almofadhli, A.A.E.; Mostafa, R. I.; Alshudokhi, A.S.I.; Alsairra, M.N.S.; Aljarbaa, N. K.; Al Harbi, M. N.; Alnawmasi, M.O.N.; Mostafa, A.; Awad, G. G.; Hamissa, E. M.; Abdalgaffar, S. A.

Background and Aims: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of COVID-19, has infected 86,468,659 people around the globe until 6/1/2021, with 1,869,808 mortalities. It is estimated that people with ischemic heart disease (IHD) are in a high risk category for mortality. Furthermore, persons with obesity who become ill and require intensive care present challenges in patient management as it is more difficult to intubate patients with obesity, especially in Saudi Arabia and the region of Hail, where morbid obesity is at 33.6% of the population. Our aim is to establish an epidimiological link for our population between ischemic heart disease and obesity and percentage of intubated patients as we measured mortalities and readmissions in 30 days. Methods: A retrospective cohort study of 751 patients admitted as positive COVID 19 patients, from April 1, 2020 to July 31, 2020, covering a period of 4 months. We then categorised the patient in cohorts accordind to the existence of IHD or not, and categorised them according to their BMI index. We then correlated using statistical tool analysis - SPSS statistics tool - intubation, mortality,readmitance in 30 days in these groups of patient Results: Around 10% of our cases were ischemic heart disease (IHD). 15% of the IHD cases were intubated, instead of 7% of non IHD cases. Mortalities were higher in the IHD group as percentage ( 11% to 9%), and readmissions. Significant correlation between BMI and days of ICU stay Conclusions: IHD patients with COVID 19 are more critical, especially morbid obese.