Association of Cardiovascular Manifestations with In-hospital Outcomes in Patients with COVID-19: A Hospital Staff Data

Ru Liu; Xiaoyan Ming; Ou Xu; Jianli Zhou; Hui Peng; Ning Xiang; Jiaming Zhang; Hong Zhu

As clinic experiences increases, clinicians become conscious of cardiovascular comorbidities and manifestations of COVID-19. Two reports showed that patients with COVID-19 and hypertension or coronary artery disease had worse in-hospital outcomes [8, 9] . Cardiovascular manifestations (CVMs) could be the initial presentation or appear throughout the whole course of COVID-19. Liu et al analyzed 137 cases with COVID-19 and found that patients who complains palpitation as initial symptom accounted for 7.3% [10] . The first report of 41 cases with COVID-19 admitted from December 1, 2019 to January 2, 2020, revealed acute cardiac injury occurred in 12% of patients [11] . Wang et al reported in a single-center case series involving 138 patients with COVID-19, also found that cardiovascular complications of were not rare, among which arrhythmia and acute cardiac injury accounted for 16.7% and 7.2%, respectively. The level of hypersensitive troponin I on admission was significantly higher in those who had been admitted to intensive care unit (ICU) than those who had not [12] . Further, a comparative study was applied to explain whether concomitant CVMs had effect on the in-hospital outcomes of COVID-19 cases.