SHM Converge Scientific Abstract ePoster Gallery-Regarding Risk Factors and Outcomes in Covid-19 and Myocardial Infarction

Pdf Summary

This study examined whether COVID-19 affected outcomes in patients hospitalized with acute myocardial infarction (AMI) in the United States during 2020, using the National Inpatient Sample. Among 567,990 AMI admissions, propensity matching identified 1,154 patients with COVID-19 and 109,990 without COVID-19. The groups were similar in sex distribution, age, and overall comorbidity burden, but patients with COVID-19 were less likely to have several traditional AMI risk factors, including dyslipidemia, peripheral vascular disease, smoking, hypertension, and carotid artery disease.<br /><br />Despite having fewer classic cardiovascular risk factors, the COVID-19 group had significantly worse in-hospital outcomes. After adjustment, COVID-19 was associated with higher hospital mortality, more cardiogenic shock, more respiratory failure, and more cardiac arrest. COVID-19 was also linked to longer hospital stays and increased hospitalization charges.<br /><br />The authors conclude that AMI patients with concurrent COVID-19 experience substantially worse outcomes than AMI patients without COVID-19. They suggest that this high-risk subgroup may require heightened clinical suspicion, rapid recognition, and protocol-driven management to improve outcomes.

Asset Subtitle

Chee Yao Lim

Meta Tag

Author List Chee Yao Lim, Favour Markson, Lavina Khemani

Category Research

Concept COVID-19

Concept Myocardial Infarction

Concept Hospital Outcomes

Concept Mortality

Concept Cardiogenic Shock

Distinguished Non-Finalist

Presenter Organization NYC Health + Hospitals/Lincoln

Presenting Author Chee Yao Lim

Track Outcomes Research

Keywords

COVID-19

acute myocardial infarction

hospital mortality

cardiogenic shock

respiratory failure

cardiac arrest

National Inpatient Sample

propensity matching

in-hospital outcomes

hospitalization charges

COVID-19

Myocardial Infarction

Hospital Outcomes

Mortality

Cardiogenic Shock