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Article Dans Une Revue Archives of cardiovascular diseases Année : 2021

History of heart failure in patients with coronavirus disease 2019: Insights from a French registry

1 Hôpital Nord [CHU - APHM]
2 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
3 Institut Coeur Poumon [CHU Lille]
4 RNMCD - Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U1011
5 EGID - Institut Européen de Génomique du Diabète - European Genomic Institute for Diabetes - FR 3508
6 Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy]
7 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
8 PARCC (UMR_S 970/ U970) - Paris-Centre de Recherche Cardiovasculaire
9 Hôpital Henri Mondor
10 Nouvel Hôpital Civil de Strasbourg
11 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
12 CHU Dijon
13 HEGP - Hôpital Européen Georges Pompidou [APHP]
14 CHU Amiens-Picardie
15 GHICL - Groupement des Hôpitaux de l'Institut Catholique de Lille
16 UCL - Université catholique de Lille
17 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
18 CHU Caen
19 Hôpital universitaire Robert Debré [Reims]
20 CHU Rouen
21 Hôpital Haut-Lévêque [CHU Bordeaux]
22 UB - Université de Bordeaux
23 Clinique Saint Gatien
24 CHI Fréjus - St Raphaël - Centre Hospitalier Intercommunal Fréjus - St Raphaël
25 CHRO - Centre Hospitalier Régional d'Orléans
26 Centre Hospitalier Annecy-Genevois [Saint-Julien-en-Genevois]
27 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
28 CARPAT (UMRS1180) - Signalisation et physiopathologie cardiovasculaire
29 Hôpital Lariboisière-Fernand-Widal [APHP]
30 IUCPQ - Institut Universitaire de Cardiologie et de Pneumologie de Québec
31 ULaval - Université Laval [Québec]
32 CHU Saint-Antoine [AP-HP]
Vassili Panagides
Thibaut Pommier
Sabir Attou
  • Fonction : Auteur
Charles Fauvel
Baptiste Duceau
Willy Sutter
Victor Waldmann

Résumé

Background: Although cardiovascular comorbidities seem to be strongly associated with worse outcomes in patients with coronavirus disease 2019 (COVID-19), data regarding patients with preexisting heart failure are limited. Aims: To investigate the incidence, characteristics and clinical outcomes of patients with COVID-19 with a history of heart failure with preserved or reduced ejection fraction. Methods: We performed an observational multicentre study including all patients hospitalized for COVID-19 across 24 centres in France from 26 February to 20 April 2020. The primary endpoint was a composite of in-hospital death or need for orotracheal intubation. Results: Overall, 2809 patients (mean age 66.4±16.9years) were included. Three hundred and seventeen patients (11.2%) had a history of heart failure; among them, 49.2% had heart failure with reduced ejection fraction and 50.8% had heart failure with preserved ejection fraction. COVID-19 severity at admission, defined by a quick sequential organ failure assessment score>1, was similar in patients with versus without a history of heart failure. Before and after adjustment for age, male sex, cardiovascular comorbidities and quick sequential organ failure assessment score, history of heart failure was associated with the primary endpoint (hazard ratio [HR]: 1.41, 95% confidence interval [CI]: 1.06-1.90; P=0.02). This result seemed to be mainly driven by a history of heart failure with preserved ejection fraction (HR: 1.61, 95% CI: 1.13-2.27; P=0.01) rather than heart failure with reduced ejection fraction (HR: 1.19, 95% CI: 0.79-1.81; P=0.41). Conclusions: History of heart failure in patients with COVID-19 was associated with a higher risk of in-hospital death or orotracheal intubation. These findings suggest that patients with a history of heart failure, particularly heart failure with preserved ejection fraction, should be considered at high risk of clinical deterioration.

Dates et versions

hal-04053120 , version 1 (31-03-2023)

Identifiants

Citer

Vassili Panagides, Flavien Vincent, Orianne Weizman, Melchior Jonveaux, Antonin Trimaille, et al.. History of heart failure in patients with coronavirus disease 2019: Insights from a French registry. Archives of cardiovascular diseases, 2021, 114 (5), pp.415-425. ⟨10.1016/j.acvd.2021.04.003⟩. ⟨hal-04053120⟩
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