Background Covid-19 has quickly become a global health emergency. This infection can cause damage to various organs. Injury to myocardial cells is one of the most important manifestations of Covid-19. The clinical course and outcome of Acute Coronary Syndrome (ACS) are influenced by a variety of factors, including comorbidities and concomitant diseases. One of these acute concomitant diseases is Covid-19 which can affect the clinical course and outcome of acute Myocardial Infarction (MI). Methods In this cross-sectional study, the clinical course and outcome of MI and some of its effective factors in patients with and without Covid-19 were compared. 180 patients (129 males and 51 females) with the diagnosis of acute MI were included in the study. 80 patients of them had Covid-19 infection at the same time. Results Increase rate in creatinine, arrhythmia, and need for CPR (cardiopulmonary resuscitation) was significantly higher in the Covid-19 group (p value in all three cases < 0.001). Although decline in left ventricular EF (Ejection Fraction) was similar in both groups, the incidence of death was significantly higher in the Covid-19 group. Conclusions Based on this information, it appears that patients with ACS who are co-infected with Covid-19 infection need more essential care.
Background: COVID-19 has rapidly become a global health emergency. This infection can cause damage to various organs. Injury to myocardial cells is one of the salient manifestations of COVID-19. The clinical course and outcome of acute coronary syndrome (ACS) are influenced by various factors, including comorbidities and concomitant diseases. One of these acute concomitant diseases is COVID-19, which can affect the clinical course and outcome of acute myocardial infarction (MI). Methods: The present cross-sectional study compared the clinical course and outcome of MI and some of its practical factors between patients with and without COVID-19. The study population consisted of 180 patients (129 males and 51 females) diagnosed with acute MI. Eighty patients had COVID-19 infection concurrently. Results: The mean age of the patients was 65.62 years. The frequencies of non–ST-elevation MI (vs ST-elevation MI), lower ejection fractions (<30), and arrhythmias were significantly higher in the COVID-19 group than in the non–COVID-19 group (P=0.006, 0.003, and P<0.001, respectively). The single-vessel disease was the most frequent angiographic result in the COVID-19 group, while the double-vessel disease was the most frequent angiographic result in the non–COVID-19 group (P<0.001). Conclusion: It appears that patients with ACS who are co-infected with COVID-19 infection need essential care.
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