Hospitalización por insuficiencia cardíaca durante la pandemia de COVID-19

Manzanares, Rafael; Rodríguez, C Pericet; Fernández, I Gallo; Domínguez, Juan Carlos Castillo; Sánchez, M. Anguita

doi:10.1016/j.semerg.2020.06.004

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Higher prescription rates of these drugs might have modified our findings. Last, the outbreak of the COVID-19 pandemic during the study period reduced the number of planned visits and influenced HF admission patterns [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and incidence of heart failure in type 2 diabetes patients: results from a nationwide prospective cohort—the DIABET-IC study

Gonzalez-Manzanares,

Anguita-Gámez,

Muñiz

et al. 2024

Cardiovasc Diabetol

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Background Type 2 diabetes (T2D) patients have an increased risk of heart failure (HF). There are limited data on the association between HF and T2D in specific healthcare settings. This study sought to analyse the prevalence and incidence of HF in a contemporary cohort of T2D patients attending cardiology and endocrinology outpatient clinics. Methods We conducted an observational multicentre prospective study (DIABET-IC) that enrolled patients with a T2D diagnosis attending cardiology and endocrinology outpatient clinics in 30 centres in Spain between 2018 and 2019. The prevalence at the start of the study and the incidence of HF after a 3 year follow-up were calculated. HF was defined as the presence of typical symptoms and either: a) LVEF < 40%; or b) LVEF ≥ 40% with elevated natriuretic peptides and echocardiographic abnormalities. Results A total of 1249 T2D patients were included in the present analysis (67.6 ± 10.1 years, 31.7% female). HF was present in 490 participants at baseline (prevalence 39.2%), 150 (30.6%) of whom had a preserved ejection fraction. The presence of adverse social determinants and chronic conditions such as chronic kidney disease and atherosclerotic cardiovascular disease were more frequent in HF patients. During the study period, there were 58 new diagnoses of HF (incidence 7.6%) among those without baseline HF. The incidence rate was 3.0 per 100 person-years. Independent predictors of incident HF were smoking, left ventricular ejection fraction, NT-ProBNP, history of tachyarrhythmia and treatment with pioglitazone, oral anticoagulants, or diuretics. Despite an average suboptimal glycaemic control, the use of antidiabetic drugs with cardiovascular benefits was low (30.4% for sodium-glucose cotransporter-2 inhibitors and 12.5% for glucagon-like peptide-1 receptor agonists). Conclusions In this contemporary cohort of T2D patients attending cardiology and endocrinology outpatient clinics, the prevalence and incidence of HF were high, comorbidities were frequent, and the use of antidiabetic agents with cardiovascular benefit was low. Outpatient care seems to be a unique opportunity for a comprehensive T2D approach that encompasses HF prevention, diagnosis, and treatment. Graphical Abstract

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Section: Discussionmentioning

confidence: 99%

Prevalence and incidence of heart failure in type 2 diabetes patients: results from a nationwide prospective cohort—the DIABET-IC study

Gonzalez-Manzanares,

Anguita-Gámez,

Muñiz

et al. 2024

Cardiovasc Diabetol

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“…For instance, in the case of colorectal cancer, delay in performing the intervention has led to elective surgeries becoming urgent (9) . Similarly, there has been a decrease in the number of hospitalizations for heart failure, and the patients who were admitted had higher levels of N-terminal pro-brain natriuretic peptide (NT-proBNP), indicating a higher degree of congestion and suggesting that they were admitted to the hospital later (10) .…”

Section: Discussionmentioning

confidence: 99%

Delayed care in carotid-cavernous fistula due to the Covid-19 pandemic

Urbinati¹,

Zamorano‐Martin²,

Lorente³

et al. 2022

Arquivos Brasileiros De Oftalmologia

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Direct carotid-cavernous fistula is a high-flow communication between the internal carotid artery and the cavernous sinus that requires early transarterial embolization for its resolution. We report a case of a patient with a direct carotid-cavernous fistula who subsequently developed a central retinal vein thrombosis due to a delay in treatment related to the health collapse experienced in the first months of the Covid-19 pandemic in Spain.

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“…Las personas con insuficiencia renal crónica e insuficiencia cardíaca son reconocidas como uno de los grupos de pacientes crónicos más vulnerables (8,16) , por un lado, tienen más riesgo de sufrir COVID-19 grave (8,16) , y, por otro lado, la interrupción de las consultas de seguimiento habituales les puede afectar más que a otros grupos de crónicos (2,8,16) . Aunque en los estudios realizados en pacientes con insuficiencia cardíaca, el aplazamiento de las consultas programadas no causó recaídas clínicas significativas (16,30) .…”

Section: Comparación Con Otros Estudiosunclassified

Repercusiones en pacientes crónicos de una Zona Básica de Salud de Toledo en la Pandemia COVID-19

Lorenzo¹,

López²,

Subiela³

et al. 2023

Enf Global

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Introduction: People with chronic diseases are vulnerable to disruption of care and stress with the COVID-19 pandemic. Their post-confinement cardiovascular risk needs to be reassessed.Objective: To assess the impact of confinement and modifications in health care system on the health of people with chronic diseases in a Basic Health Zone in Toledo during COVID-19 pandemic.Methods: Analytical, observational, longitudinal, retrospective study. Patients with chronic pathologies. Random sample 420. Review of clinical records to collect clinical/metabolic parameters before and after confinement. Number and type of nursing visits and hospital admissions before, during and after confinement.Results: 349 records were evaluated. Mean age 65.36 and 52.7% were men. It was found that after confinement there was a significant decrease in weight (p=0.046) and increase in diastolic blood pressure (p=0.018) in the whole sample. The decrease in weight was greater in women, patients aged >65 years, those with hypertension and those with hyperlipidemia. In terms of clinical variables that increased post-confinement figures, an increase in LDL cholesterol was observed in patients aged >65 (p=0.005). Increased diastolic blood pressure in women (p=0.005), patients aged >65 (p=0.022) and those with hypertension (p=0.038) and increased systolic blood pressure in women (p=0.041).Increased post-confinement admissions (p=0.001); 57.1% of admissions were related to their chronic pathology and a decrease in nursing visits during and post-confinement (p=0.000).Conclusions: Chronic patients have worsened conditions related to their pathology during and after confinement. Decreased face-to-face patient care during this period could be a contributing factor to this situation. Introducción: Las personas con enfermedades crónicas son población vulnerable a la interrupción de la atención y al estrés producido con la pandemia por COVID-19. Se necesita reevaluar su riesgo cardiovascular postconfinamiento.Objetivo: Evaluar el impacto del confinamiento y modificaciones en sistema de atención sanitaria en la salud de personas con enfermedades crónicas de una Zona Básica de Salud de Toledo durante la pandemia COVID-19.Métodos: Estudio analítico, observacional, longitudinal, retrospectivo. Pacientes con patologías crónicas. Muestra aleatoria 420. Revisión historias clínicas para recogida parámetros clínicos/metabólicos antes y después confinamiento; N.º y tipo visitas enfermería e ingresos hospitalarios antes, durante y después confinamiento. Resultados: Se evaluaron 349 historias. Edad media 65,36 y el 52,7% fueron hombres. Se encontró que tras el confinamiento hubo una disminución significativa de peso (p=0,046) y aumento de presión arterial diastólica (p=0,018) en toda la muestra. La disminución de peso fue mayor en mujeres, mayores de 65, hipertensos y personas con hiperlipidemias. En cuanto a variables clínicas que incrementaron sus cifras postconfinamiento, se observó aumento colesterol LDL en mayores de 65 (p=0,005). Aumento presión arterial diastólica en mujeres (p=0,005), mayores de 65 (p=0,022) e hipertensos (p=0,038), y aumento de presión arterial sistólica en mujeres (p=0,041).Aumento ingresos postconfinamiento (p=0,001); 57,1% de ingresos estuvo relacionado con su patología crónica y una disminución visitas enfermería durante y postconfinamiento (p=0,000).Conclusiones: Los pacientes crónicos han empeorado sus condiciones relacionadas con su patología durante y después del confinamiento. La atención presencial disminuida durante este período podría ser un factor que ha contribuido a esta situación.

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Hospitalización por insuficiencia cardíaca durante la pandemia de COVID-19

Cited by 4 publications

References 7 publications

Prevalence and incidence of heart failure in type 2 diabetes patients: results from a nationwide prospective cohort—the DIABET-IC study

Prevalence and incidence of heart failure in type 2 diabetes patients: results from a nationwide prospective cohort—the DIABET-IC study

Delayed care in carotid-cavernous fistula due to the Covid-19 pandemic

Repercusiones en pacientes crónicos de una Zona Básica de Salud de Toledo en la Pandemia COVID-19

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