THE PREDICTORS OF MORTALITY IN PATIENTS WHO WERE REFERRED TO CORONARY ANGIOGRAPHY DUE TO MYOCARDIAL INFARCTION AND HAD COVID-19

Authors : Cem ÇÖTELİ, Furkan KULEKCİ, Özge ÇAKMAK KARAASLAN, Murat Oguz ÖZİLHAN, Emre ARUĞASLAN, Havva Tuğba GÜRSOY, Mehmet Akif ERDOL, Serdal BAŞTUĞ, Ahmet KASAPKARA

Pages : 89-94

Doi:10.48176/esmj.2023.112

View : 50 | Download : 59

Publication Date : 2023-07-28

Article Type : Research Paper

Abstract :Background and Objective The mortality and morbidity data are limited because the patients who presented with myocardial infarction and have COVID-19 were not followed for an extended period. This study aimed to investigate mortality predictors in this group. Method Eighty patients with COVID-19 infection who performed invasive coronary angiography due to high-risk myocardial infarction were enrolled. All patients were followed at least one year after the first admission. Mortality data and medical records were retrospectively collected using the hospital’s medical record software. Results Thirty-four patients insert ignore into journalissuearticles values(42.5%); died one year after the first admission. Thirty of them insert ignore into journalissuearticles values(88.2%); were in-hospital mortality. The median door-to-procedure time was 107.5 minutes insert ignore into journalissuearticles values(17-1278);. PCI was performed in 49 patients insert ignore into journalissuearticles values(61.25%);. Higher ferritin and LDH were independent factors related to mortality insert ignore into journalissuearticles values(OR: 1.006, CI 95%: 1.001-1.01, p: 0.011; OR:1.005, CI 95%: 1.001-1.009, p:0.025; respectively);. The cut-off value was estimated at 211 mcg/L for ferritin insert ignore into journalissuearticles values(AUC:0.762, sensitivity: 73.5%, specificity 63%, p:<0.001);, and 492 U/L for LDH insert ignore into journalissuearticles values(AUC:0.863, sensitivity: 79.4%, specificity 80.4%, p:<0.001);. Conclusion Despite invasive management, the mortality rate in patients with myocardial infarction and COVID-19 is high. Only increased LDH and ferritin levels were independent predictors for mortality.
Keywords : Miyokard Enfarktüsü, COVID 19, Koroner Anjiyografi, Mortalite, Myocardial Infarction, Coronary Angiography, Mortality