COVID-19 outbreak is often lethal. Mortality has been associated with several cardio-vascular risk factors such as diabetes, obesity, hypertension and tobacco use. Other clinico-biological features predictive of mortality or transfer to Intensive Care Unit are also needed. Cases of myocarditis have also been reported with COVID-19. Cardio-vascular events have possibly been highly underestimated. The study proposes to systematically collect cardio-vascular data to study the incidence of myocarditis and coronaropathy events during COVID-19 infection.We will also assess predictive factors for transfer in Intensive Care Unit or death.
Study Type
OBSERVATIONAL
Enrollment
500
* 12 derivations electrocardiogram done at baseline and repeated every 3 days * transthoracic echocardiography at baseline * clinical features at baseline: WHO performans status comorbidities and treatments * biological results in routine care, such as baseline full blood count, inflammation markers: C-reactive protein, procalcitonin, interleukin-6 and ferritin, coagulation and troponin and brain natriuretic peptide
Clinical Investigation Center Pitié-Salpêtrière
Paris, France
Incidence of acute myocardial events in COVID-19 population at baseline and during hospital stay
Viral myocarditis or myocardial infarction or stenosis detected with ST segment elevation or depression associated with troponine elevation and transthoracic echocardiography
Time frame: ECG and concomitant troponine at day 1 after admission at day 1, day 3 day 6 the first week after admission, and then at day 14 and before the patient is discharged (up to 20 days)
Description of cardiovascular outcomes in the cohort
Cardio-vascular events including but not limited to: myocardial infarction or stenosis, stroke, pulmonary embolism, deep vein thrombosis, ventricular dysfunctio, conduction disorders and sudden death
Time frame: During hospital admission (up to 20 days)
Prognosis role of baseline cardio-vascular caracteristics on patients survival
Biological biomarkers including but not limited to: baseline troponine T, D-dimers, NT-proBNP, creatinine phosphokinase, creatininemia, ionogram, renine-angiotensin aldosterone system profiling, glycemia (fasting), HbA1c, steroid profiling, lipid profiling
Time frame: 1st day of admission
Prediction of cardio-vascular events with baseline characteristics
Time frame: Baseline on first day of admission
Characterization of inflammation on cardio-vascular outcomes
Biological markers including but not limited to: C reactive protein, procalcitonine, fibrinogen, interleukin-6
Time frame: Baseline and at day 3 day 6 day 14 and before patient is discharged (up to 20 days)
Prognosis role of baseline clinico-biological caracteristics on patients transfer to ICU and survival
clinical features at baseline: WHO performans status comorbidities and treatments Biological markers including but not limited to: full blood count, C reactive protein, procalcitonine, fibrinogen, interleukin-6, troponin and brain natriuretic peptide
Time frame: Baseline and at day 3 day 6 day 14 and before patient is discharged (up to 20 days)
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