Display options
Share it on

Clin Med Insights Circ Respir Pulm Med. 2021 Feb 01;15:1179548421992327. doi: 10.1177/1179548421992327. eCollection 2021.

COVID-19 Related Cardiovascular Comorbidities and Complications in Critically Ill Patients: A Systematic Review and Meta-analysis.

Clinical medicine insights. Circulatory, respiratory and pulmonary medicine

Michael Koeppen, Peter Rosenberger, Harry Magunia

Affiliations

  1. Department of Anaesthesiology and Intensive Care Medicine, University Hospital Tübingen, Eberhard-Karls-University Tübingen, Tübingen, Germany.

PMID: 33597813 PMCID: PMC7863147 DOI: 10.1177/1179548421992327

Abstract

OBJECTIVE: This systematic-review and meta-analysis aimed to assess the prevalence of cardiovascular comorbidities and complications in ICU-admitted coronavirus disease 2019 (COVID-19) patients.

DATA SOURCES: PubMed and Web of Science databases were referenced until November 25, 2020.

DATA EXTRACTION: We extracted retrospective and prospective observational studies on critically ill COVID-19 patients admitted to an intensive care unit. Only studies reporting on cardiovascular comorbidities and complications during ICU therapy were included.

DATA SYNTHESIS: We calculated the pooled prevalence by a random-effects model and determined heterogeneity by Higgins'

RESULTS: Of the 6346 studies retrieved, 29 were included in this review. The most common cardiovascular comorbidity was arterial hypertension (50%; 95% confidence interval [CI], 0.42-058;

CONCLUSIONS: Cardiovascular complications are common in patients admitted to the intensive care unit for COVID-19. However, the existing evidence is highly heterogeneous in terms of study design and outcome measurements. Thus, prospective, observational studies are needed to determine the impact of cardiovascular complications on patient outcome in critically ill COVID-19 patients.

© The Author(s) 2021.

Keywords: COVID-19; cardiovascular system; critical care; heart; hemodynamic

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: MK and PR have n

References

  1. J Zhejiang Univ Sci B. 2020 May;21(5):378-387 - PubMed
  2. JAMA. 2020 Apr 28;323(16):1612-1614 - PubMed
  3. J Card Surg. 2020 Jun;35(6):1287-1294 - PubMed
  4. N Engl J Med. 2020 Jun 11;382(24):2372-2374 - PubMed
  5. J Card Surg. 2020 Oct;35(10):2679-2687 - PubMed
  6. Yonsei Med J. 2020 May;61(5):431-437 - PubMed
  7. Clin Transl Sci. 2020 Nov;13(6):1077-1086 - PubMed
  8. BMJ. 2020 May 22;369:m1966 - PubMed
  9. Lancet. 2020 Jun 6;395(10239):1771-1778 - PubMed
  10. J Infect. 2020 Jul;81(1):147-178 - PubMed
  11. Ann Am Thorac Soc. 2020 Jul;17(7):839-846 - PubMed
  12. BMJ. 2003 Sep 6;327(7414):557-60 - PubMed
  13. JAMA Cardiol. 2020 Jul 1;5(7):819-824 - PubMed
  14. Emerg Infect Dis. 2020 Aug;26(8):1679-1685 - PubMed
  15. Crit Care Resusc. 2020 Apr 23;: - PubMed
  16. J Clin Invest. 2020 May 1;130(5):2620-2629 - PubMed
  17. Z Gesundh Wiss. 2020 Apr 21;:1-4 - PubMed
  18. Crit Care Resusc. 2020 Apr 06;22(2):119-125 - PubMed
  19. N Engl J Med. 2020 Aug 6;383(6):590-592 - PubMed
  20. N Engl J Med. 2020 Mar 26;382(13):1194-1196 - PubMed
  21. Curr Probl Cardiol. 2020 Aug;45(8):100618 - PubMed
  22. Clin Microbiol Infect. 2020 Jun;26(6):767-772 - PubMed
  23. Lancet. 2020 May 9;395(10235):1517-1520 - PubMed
  24. J Clin Virol. 2020 Jun;127:104366 - PubMed
  25. Contemp Clin Trials. 2015 Nov;45(Pt A):123-9 - PubMed
  26. JAMA. 2020 Apr 28;323(16):1574-1581 - PubMed
  27. JAMA. 2020 Mar 17;323(11):1061-1069 - PubMed
  28. Crit Care Med. 2020 Nov;48(11):1622-1635 - PubMed
  29. Anesth Analg. 2020 Oct;131(4):993-999 - PubMed
  30. JAMA Cardiol. 2020 Jul 1;5(7):811-818 - PubMed
  31. J Card Surg. 2020 Aug;35(8):1988-2008 - PubMed
  32. Crit Care. 2020 May 14;24(1):219 - PubMed
  33. Lancet. 2020 Mar 28;395(10229):1054-1062 - PubMed
  34. Anaesth Crit Care Pain Med. 2020 Oct;39(5):553-561 - PubMed
  35. Dan Med J. 2020 Apr 27;67(5): - PubMed
  36. N Engl J Med. 2020 Jul 9;383(2):120-128 - PubMed
  37. J Autoimmun. 2020 Aug;112:102473 - PubMed
  38. J Clin Epidemiol. 2016 Jul;75:40-6 - PubMed
  39. Nat Med. 2020 Oct;26(10):1623-1635 - PubMed
  40. N Engl J Med. 2020 Jun 4;382(23):2268-2270 - PubMed
  41. Lancet. 2020 Feb 15;395(10223):497-506 - PubMed
  42. JACC Cardiovasc Imaging. 2020 Nov;13(11):2287-2299 - PubMed
  43. Sci Immunol. 2020 Jul 15;5(49): - PubMed
  44. Crit Care Med. 2020 Dec;48(12):1707-1709 - PubMed
  45. Epidemiology. 2008 Jan;19(1):94-100 - PubMed
  46. Lancet. 2020 Jun 6;395(10239):1763-1770 - PubMed
  47. Eur J Heart Fail. 2020 May;22(5):911-915 - PubMed
  48. Intensive Care Med. 2020 May;46(5):851-853 - PubMed
  49. MMWR Morb Mortal Wkly Rep. 2020 May 08;69(18):545-550 - PubMed
  50. Lancet Respir Med. 2020 Nov;8(11):1121-1131 - PubMed
  51. Can J Cardiol. 2020 Aug;36(8):1203-1207 - PubMed
  52. Am J Trop Med Hyg. 2020 Jul;103(1):48-54 - PubMed
  53. Cell Host Microbe. 2020 Jun 10;27(6):992-1000.e3 - PubMed
  54. N Engl J Med. 2020 May 21;382(21):2012-2022 - PubMed
  55. J Epidemiol Community Health. 2013 Nov 1;67(11):974-8 - PubMed
  56. JAMA. 2020 Jun 2;323(21):2195-2198 - PubMed
  57. Lancet Respir Med. 2020 May;8(5):475-481 - PubMed
  58. Am J Respir Crit Care Med. 2020 Jun 1;201(11):1430-1434 - PubMed
  59. J Clin Epidemiol. 2009 Oct;62(10):1006-12 - PubMed

Publication Types