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Association Between Myocarditis and Mortality in COVID-19 Patients in a Large Registry

Frank Annie, Haytham Alkhaimy, Aravinda Nanjundappa, Ahmad Ramy Elashery

2021Mayo Clinic Proceedings Innovations Quality & Outcomes29 citationsDOIOpen Access PDF

Abstract

OBJECTIVE: To present a large registry data assessing the association between myocarditis and mortality in patients with severe acute respiratory syndrome coronavirus 2 infection. PATIENTS AND METHODS: The researchers identified adult patients aged 18 to 90 years of age with coronavirus disease 2019 (COVID-19) diagnosis in the TriNetX (COVID-19 research network) database between January 20, 2020, and December 9, 2020. These patients were then divided into groups of those who had a positive myocarditis diagnosis and those who did not. The researchers compared all-cause mortality between propensity-matched pairs of patients in both groups. RESULTS: <0.001) at 30 days. CONCLUSION: In a large multinational database of COVID-19 patients, we observed an association between myocarditis diagnosis and increased mortality. Further prospective studies are recommended to further assess myocarditis outcomes in COVID-19 patients and treatment options.

Topics & Concepts

MedicineMyocarditisInternal medicineCoronavirus disease 2019 (COVID-19)Propensity score matchingSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PediatricsDiseaseInfectious disease (medical specialty)COVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 ResearchViral Infections and Immunology Research
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