Pubblicazioni

Autori:

Mozzini, Chiara; Cicco, Sebastiano; Setti, Angela; Racanelli, Vito; Vacca, Angelo; Calciano, Lucia; Pesce, Giancarlo; Girelli, Domenico

Titolo:

Spotlight on Cardiovascular Scoring Systems in Covid-19: Severity Correlations in Real-world Setting

Anno:

2021

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

Elettronico

Referee:

Sì

Nome rivista:

CURRENT PROBLEMS IN CARDIOLOGY

ISSN Rivista:

0146-2806

N° Volume:

46

Numero o Fascicolo:

5

Intervallo pagine:

1-13

Parole chiave:

cardiovascular scoring systems; covid-19

Breve descrizione dei contenuti:

Objectives and Methods: the current understanding of the interplay between cardiovascular (CV) risk and Covid-19 is grossly inadequate. CV risk-prediction models are used to identify and treat high risk populations and to communicate risk effectively. These tools are unexplored in Covid-19. The main objective is to evaluate the association between CV scoring systems and chest X ray (CXR) examination (in terms of severity of lung involvement) in 50 Italian Covid-19 patients. Results only the Framingham Risk Score (FRS) was applicable to all patients. The Atherosclerotic Cardiovascular Disease Score (ASCVD) was applicable to half. 62% of patients were classified as high risk according to FRS and 41% according to ASCVD. Patients who died had all a higher FRS compared to survivors. They were all hypertensive. FRS30 patients had a 9.7 higher probability of dying compared to patients with a lower FRS. We found a strong correlation between CXR severity and FRS and ASCVD (P < 0.001). High CV risk patients had consolidations more frequently. CXR severity was significantly associated with hypertension and diabetes. 71% of hypertensive patients’ CXR and 88% of diabetic patients’ CXR had consolidations. Patients with diabetes or hypertension had 8 times greater risk of having consolidations. Conclusions: High CV risk correlates with more severe CXR pattern and death. Diabetes and hypertension are associated with more severe CXR. FRS offers more predictive utility and fits best to our cohort. These findings may have implications for clinical practice and for the identification of highrisk groups to be targeted for the vaccine precedence.

Id prodotto:

119591

Handle IRIS:

11562/1037239

ultima modifica:

25 novembre 2022

Citazione bibliografica:

Mozzini, Chiara; Cicco, Sebastiano; Setti, Angela; Racanelli, Vito; Vacca, Angelo; Calciano, Lucia; Pesce, Giancarlo; Girelli, Domenico, Spotlight on Cardiovascular Scoring Systems in Covid-19: Severity Correlations in Real-world Setting «CURRENT PROBLEMS IN CARDIOLOGY» , vol. 46 , n. 5 , 2021 , pp. 1-13

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo