Evidence map›Paper›PMID 33571321›Full record

ArticlePloS one2021

Cardiovascular sequalae in uncomplicated COVID-19 survivors.

Mi Zhou, Chun-Ka Wong, Ka-Chun Un, Yuk-Ming Lau, Jeffrey Chun-Yin Lee, Frankie Chor-Cheung Tam, Yee-Man Lau, Wing-Hon Lai, Anthony Raymond Tam, Yat-Yin Lam and 11 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  4. Prevalence of abnormal cardiovascular magnetic resonance findings in recovered patients from COVID-19: a systematic review and meta-analysis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
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  10. Long-term Cardiovascular, Cerebrovascular, and Other Thrombotic Complications in COVID-19 Survivors: A Retrospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  14. Multimodality Cardiac Imaging in COVID.Circulation research · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 2 countries.

Mi ZhouCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Chun-Ka WongCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-5205-9440
Ka-Chun UnCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Yuk-Ming LauCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Jeffrey Chun-Yin LeeCardiac Medical Unit, the Grantham Hospital, Hong Kong SAR, Hong Kong.
Frankie Chor-Cheung TamCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Yee-Man LauCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Wing-Hon LaiCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Anthony Raymond TamInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Yat-Yin LamAsian Heart Center, Hong Kong SAR, China.
Polly PangInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Teresa TongInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Milky TangInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Hung-Fat TseCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Deborah HoInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Ming-Yen NgDepartment of Diagnostic Radiology, the University of Hong Kong, Hong Kong SAR, China.
Esther W ChanDepartment of Pharmacology and Pharmacy, Centre for Safe Medication Practice and Research, the University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-7602-9470
Ian C K WongDepartment of Pharmacology and Pharmacy, Centre for Safe Medication Practice and Research, the University of Hong Kong, Hong Kong SAR, China.
Chu-Pak LauCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Ivan Fan-Ngai HungInfectious Disease Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Chung-Wah SiuCardiology Division, Department of Medicine, the University of Hong Kong, Hong Kong SAR, China.
Chinese University of Hong Kong · HKUniversity of Hong Kong · HKGrantham Hospital · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA high proportion of COVID-19 patients were reported to have cardiac involvements. Data pertaining to cardiac sequalae is of urgent importance to define subsequent cardiac surveillance.

methodsWe performed a systematic cardiac screening for 97 consecutive COVID-19 survivors including electrocardiogram (ECG), echocardiography, serum troponin and NT-proBNP assay 1-4 weeks after hospital discharge. Treadmill exercise test and cardiac magnetic resonance imaging (CMR) were performed according to initial screening results.

resultsThe mean age was 46.5 ± 18.6 years; 53.6% were men. All were classified with non-severe disease without overt cardiac manifestations and did not require intensive care. Median hospitalization stay was 17 days and median duration from discharge to screening was 11 days. Cardiac abnormalities were detected in 42.3% including sinus bradycardia (29.9%), newly detected T-wave abnormality (8.2%), elevated troponin level (6.2%), newly detected atrial fibrillation (1.0%), and newly detected left ventricular systolic dysfunction with elevated NT-proBNP level (1.0%). Significant sinus bradycardia with heart rate below 50 bpm was detected in 7.2% COVID-19 survivors, which appeared to be self-limiting and recovered over time. For COVID-19 survivors with persistent elevation of troponin level after discharge or newly detected T wave abnormality, echocardiography and CMR did not reveal any evidence of infarct, myocarditis, or left ventricular systolic dysfunction.

conclusionCardiac abnormality is common amongst COVID-survivors with mild disease, which is mostly self-limiting. Nonetheless, cardiac surveillance in form of ECG and/or serum biomarkers may be advisable to detect more severe cardiac involvement including atrial fibrillation and left ventricular dysfunction.

Indexed as

AdultAgedArrhythmias, CardiacBiomarkersCOVID-19ElectrocardiographyFemaleHeart DiseasesHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProspective StudiesSARS-CoV-2Survival AnalysisBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID33571321
PMCPMC7877588
OpenAlexW3127000991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.