Evidence map›Paper›PMID 34170086›Full record

ArticleESC heart failure2021

Late phase of COVID-19 pandemic in General Cardiology. A position paper of the ESC Council for Cardiology Practice.

Dimitrios Richter, Luigina Guasti, Friedrich Koehler, Alessandro Squizzato, Stefano Nistri, Ruxandra Christodorescu, Francois Dievart, Giovanni Gaudio, Riccardo Asteggiano, Marc Ferrini

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Observational
  5. Article
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  11. Review
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  15. Article
  16. Long-term complications of COVID-19.American journal of physiology. Cell physiology · 2022
    Review
  17. Article
  18. Long COVID: long-term effects?European heart journal supplements : journal of the European Society of Cardiology · 2021
    Article
  19. Article
  20. Review
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

10 authors at 8 institutions in 6 countries.

Dimitrios RichterEuroclinic Hospital, Athens, Greece.
Luigina GuastiUniversity of Insubria, ASST dei Sette Laghi, Varese, Italy.
Friedrich KoehlerMedical Department, Division of Cardiology and Angiology, Centre for Cardiovascular Telemedicine, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Alessandro SquizzatoUniversity of Insubria, ASST Lariana, Como, Italy.
Stefano NistriCMSR Veneto Medica-Cardiology Service, Altavilla Vicentina, Italy.
Ruxandra ChristodorescuVictor Babeş University of Medicine and Pharmacy, Timișoara, Romania.
Francois DievartELSAN Clinique Villette, Dunkirk, France.
Giovanni GaudioUniversity of Insubria, ASST dei Sette Laghi, Varese, Italy.
Riccardo AsteggianoUniversity of Insubria, ASST dei Sette Laghi, Varese, Italy.
Marc FerriniCH Saint Joseph et Saint Luc, Lyon, France.
University of Insubria · ITAltair Engineering (United States) · USAmerican Association for the Surgery of Trauma · USAthens Euroclinic · GRAzienda Socio Sanitaria Territoriale Lariana · ITCentre Hospitalier Saint-Joseph Saint-Luc · FRFreie Universität Berlin · DEVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular (CV) engagement in coronavirus disease 2019 (COVID-19) is a huge determinant of prognosis during the acute phase of the disease. However, little is known about the potential chronic implications of the late phase of COVID-19 and about the appropriate approach to these patients. Heart failure, type 1 and type 2 myocardial infarction, arrhythmias, myocarditis, pulmonary fibrosis, and thrombosis have been shown to be related to severe acute respiratory syndrome coronavirus 2 infection, and a 'long COVID-19' illness has been recognized with fatigue, chest pain, and dyspnoea among the most frequent symptoms reported after discharge from hospital. This paper focuses on some open questions that cardiologists are going to face during the next months in a general cardiology outpatient clinic, in particular how to evaluate a 'post-COVID' patient during follow-up of CV complications of the acute phase and how to manage new CV symptoms that could be the consequence, at least in part, of heart/vessels and/or lung involvement of the previous virus infection. Present symptoms and signs, history of previous CV disease (both preceding COVID-19 and occurring during viral infection), and specific laboratory and imaging measurements during the acute phase may be of interest in focusing on how to approach the clinical evaluation of a post-COVID patient and how to integrate in our standard of care the new information on COVID-19, possibly in a multidisciplinary view. Dealing with the increased COVID-associated CV risk burden and becoming acquainted with potential new e-cardiology approaches aimed at integrating the cardiology practice are relevant new challenges brought by severe acute respiratory syndrome coronavirus 2 infection and its sequelae.

Indexed as

CardiologyCOVID-19HumansPandemicsPost-Acute COVID-19 SyndromeSARS-CoV-2COVID-19Digital healthGeneral cardiologyLate phase‘Long COVID-19’ illnessMyocardial injuryPandemicPneumoniaPost-COVIDSARS-CoV-2TelemedicineWearables

Identifiers

PMID34170086
PMCPMC8427022
OpenAlexW3177295578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.