Evidence map›Paper›PMID 40034989›Full record

ArticleFrontiers in cardiovascular medicine2025

Impact of myocardial injury on cardiovascular complications in hospitalized patients with COVID-19: insights from Latin America.

Paula Andrea Cárdenas-Marín, Brayan Daniel Cordoba-Melo, Diana Cristina Carrillo-Gómez, Hoover León-Giraldo, Iván Mendoza, Noel Flórez, Ricardo Enrique Larrea Gómez, Jessica Mirella Mercedes, Cesar J Herrera, Julián Lugo-Peña and 14 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

24 authors.

Paula Andrea Cárdenas-MarínCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Brayan Daniel Cordoba-MeloCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Diana Cristina Carrillo-GómezServicio de Cardiología, Departamento de Medicina Interna, Fundación Valle del Lili, Cali, Colombia.
Hoover León-GiraldoCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Iván MendozaInstituto de Medicina Tropical, Universidad Central de Venezuela, Caracas, Venezuela.
Noel FlórezServicio de Cardiología, Departamento de Medicina Interna, Fundación Valle del Lili, Cali, Colombia.
Ricardo Enrique Larrea GómezDepartamento de Cardiología, Clínica Dávila, Santiago de Chile, Chile.
Jessica Mirella MercedesDepartamento de Cardiología, Hospital Nacional Rosales, San Salvador, El Salvador.
Cesar J HerreraDepartamento de Cardiología, Centro de Diagnóstico y Medicina Avanzada y de Conferencias Médicas y Telemedicina (CEDIMAT), Santo Domingo, Dominican Republic.
Julián Lugo-PeñaDepartamento de Cardiología, Clínica del Occidente, Bogotá, Colombia.
Liliana Patricia Cárdenas-AldazDepartamento de Cardiología, Hospital Eugenio Espejo, Quito, Ecuador.
Victor RosselSección de Cardiología, Hospital del Salvador, Facultad de Medicina Universidad de Chile, Santiago, Chile.
Ricardo Ramírez RamírezDepartamento de Cardiología, Instituto Nacional del Tórax, Santiago, Chile.
Hugo Fernando FernándezDepartamento de Cardiología, Clínica San Francisco, Tuluá, Colombia.
Andrés Ulate RetanaServicio de Cardiología, Hospital México - Pozos, Santa Ana, Costa Rica.
J Daniel Sierra-Lara MartinezUnidad de Cuidados Críticos Cardiovasculares, Instituto Nacional de Cardiología "Ignacio Chávez", Ciudad de Mexico, Mexico.
Estevão Lanna FigueiredoDepartamento de Cardiología, Hospital Vera Cruz SA, Belo Horizonte - MG, Brasil.
Wilbert German Yabar GalindoDepartamento de Cardiología, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru.
Miguel Angel Quintana Da SilvaDepartamento de Cardiología, Instituto Cardiovascular Sanatorio MIGONE, Asunción, Paraguay.
Alexander RomeroDepartamento de Cardiología, Hospital Santo Tomas, Ciudad de Panamá, Panama.
Paula SilvaDepartamento de Cardiología, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina.
Armando AlvaradoServicio de Terapia Intensiva, Hospital Especializado de Villa Nueva, Villa Nueva, Guatemala.
Andrea ValenciaCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Juan Esteban Gomez-MesaCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Viral infection by SARS-CoV2 is a pandemic affecting over 600 million people worldwide. One of five hospitalized patients may present myocardial injury, strongly associated with disease severity and mortality. Methodology: Retrospective cross-sectional study of hospitalized COVID-19 patients diagnosed between May 01, 2020, and June 30, 2021, from the database of the Registro Latinoamericano de Enfermedad Cardiovascular y COVID-19 (CARDIO COVID 19-20) with a troponin value recorded during hospitalization. A descriptive analysis of sociodemographic and clinical characteristics was performed. Bivariate analysis was conducted according to the presence or absence of myocardial injury. Survival analysis was made using Kaplan-Meier curves, by the presence of myocardial injury. A multivariate Poisson regression model was performed to determine factors associated with mortality. Statistical analyses were performed using the RStudio V.1.4.1717 package. Results: A total of 2,134 patients were included, 64.2% were male, and 911 patients had myocardial injury. The median age of the total population was 61 years. Individuals with myocardial injury had a higher prevalence of hypertension, diabetes, and dyslipidemia. Survival probability was lower in this subgroup. Patients with myocardial injury had a 1.95 times higher risk of death. Age, male sex, chronic kidney disease, arrhythmias, decompensated heart failure, requirement of inotropic/vasopressor, and invasive mechanical ventilation were related to higher mortality risk in patients with myocardial injury. Conclusion: Patients with COVID-19 and myocardial injury exhibit a broad spectrum of cardiac abnormalities. Myocardial injury is associated with a higher disease severity and risk of in-hospital mortality. This multicenter study uniquely represents data from 13 Latin American countries, offering regional insights into the impact of myocardial injury during the COVID-19 pandemic.

Indexed as

cardiovascular complicationscovid-19hospital mortalitymyocardial injurytroponin levels

Identifiers

PMID40034989
PMCPMC11872895

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