Evidence map›Paper›PMID 41023124›Full record

ArticleScientific reports2025

Comparison of risk factors and outcomes of raised vs normal cardiac troponin levels in COVID-19 patients: a retrospective study.

Ishfaque Ahmed, Beenish Syed, Muneeba Ahsan Sayeed, Fizza Farooqui, Uzair Abbas, Saba Afshan, Samreen Kulsoom Zaidi, Shaiza Farman, Mahtab Khan, Niaz Hussain and 4 more

Abstract readComparative Study
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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

14 authors.

Ishfaque AhmedSindh Infectious Diseases Hospital and Research Center, Dow University of Health Sciences, Karachi, Pakistan. Ishfaqueahmed.7254@duhs.edu.pk.
Beenish SyedDow University of Health Sciences, Karachi, Pakistan.
Muneeba Ahsan SayeedSindh Infectious Diseases Hospital and Research Center, Dow University of Health Sciences, Karachi, Pakistan.
Fizza FarooquiOMI hospital, Karachi, Pakistan.
Uzair AbbasDow University of Health Sciences, Karachi, Pakistan. Uzair.abbas@duhs.edu.pk.
Saba AfshanSindh Infectious Diseases Hospital and Research Center, Dow University of Health Sciences, Karachi, Pakistan.
Samreen Kulsoom ZaidiSindh Infectious Diseases Hospital and Research Center, Dow University of Health Sciences, Karachi, Pakistan.
Shaiza FarmanSindh Infectious Diseases Hospital and Research Center, Dow University of Health Sciences, Karachi, Pakistan.
Mahtab KhanDow International Medical College, Karachi, Pakistan.
Niaz HussainLiaquat University of Medical & Health Sciences, Jamshoro, Pakistan.
Mohammad HadifDow International Medical College, Karachi, Pakistan.
Muhib Ullah KhalidDow International Medical College, Karachi, Pakistan.
Kashaf FatimaDow International Medical College, Karachi, Pakistan.
Muhammad MubeenDow International Medical College, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 primarily affects the lungs, but it can also cause neurological, psychological, and cardiovascular complications. Myocardial injury and myocarditis are of significant concerns that are often indicated by elevated troponin levels, a marker of cardiac involvement. This study analyzed risk factors and outcome of elevated troponin-I levels in COVID-19 patients compared to those with normal levels. We included 766 COVID-19 patients of which 50.6% were female, and 74.2% having co-morbidities. Patients were divided into two groups: 383 with elevated troponin levels and 383 with normal levels. We compared their demographics, clinical characteristics and outcome to identify the risk factors for cardiac injury during COVID-19 infection. Data was analyzed through SPSS V.24. Patients with elevated troponin were predominantly male (63.7%) and younger (mean age 58.42 years) than those with normal levels (64.86 years). Despite having fewer co-morbidities and milder COVID-19 cases, participants with raised troponin had lower ICU admission (37.02% vs. 60.2%) and ARDS rates (38.78% vs. 61.2%), yet mortality rates were similar. Ejection fraction remained stable across groups, but Pro-BNP levels were significantly lower in those with raised troponin (8.4% vs. 91.5%). This study highlights significant associations between elevated troponin levels in COVID-19 patients and factors like male gender, comorbid conditions, and ARDS. However, contrary to other studies, higher troponin levels were often found in patients with less severe COVID-19 with negative association with pro-BNP levels. The findings suggest that elevated troponin in COVID-19 does not directly correlate with disease severity or mortality. Further research with longitudinal follow-up and more granular biomarker analysis is recommended to fully elucidate the relationship between troponin levels and cardiac outcomes in COVID-19 patients.

Indexed as

COVID-19TroponinTroponin IAgedBiomarkersFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsRetrospective StudiesRisk FactorsSARS-CoV-2BiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)TroponinTroponin ICardiac injuryCOVID-19Troponin levels

Identifiers

PMID41023124
PMCPMC12480716

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