Evidence map›Paper›PMID 42178526›Full record

ArticleBMC cardiovascular disorders2026

Association of long-COVID with major adverse cardiovascular events and mortality: a real-world data cohort study.

Yueh-Ting Tsai, Bo-Yuan Wang, Sai-Wai Ho, Shun-Fa Yang, Yu-Hsun Wang, Chao-Bin Yeh, Ying-Cheng Chen

Abstract readMulticenter Study
In one paragraph

Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Yueh-Ting Tsai *Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Bo-Yuan Wang *Department of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Sai-Wai Ho *Department of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Shun-Fa YangInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Yu-Hsun WangDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chao-Bin YehInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Ying-Cheng ChenDepartment of Surgery, Changhua Christian Hospital, No. 135 Nanhsiao Street, Changhua, 500, Taiwan. chenyc66@gmail.com.

Funding

Chung Shan Medical University Hospital CSH-2023-A-007
6 · The paper itself

Abstract

backgroundThere is a limited body of research examining the association between long COVID and major adverse cardiovascular events (MACE) as well as all-cause mortality. This study aimed to investigate the association between long COVID and both MACE and mortality.

methodsThis retrospective cohort study utilized multicenter real-world data from the TriNetX research network platform, which contains electronic health records from multiple healthcare organizations. Patients aged 18 years and older who were diagnosed with COVID-19 between 2020 and 2023 were included. The exposure group comprised individuals diagnosed with long-COVID within 3 to 6 months after their initial COVID-19 diagnosis, while the comparison group included COVID-19 patients without a diagnosis of long-COVID. The primary outcomes were the risk of major adverse cardiovascular events (MACE) and all-cause mortality. Follow-up commenced 90 days after the index date and continued until the occurrence of the study outcome or the date of the last available medical record.

resultsThe risk of MACE was markedly higher in the long-COVID cohort compared to the non-long-COVID cohort. The overall hazard ratio (HR) for MACE was 4.48 (95% CI: 3.95-5.07). Specific conditions such as coronary artery disease and stroke exhibited particularly high HRs, at 6.48 (5.29-7.95) and 3.46 (2.96-4.04) respectively. Mortality was significantly higher in the long-COVID group, with an HR of 1.53 (1.38-1.69).

conclusionsCompared to patients without long COVID, patients with long COVID had a higher risk of developing MACE.

Indexed as

Cardiovascular DiseasesCOVID-19AdultAgedFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsCohort studyLong-COVIDMajor adverse cardiovascular eventsMortality

Identifiers

PMID42178526
PMCPMC13383476

What OpenQuestion holds

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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.