cardiac abnormalities cardiac complications
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age >=18 and 4x ULN • New ECG abnormalities including repolarization abnormalities, arrhythmia, signs of right ventricular strain, axis deviation, dynamic ECG changes or any other new abnormalities on ECG deemed clinically relevant by a cardiologist. NOTE: This criterion is not met in case of any (likely) pre-existent electrocardiographic abnormalities. • Suspicion of cardiac disease To be included in the control group, at least two of the following criteria should be met within 48h of admission: •Troponin levels
Exclusion criteria
Exclusion criteria: Anticipated) in-hospital stay 48h after first admission • Recent (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the incidence of major adverse cardiovascular events (MACE) on the short (6-months) and long-term (1-, 2-, 5- and 10-years) in patients that have been hospitalized for COVID-19. | — |
Secondary
| Measure | Time frame |
|---|---|
| • The incidence of all-cause mortality on the short (6-months) and long-term (1-, 2-, 5- and 10-years). • To establish the incidence of systolic and diastolic ventricular dysfunction on echocardiography during hospital admission for COVID-19 and 6-months after admission in patients with and without a clinical indication to receive cardiological care during hospital admission according to the NVVC guideline. • To determine if echocardiographic abnormalities detected during hospitalization persist or are reversible 6-months post admission. • To evaluate the efficiency of the healthcare pathway to identify patients with persisting cardiac abnormalities and MACE during follow-up. • To determine the prognostic value of myocardial injury and echocardiographic abnormalities during hospitalization to predict MACE on the short (6-months) and long-term (1-, 2-, 5- and 10-years). • To determine how the incidence of MACE in patients hospitalized for COVID-19 relates to the incidence of MACE after hospitalization for seasonal influenza and other common respiratory tract infections. • To evaluate whether the incidence of (subclinical) cardiovascular complications is related to COVID-19 disease severity. • To evaluate patients reported outcome measures (PROM*s) up to five years after hospitalization for COVID-19. • To establish whether PROM*s collected during follow-up predict the occurrence of systolic- and diastolic dysfunction on echocardiography and MACE. • To determine the impact of myocardial injury and echocardiographic abnormalities during hospitalization on PROM*s on the short (6-months) and long-term (1-, 2-, 5-and 10-year). • To evaluate the added value of troponin levels and various inflammatory markers measured | — |
Countries
Netherlands