TY - CPAPER
AU - Mangion, Kenneth
AU - Morrow, Andrew J.
AU - Sykes, Robert
AU - MacIntosh, Alasdair
AU - Bagot, Catherine
AU - Bayes, Hannah K.
AU - Bulluck, Heerajnarain
AU - Carrick, David
AU - Corcoran, David
AU - Findlay, Iain
AU - Hall Barrientos, Pauline
AU - Ho, Antonia
AU - Lang, Ninian N.
AU - Lennie, Vera
AU - Mark, Patrick B.
AU - McConnachie, Alex
AU - McGeoch, Ross
AU - Nordin, Sabrina
AU - Payne, Alexander
AU - Ryan, Nicola
AU - Roditi, Giles
AU - Allwood-Speirs, Sarah
AU - Veldtman, Gruschen
AU - Watkins, Stuart
AU - Welsh, Paul
AU - Berry, Colin
PY - 2022
DA - June
TI - Multi-system investigation of COVID-19 illness
EP - A122
VL - 108
IS - S1
DO - https://doi.org/10.1136/heartjnl-2022-BCS.157
AB - The pathophysiology and trajectory of multiorgan involvement in post-COVID-19 syndrome is uncertain. We aimed to adjudicate the likelihood of myocarditis in post-COVID-19 patients. Methods A prospective, longitudinal, cohort study involving post-COVID-19 patients enrolled in-hospital or early post-discharge (visit 1) and re-evaluated 28–60 days post-discharge (visit 2). Serial research blood tests (biomarkers), digital electrocardiography, and patient reported outcome measures were obtained at both visits. Chest computed tomography with pulmonary and coronary angiography, cardiovascular and renal magnetic resonance imaging, were acquired at visit 2. Results 159 patients (mean age 55 years, 43% female) and 27 controls with similar age, sex, ethnicity, and vascular risk factors were enrolled from 22 May 2020 to 2 July 2021 and had a primary outcome evaluation. Adjudicated likelihood of myocarditis was not (n=17; 11%), unlikely (n=56; 35%), probably (n=65; 41%) or very likely (n=21; 13%). Healthcare worker status (odds ratio, 95% confidence interval: 2.99 (1.01, 8.89); p=0.048), acute kidney injury (3.26 (1.00, 10.64); p=0.050) and HbA1c(0.64 (0.42, 0.99); p=0.044) were multivariable associates of adjudicated myocarditis. During convalescence, COVID-19 was associated with worse health-related quality of life (EQ5D-5L) (p&lt;0.001), illness perception (p&lt;0.001), anxiety and depression (p&lt;0.001), physical activity (p&lt;0.001) and predicted maximal oxygen utilization (ml/kg/min) (p&lt;0.001). These measures were associated with adjudicated myocarditis. Conclusion The illness trajectory of COVID-19 includes persisting cardio-renal inflammation, lung damage and hemostasis activation. Adjudicated myocarditis occurred in one in eight hospitalized patients and was associated with impairments in health status, physical and psychological wellbeing during community convalescence.
PB - BMJ Publishing Group
UR - https://eprints.gla.ac.uk/321151/
KW - Coronavirus (COVID-19)
ER