Analysis of heart injury laboratory parameters in 273 COVID-19 patients in one hospital in Wuhan, China

J Med Virol. 2020 Jul;92(7):819-823. doi: 10.1002/jmv.25809. Epub 2020 Apr 15.

Abstract

An outbreak of severe acute respiratory syndrome novel coronavirus (SARS-CoV-2) epidemic spreads rapidly worldwide. SARS-CoV-2 infection caused mildly to seriously and fatally respiratory, enteric, cardiovascular, and neurological diseases. In this study, we detected and analyzed the main laboratory indicators related to heart injury, creatine kinase isoenzyme-MB (CK-MB), myohemoglobin (MYO), cardiac troponin I (ultra-TnI), and N-terminal pro-brain natriuretic peptide (NT-proBNP), in 273 patients with COVID-19 and investigated the correlation between heart injury and severity of the disease. It was found that higher concentration in venous blood of CK-MB, MYO, ultra-TnI, and NT-proBNP were associated with the severity and case fatality rate of COVID-19. Careful monitoring of the myocardiac enzyme profiles is of great importance in reducing the complications and mortality in patients with COVID-19.

Keywords: COVID-19; disease severity; heart injury; laboratory indicators.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Betacoronavirus / pathogenicity*
  • Biomarkers / blood
  • COVID-19
  • China
  • Coronavirus Infections / blood
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / mortality
  • Creatine Kinase, MB Form / blood*
  • Female
  • Heart Injuries / blood
  • Heart Injuries / complications
  • Heart Injuries / diagnosis*
  • Heart Injuries / mortality
  • Hospitals
  • Humans
  • Male
  • Middle Aged
  • Myoglobin / blood*
  • Natriuretic Peptide, Brain / blood*
  • Pandemics
  • Peptide Fragments / blood*
  • Pneumonia, Viral / blood
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / mortality
  • Retrospective Studies
  • SARS-CoV-2
  • Severity of Illness Index
  • Survival Analysis
  • Troponin I / blood*

Substances

  • Biomarkers
  • Myoglobin
  • Peptide Fragments
  • Troponin I
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain
  • Creatine Kinase, MB Form