Id |
Subject |
Object |
Predicate |
Lexical cue |
T248 |
0-111 |
Sentence |
denotes |
Table 5 Overview of proposed pharmacological approaches to attenuate COVID-19 associated cardiovascular injury. |
T249 |
112-218 |
Sentence |
denotes |
Pharmacological intervention Sample size and criteria Treatment protocol Key findings Conclusion Reference |
T250 |
219-370 |
Sentence |
denotes |
• Colchicine for the improvement of cardiac biomarkers, inflammation, and clinical outcomes • Prospective, open-label randomized controlled trial (RCT) |
T251 |
371-407 |
Sentence |
denotes |
• N = 55 colchicine + standard care |
T252 |
408-431 |
Sentence |
denotes |
• N = 50 standard care |
T253 |
432-793 |
Sentence |
denotes |
• Primary endpoints included maximum cardiac troponin level, time for C-reactive protein (CRP) to reach 3× upper limit normal, time to deterioration by at least 2 points on clinical status scale • Colchicine 1.5 mg loading dose, 0.5 mg after 60 min, and then 0.5 mg twice daily + standard care for up to 3 weeks • No difference in cardiac troponin or CRP levels |
T254 |
794-895 |
Sentence |
denotes |
• Clinical deterioration less common with colchicine treatment odd ratio (OR) 0.11 (95% CI 0.01–0.96) |
T255 |
896-1206 |
Sentence |
denotes |
• Abdominal pain and diarrhea significantly more common with colchicine treatment • Colchicine may not have a significant effect on cardiac or inflammatory biomarkers, however it may be useful in stabilizing patients with severe COVID-19 infection and preventing clinical deterioration (Deftereos et al., 2020) |
T256 |
1207-1301 |
Sentence |
denotes |
• Statin therapy and impact on inflammation and patient prognosis • Retrospective cohort study |
T257 |
1302-1350 |
Sentence |
denotes |
• Primary endpoint of 28-day all-cause mortality |
T258 |
1351-1401 |
Sentence |
denotes |
• Secondary endpoint included acute cardiac injury |
T259 |
1402-1424 |
Sentence |
denotes |
• N = 1219 statin use |
T260 |
1425-1474 |
Sentence |
denotes |
• N = 12, 762 no statin • In-hospital statin use |
T261 |
1475-1496 |
Sentence |
denotes |
• Atorvastatin 83.2%, |
T262 |
1497-1517 |
Sentence |
denotes |
• Rosuvastatin 15.6% |
T263 |
1518-1728 |
Sentence |
denotes |
• Dose differences between statins were converted to a daily equivalent dose of atorvastatin ranging from 18.9–20.0 mg/day • Reduced all-cause mortality with statin use hazard ratio (HR) 0.63 (95% CI 0.48–0.84) |
T264 |
1729-1839 |
Sentence |
denotes |
• Patients on ACEi/ARB therapy in addition to statin did not have increased mortality compared to statin alone |
T265 |
1840-1897 |
Sentence |
denotes |
• Statin therapy not associated with acute cardiac injury |
T266 |
1898-2178 |
Sentence |
denotes |
• Inflammatory markers CRP, IL-6 were lower in statin treated patients while in hospital • Reduced mortality and improved prognosis associated with in-hospital statin use may be due to the anti-inflammatory and immunomodulatory effects of statins (Zhang, Qin, Cheng, et al., 2020) |
T267 |
2179-2303 |
Sentence |
denotes |
• ACEi/ARB impact on mortality in COVID-19 patients with concomitant hypertension • Retrospective, multi-centre cohort study |
T268 |
2304-2368 |
Sentence |
denotes |
• Patients with comorbid hypertension hospitalized with COVID-19 |
T269 |
2369-2389 |
Sentence |
denotes |
• Age 18 to 74 years |
T270 |
2390-2438 |
Sentence |
denotes |
• Primary endpoint of 28-day all-cause mortality |
T271 |
2439-2466 |
Sentence |
denotes |
• N = 188 ACEi/ARB therapy |
T272 |
2467-2530 |
Sentence |
denotes |
• N = 940 no ACEi/ARB • ACEi/ARB for treatment of hypertension |
T273 |
2531-2671 |
Sentence |
denotes |
• individual patient dosing regimens not specified • Risk of all-cause mortality lower in ACEi/ARB treated group HR 0.42 (95% CI 0.19–0.92). |
T274 |
2672-2804 |
Sentence |
denotes |
• Use of ACEi/ARB in comparison to other anti-hypertension therapies was associated with lower mortality HR 0.30 (95% CI 0.12–0.70). |
T275 |
2805-2942 |
Sentence |
denotes |
• No difference in acute cardiac injury outcome between groups • Chronic ACEi/ARB therapy may not increase mortality of COVID-19 patients |
T276 |
2943-3053 |
Sentence |
denotes |
• May not have much benefit in acute heart injury due to COVID-19 inflammation (Zhang, Zhu, Cai, et al., 2020) |
T277 |
3054-3160 |
Sentence |
denotes |
• Statin use impact on acute myocardial injury patient outcomes • Retrospective observational cohort study |
T278 |
3161-3194 |
Sentence |
denotes |
• Patients with elevated troponin |
T279 |
3195-3230 |
Sentence |
denotes |
• History of CVD in 24% of patients |
T280 |
3231-3242 |
Sentence |
denotes |
• N = 3069 |
T281 |
3243-3344 |
Sentence |
denotes |
• Objective to characterize myocardial injury and associated outcomes • 36% of patients using statins |
T282 |
3345-3614 |
Sentence |
denotes |
• Doses and regimens not specified • Statin use amongst patients with acute myocardial injury was associated with improved survival HR 0.57 (95% CI 0.47–0.69) • Statin treatment may be associated with a survival benefit in patients with CVD and elevated troponin levels |
T283 |
3615-3723 |
Sentence |
denotes |
• Exact beneficial mechanism(s) associated with statins in COVID-19 remain to be studied (Lala et al., 2020) |