Abstract
Introduction: Community acquired pneumonia (CAP), one of the most prevalent infectious disease, has been recently associated with an increased risk of cardiovascular complications, stroke and death.
Aim: To evaluate the association between CAP treated as inpatient and the occurrence of cardiovascular events (CVE).
Methods: Retrospective analysis of all patients admitted in a pulmonology ward with CAP in 2018. Description of the population and analysis of the CVE within six months after the event.
Results: In 2018 a total of 193 patients were admitted with CAP, with male predominance (2:1) and a mean age of 66 years (± 1,15). Within six months after CAP, 24 patients (12,4%) had at least one CVE: acute coronary syndrome 5 (2,6%); new or worsening heart failure 14 (7,3%); de novo or recurrent arrhythmia 5 (2,6%); cerebrovascular accident 2 (1,0%). As illustrated in the following table, there was a significant statistic difference between the proportion of CVE after CAP and both previous cardiovascular events and CURB-65. There wasn’t a significant statistic difference between the proportion of CVE after CAP and microbiological agent isolation (MAI). The in-hospital mortality was 10,9% (21 cases) and 13,4% (23 cases) at 1 year.
Conclusion: There is a high percentage of CVE within 6 months after a CAP episode that requires inpatient treatment, mostly in patients with prior CVE and with moderate to severe CURB-65 at admission, suggesting the importance of close follow-up in such patients.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 1775.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020