Heart damage markers to predict the evolution of COVID-19 patients

An ambitious study co-led by the IMIM has found two heart damage markers that could serve as predictors of risk of complications after a SARS-CoV-2 infection.

Detection of two heart damage markers could be used to make a prognosis of COVID-19 patients' evolution. Image by Mario Ejarque from images by Debby Hudson and CDC on Unsplash

Detection of two heart damage markers could be used to make a prognosis of COVID-19 patients' evolution. Image by Mario Ejarque from images by Debby Hudson and CDC on Unsplash

Researchers at the Hospital del Mar Medical Research Institute (IMIM) in collaboration with the Hospital del Mar itself, have validated the utility of detecting troponin-T protein (hs-CTnT) and brain natriuretic peptide (NT- proBNP) in blood as two indicators of heart damage that could be used to predict risk of complications from COVID-19.

The study, the most ambitious in this field carried out to date, has analyzed data from 872 patients diagnosed with COVID-19 and has found that approximately 1 in 3 patients with complications had elevated levels of one of the two markers.

“The analysis of these cardiac markers with a simple blood test at the time of admission of the patients could allow to select those patients with a higher risk of complications and, therefore, to optimize the strategy early therapy”
Beatriz Vaquerizo
– Head of the Cardiology Service at Hospital del Mar and researcher at IMIM –

Thus, among patients with elevated levels of the markers, the complication rates (such as the need for pulmonary ventilation or even death) were around 40% higher than among those patients without the presence of these indicators. Also, patients with mild symptoms did not have the markers.

These results open the possibility of making a rapid prognosis of the evolution of the infection, and would allow personalization of the treatment for those patients at higher risk.

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