OBJECTIVES: This study presents the cardiology referral model adopted at the University of São Paulo-Hospital das Clínicas complex during the initial period of the coronavirus disease (COVID-19) pandemic, main reasons for requesting a cardiologic evaluation, and clinical profile of and prognostic predictors in patients with COVID-19. METHODS: In this observational study, data of all cardiology referral requests between March 30, 2020 and July 6, 2020 were collected prospectively. A descriptive analysis of the reasons for cardiologic evaluation requests and the most common cardiologic diagnoses was performed. A multivariable model was used to identify independent predictors of in-hospital mortality among patients with COVID-19. RESULTS: Cardiologic evaluation was requested for 206 patients admitted to the ICHC-COVID. A diagnosis of COVID-19 was confirmed for 180 patients. Cardiologic complications occurred in 77.7% of the patients. Among these, decompensated heart failure was the most common complication (38.8%), followed by myocardial injury (35%), and arrhythmias, especially high ventricular response atrial fibrillation (17.7%). Advanced age, greater need of ventilatory support on admission, and pre-existing heart failure were independently associated with in-hospital mortality. CONCLUSIONS: A hybrid model combining in-person referral with remote discussion and teaching is a viable alternative to overcome COVID-19 limitations. Cardiologic evaluation remains important during the pandemic, as patients with COVID-19 frequently develop cardiovascular complications or decompensation of the underlying heart disease.
【저자키워드】 COVID-19, myocardial injury, Referral, Cardiology Referral, Cardiology Training, 【초록키워드】 coronavirus disease, pandemic, heart failure, Atrial fibrillation, Patient, Descriptive analysis, Complication, age, predictor, prognostic, university, disease, Arrhythmias, Admission, patients, in-hospital mortality, diagnose, ventilatory support, cardiovascular complication, complex, multivariable model, limitations, initial, greater, identify, was used, collected, develop, occurred, was performed, overcome, adopted, decompensated heart failure, diagnosis of COVID-19, independent predictor, patients with COVID-19, ventricular, 【제목키워드】 Cardiology, COVID-19 pandemic,