Backround: The ongoing pandemic of Coronavirus Disease 2019 (COVID-19)
infection has declared as a global emergency. Although the most people
had mild illness due to the infection, some patients were seriously
affected associated with complications especially including respiratory
and cardiovascular systems. In despite of the respiratory system
involvement is in the foreground, cardiovascular complications result in
worse clinical outcomes. The purpose of this study is to compare the
levels of the N-terminal pro-brain natriuretic peptide,
neutrophil-to-lymphocyte, lymphocyte-to-monocyte and
platelet-to-lymphocyte ratios -which are accepted as a marker of
negative outcomes in cardiovascular diseases- of the patients with
COVID-19 and healthy subjects and reveal the increased risk of
cardiovascular disease in patients with COVID-19. Methods: This
prospective study was designed in a single center and included 33
patients with COVID-19 (Group 1) and 33 healthy subjects consisted of
health care professionals (Group 2). N-terminal pro-brain natriuretic
peptide levels, neutrophil-to-lymphocyte, lymphocyte-to-monocyte and
platelet-to-lymphocyte ratios were compared between the groups. Results:
N-terminal pro-brain natriuretic peptide levels,
neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios were
statistically significantly higher in the patients with COVID-19
(p<0,0001) and lymphocyte-to-monocyte ratio was statistically
significantly lower in the same group (p<0,0001). Conclusion:
Cardiovascular manifestations result in worse outcomes in patients with
COVID-19 although the disease primarily affects the respiratory system.
Early detection of this clinical situation and taking precautions have
vital importance in the progress of the disease. NT-proBNP levels,
neutrophil-to-lymphocyte, lymphocyte-to-monocyte and
platelet-to-lymphocyte ratios are inexpensive, easy, fast and
reproducible parameters that can be used in determination of probabl
cardiovascular events that may develop during COVID-19 and enables early
optimal treatment strategies for patients.
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