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editorial
. 2020 Jul 27;76(5):547–549. doi: 10.1016/j.jacc.2020.06.045

Table 1.

Published Studies Worldwide Demonstrating Association Between Myocardial Injury Diagnosed by Troponin Elevation and the Association With COVID-19–Associated Mortality

Location N Patient Acuity Assay Used HR (95% CI) for Death Prevalence in Nonsurvivors vs. Survivors Ref. #
Wuhan, China 671 Severe hs-cTnI 4.56 (1.28–16.28) 75.8% vs. 9.7% (4)
Wuhan, China 416 Hospitalized hs-cTnI 4.26 (1.92–9.49) 51.2% vs. 4.5% (5)
Wuhan, China 191 Hospitalized hs-cTnI 80.1 (10.3–620.36) 46% vs. 1% (6)
Seattle, United States 24 (13 with measured troponin) Severe Troponin (not otherwise specified) 50% (n = 1 of 2) vs. 45% (n = 5 of 11) (9)
Northern Italy 53 Hospitalized with pre-existing CVD hs-cTnT 100% vs. 74% (10)
New York City, United States 2,736 Hospitalized Troponin I Low (0.03–0.09 ng/ml): 1.75 (1.37–2.24)
High (>0.09 ng/ml): 3.03 (2.42–3.80)
60% (>0.09 ng/ml) vs. 35% (0.03–0.09 ng/ml) vs. 15% (<0.03 ng/ml) (estimated from Figure 1 of Lala et al.) (7)

CI = confidence interval; COVID-19 = coronavirus disease-2019; CVD = cardiovascular disease; HR = hazard ratio; hs-cTnI = high-sensitivity cardiac troponin I; hs-cTnT = high-sensitivity cardiac troponin T.