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.