Lipid profile in hospitalized patients with COVID-19 depending on the outcome of its acute phase: data from the international registry "Dynamics analysis of comorbidities in SARS-CoV-2 infection survivors"
https://doi.org/10.15829/1560-4071-2022-5042
Abstract
Aim. To study the lipid profile in hospitalized patients with coronavirus disease 2019 (COVID-19) depending on the outcome of its acute phase according to the AKTIV international registry.
Material and methods. The AKTIV registry included men and women over 18 years of age with a diagnosis of COVID-19, who were treated in a hospital. A total of 9364 patients were included in the registry, of which 623 patients were analyzed for levels of total cholesterol, low-density lipoprotein cholesterol (LDL-C) and triglycerides on days 1-2 of hospitalization. The level of high-density lipoprotein cholesterol (HDL-C) was calculated using the Friedewald equation.
Results. We found that a decrease in LDL-C level was significantly associated with an unfavorable prognosis for hospitalized patients with COVID-19. This pattern persisted in both univariate and multivariate analyses. LDL-C levels in the final multivariate model had a significant relationship with the prognosis (an increase in the death risk by 1,7 times with a decrease per 1 mmol/l). In addition, we found that the survival of patients with an indicator level of <2,45 mmol/l is significantly worse than in patients with an LDL-C level ≥2,45 mmol/l. All patients with high LDL-C ((≥4,9 mmol/l) survived, while among patients with low LDL-C (<2,45 mmol/l. All patients with high LDL-C ((≥4,9 mmol/l) survived, while among patients with low LDL-C (<1,4 mmol/l), mortality was 13,04%, which was significantly higher than in patients with LDL-C ≥1,4 mmol/l (6,32%, p=0,047).
Conclusion. A decrease in LDL-C in the acute period is significantly associated with an unfavorable prognosis for hospitalized patients with COVID-19. Determination of LDL-C can be included in the examination program for patients with COVID-19. However, the predictive value of this parameter requires further study in prospective clinical studies.
About the Authors
G. P. ArutyunovRussian Federation
Moscow
E. I. Tarlovskaya
Russian Federation
Moscow, Nizhny Novgorod
A. G. Arutyunov
Russian Federation
Moscow
Yu. N. Belenkov
Russian Federation
Moscow
A. O. Konradi
Russian Federation
St. Petersburg
Yu. M. Lopatin
Russian Federation
Volgograd
A. P. Rebrov
Russian Federation
Saratov
S. N. Tereshchenko
Russian Federation
Moscow
A. I. Chesnikova
Russian Federation
Rostov-on-Don
G. G. Airapetyan
Armenia
Yerevan
A. P. Babin
Moldova, Republic of
Chisinau
I. G. Bakulin
Russian Federation
St. Petersburg
N. V. Bakulina
Russian Federation
St. Petersburg
L. A. Balykova
Russian Federation
Saransk, Republic of Mordovia
A. S. Blagonravova
Russian Federation
Nizhny Novgorod
M. V. Boldina
Russian Federation
Nizhny Novgorod
M. I. Butomo
Russian Federation
St. Petersburg
A. R. Vaisberg
Russian Federation
Nizhny Novgorod
A. S. Galyavich
Russian Federation
Kazan, Republic of Tatarstan
V. V. Gomonova
Russian Federation
St. Petersburg
N. Yu. Grigorieva
Russian Federation
Nizhny Novgorod
I. V. Gubareva
Russian Federation
Samara
I. V. Demko
Russian Federation
Krasnoyarsk
A. V. Evzerikhina
Russian Federation
Krasnoyarsk
A. V. Zharkov
Russian Federation
Leningrad region
A. A. Zateyshchikova
Russian Federation
Moscow
U. K. Kamilova
Uzbekistan
Tashkent
Z. F. Kim
Russian Federation
Kazan, Republic of Tatarstan
T. Yu. Kuznetsova
Russian Federation
Petrozavodsk, Republic of Karelia
A. N. Kulikov
Russian Federation
St. Petersburg
N. V. Lareva
Russian Federation
Chita
E. V. Makarova
Russian Federation
Nizhny Novgorod
S. V. Malchikova
Russian Federation
Moscow
S. V. Nedogoda
Russian Federation
Volgograd
M. M. Petrova
Russian Federation
Krasnoyarsk
I. G. Pochinka
Russian Federation
Nizhny Novgorod
K. V. Protasov
Russian Federation
Irkutsk
D. N. Protsenko
Russian Federation
Moscow
D. Yu. Ruzanov
Belarus
Gomel
S. A. Saiganov
Russian Federation
St. Petersburg
A. Sh. Sarybaev
Kyrgyzstan
Bishkek
N. M. Selezneva
Russian Federation
Saransk, Republic of Mordovia
A. B. Sugraliev
Kazakhstan
Alma-Ata
I. V. Fomin
Russian Federation
Nizhny Novgorod
O. V. Khlynova
Russian Federation
Perm
O. Yu. Chizhova
Russian Federation
St. Petersburg
I. I. Shaposhnik
Russian Federation
Chelyabinsk
D. A. Schukarev
Russian Federation
Leningrad region
A. K. Abdrakhmanova
Kazakhstan
Alma-Ata
S. A. Avetisyan
Armenia
Yerevan
O. G. Avoyan
Armenia
Yerevan
K. K. Azaryan
Armenia
Yerevan
G. T. Aimakhanova
Kazakhstan
Alma-Ata
D. A. Aiypova
Kyrgyzstan
Bishkek
A. Ch. Akunov
Kyrgyzstan
Bishkek
M. K. Alieva
Russian Federation
St. Petersburg
A. R. Almukhambedova
Russian Federation
Moscow
A. V. Aparkina
Russian Federation
Saratov
O. R. Aruslanova
Russian Federation
Perm
E. Yu. Ashina
Russian Federation
Nizhny Novgorod
O. Yu. Badina
Russian Federation
Nizhny Novgorod
O. Yu. Barysheva
Russian Federation
Petrozavodsk, Republic of Karelia
T. I. Batluk
Russian Federation
Moscow
A. S. Batchaeva
Russian Federation
Moscow
R. A. Bashkinov
Russian Federation
Moscow, St. Petersburg
A. M. Bitieva
Russian Federation
St. Petersburg
I. U. Bikhteev
Russian Federation
St. Petersburg
N. A. Borodulina
Russian Federation
Perm
M. V. Bragin
Russian Federation
St. Petersburg
V. A. Brazhnik
Russian Federation
Moscow
A. M. Budu
Moldova, Republic of
Chisinau
G. A. Bykova
Russian Federation
Perm
K. R. Vagapova
Russian Federation
Moscow
D. D. Varlamova
Russian Federation
Petrozavodsk, Republic of Karelia
N. N. Vezikova
Russian Federation
Petrozavodsk, Republic of Karelia
E. A. Verbitskaya
Russian Federation
Krasnoyarsk
O. E. Vilkova
Russian Federation
Nizhny Novgorod
E. A. Vinnikova
Russian Federation
St. Petersburg
V. V. Vustina
Russian Federation
Perm
E. A. Galova
Russian Federation
Nizhny Novgorod
V. V. Genkel
Russian Federation
Chelyabinsk
D. B. Giller
Russian Federation
Moscow
E. I. Gorshenina
Russian Federation
Saransk, Republic of Mordovia
E. V. Grigoryeva
Russian Federation
Saratov
E. Yu. Gubareva
Russian Federation
Nizhny Novgorod
G. M. Dabylova
Kazakhstan
Alma-Ata
A. I. Demchenko
Russian Federation
Samara
O. Yu. Dolgikh
Russian Federation
Chapaevsk, Samara region
M. Y. Duishobaev
Kyrgyzstan
Bishkek
D. S. Evdokimov
Russian Federation
St. Petersburg
K. E. Egorova
Russian Federation
Petrozavodsk, Republic of Karelia
A. N. Ermilova
Russian Federation
Reutov
A. E. Zheldybaeva
Kazakhstan
Moscow
N. V. Zarechnova
Russian Federation
Nizhny Novgorod
Yu. D. Zimina
Russian Federation
Novosibirsk
S. Yu. Ivanova
Russian Federation
Petrozavodsk, Republic of Karelia
E. Yu. Ivanchenko
Russian Federation
Nizhny Novgorod
M. V. Ilyina
Russian Federation
Leningrad region
M. V. Kazakovtseva
Russian Federation
Kirov
E. V. Kazymova
Russian Federation
Samara
Yu. S. Kalinina
Russian Federation
Krasnoyarsk
N. A. Kamardina
Russian Federation
Nizhny Novgorod
A. M. Karachenova
Russian Federation
Chita
I. A. Karetnikov
Russian Federation
Irkutsk
N. A. Karoli
Russian Federation
Saratov
M. Kh. Karsiev
Russian Federation
St. Petersburg
D. S. Kaskaeva
Russian Federation
Krasnoyarsk
K. F. Kasymova
Russian Federation
Krasnoyarsk
J. B. Kerimbekova
Kyrgyzstan
Bishkek
E. S. Kim
Russian Federation
Kazan, Republic of Tatarstan
N. V. Kiseleva
Russian Federation
Nizhny Novgorod
D. A. Klimenko
Russian Federation
Samara
A. V. Klimova
Russian Federation
Moscow
O. V. Kovalishena
Russian Federation
Nizhny Novgorod
S. V. Kozlov
Russian Federation
Moscow
E. V. Kolmakova
Russian Federation
St. Petersburg
T. P. Kolchinskaya
Russian Federation
Chelyabinsk
M. I. Kolyadich
Russian Federation
Chelyabinsk
O. V. Kondryakova
Russian Federation
Samara
M. P. Konoval
Russian Federation
St. Petersburg
D. Yu. Konstantinov
Russian Federation
Samara
E. A. Konstantinova
Russian Federation
Samara
V. A. Kordyukova
Russian Federation
Nizhny Novgorod
E. V. Koroleva
Russian Federation
Nizhny Novgorod
A. Yu. Kraposhina
Russian Federation
Krasnoyarsk
T. V. Kryukova
Russian Federation
Moscow
A. P. Kuznetsova
Russian Federation
Chelyabinsk
T. Yu. Kuzmina
Russian Federation
Krasnoyarsk
K. V. Kuzmichev
Russian Federation
Nizhny Novgorod
Ch. K. Kulchoroeva
Kyrgyzstan
Bishkek
T. V. Kuprina
Russian Federation
Petrozavodsk, Republic of Karelia
I. M. Kuranova
Russian Federation
Gorodets, Nizhny Novgorod region
L. V. Kurenkova
Russian Federation
Saransk, Republic of Mordovia
N. Yu. Kurchugina
Russian Federation
Samara
N. A. Kushubakova
Kyrgyzstan
Bishkek
V. I. Levankova
Russian Federation
Petrozavodsk, Republic of Karelia
A. A. Ledyaeva
Russian Federation
Volgograd
T. V. Lisun
Russian Federation
Moscow
V. E. Lisyanskaya
Russian Federation
St. Petersburg
N. A. Lyubavina
Russian Federation
Nizhny Novgorod
N. A. Magdeeva
Russian Federation
Saratov
K. V. Mazalov
Russian Federation
Nizhny Novgorod
V. I. Mayseenko
Belarus
Gomel
A. S. Makarova
Russian Federation
Irkutsk
A. M. Maripov
Kyrgyzstan
Bishkek
N. V. Markov
Russian Federation
Saransk, Republic of Mordovia
A. A. Marusina
Russian Federation
Leningrad region
E. S. Melnikov
Russian Federation
St. Petersburg
A. I. Metlinskaya
Russian Federation
Saransk, Republic of Mordovia
N. B. Moiseenko
Russian Federation
Nizhny Novgorod
F. N. Muradova
Russian Federation
Nizhny Novgorod
R. G. Muradyan
Russian Federation
Moscow
Sh. N. Musaelyan
Armenia
Yerevan
E. S. Nekaeva
Russian Federation
Nizhny Novgorod
N. M. Nikitina
Russian Federation
Saratov
S. E. Nifontov
Russian Federation
St. Petersburg
E. Yu. Obolentseva
Russian Federation
St. Petersburg
A. A. Obukhova
Russian Federation
St. Petersburg
B. B. Ogurlieva
Russian Federation
Moscow
A. A. Odegova
Russian Federation
Kirov
Yu. V. Omarova
Russian Federation
Nizhny Novgorod
N. A. Omurzakova
Kyrgyzstan
Bishkek
Sh. O. Ospanova
Kazakhstan
Alma-Ata
V. A. Pavlova
Russian Federation
St. Petersburg
E. V. Pakhomova
Russian Federation
Petrozavodsk, Republic of Karelia
L. D. Petrov
Moldova, Republic of
Briceni
S. S. Plastinina
Russian Federation
Nizhny Novgorod
D. A. Platonov
Russian Federation
Moscow
V. A. Pogrebetskaya
Russian Federation
Nizhny Novgorod
D. V. Polyakov
Russian Federation
Moscow
D. S. Polyakov
Russian Federation
Nizhny Novgorod
E. V. Ponomarenko
Russian Federation
Krasnodar
L. L. Popova
Russian Federation
Samara
A. A. Potanin
Russian Federation
St. Petersburg
N. A. Prokofieva
Russian Federation
St. Petersburg
Yu. D. Rabik
Russian Federation
St. Petersburg
N. A. Rakov
Russian Federation
Nizhny Novgorod
A. N. Rakhimov
Uzbekistan
Tashkent
N. A. Rozanova
Russian Federation
Krasnoyarsk
S. Serikbolkyzy
Kazakhstan
Alma-Ata
Ya. A. Sidorkina
Russian Federation
Moscow
A. A. Simonov
Russian Federation
St. Petersburg
V. V. Skachkova
Russian Federation
Perm
R. D. Skvortsova
Russian Federation
St. Petersburg
D. S. Skuridin
Russian Federation
St. Petersburg
D. V. Solovieva
Russian Federation
Nizhny Novgorod
I. A. Solovieva
Russian Federation
Krasnoyarsk
I. M. Sukhomlinova
Russian Federation
St. Petersburg
A. G. Sushilova
Russian Federation
St. Petersburg
D. R. Tagaeva
Uzbekistan
Tashkent
Yu. V. Titoikina
Russian Federation
Saransk, Republic of Mordovia
E. P. Tikhonova
Russian Federation
Krasnoyarsk
D. S. Tokmin
Russian Federation
Moscow
A. A. Tolmacheva
Russian Federation
Novosibirsk
M. S. Torgunakova
Russian Federation
Krasnoyarsk
K. V. Trenogina
Russian Federation
Perm
N. A. Trostyanetskaya
Russian Federation
St. Petersburg
D. A. Trofimov
Russian Federation
Kazan, Republic of Tatarstan; Petrozavodsk, Republic of Karelia
M. A. Trubnikova
Russian Federation
Moscow, Krasnodar
A. A. Tulichev
Russian Federation
Nizhny Novgorod
A. T. Tursunova
Kazakhstan
Alma-Ata
N. D. Ulanova
Russian Federation
Nizhny Novgorod
O. V. Fatenkov
Russian Federation
Samara
O. V. Fedorishina
Russian Federation
Irkutsk
T. S. Fil
Russian Federation
St. Petersburg
I. Yu. Fomina
Russian Federation
Nizhny Novgorod
I. S. Fominova
Russian Federation
Saransk, Republic of Mordovia
I. A. Frolova
Russian Federation
Nizhny Novgorod
S. M. Tsvinger
Russian Federation
Chita
V. V. Tsoma
Russian Federation
Volgograd
M. B. Cholponbaeva
Kyrgyzstan
Bishkek
T. I. Chudinovskikh
Russian Federation
Kirov
I. V. Shavrin
Russian Federation
Moscow
O. A. Shevchenko
Russian Federation
Samara
D. R. Shikhaliev
Russian Federation
St. Petersburg
E. A. Shishkina
Russian Federation
Perm
K. Yu Shishkov
Russian Federation
Samara
S. Yu. Shcherbakov
Russian Federation
Kazan, Republic of Tatarstan
G. V. Shcherbakova
Russian Federation
Moscow
E. A. Yausheva
Russian Federation
Samara
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Supplementary files
Review
For citations:
Arutyunov G.P., Tarlovskaya E.I., Arutyunov A.G., Belenkov Yu.N., Konradi A.O., Lopatin Yu.M., Rebrov A.P., Tereshchenko S.N., Chesnikova A.I., Airapetyan G.G., Babin A.P., Bakulin I.G., Bakulina N.V., Balykova L.A., Blagonravova A.S., Boldina M.V., Butomo M.I., Vaisberg A.R., Galyavich A.S., Gomonova V.V., Grigorieva N.Yu., Gubareva I.V., Demko I.V., Evzerikhina A.V., Zharkov A.V., Zateyshchikova A.A., Kamilova U.K., Kim Z.F., Kuznetsova T.Yu., Kulikov A.N., Lareva N.V., Makarova E.V., Malchikova S.V., Nedogoda S.V., Petrova M.M., Pochinka I.G., Protasov K.V., Protsenko D.N., Ruzanov D.Yu., Saiganov S.A., Sarybaev A.Sh., Selezneva N.M., Sugraliev A.B., Fomin I.V., Khlynova O.V., Chizhova O.Yu., Shaposhnik I.I., Schukarev D.A., Abdrakhmanova A.K., Avetisyan S.A., Avoyan O.G., Azaryan K.K., Aimakhanova G.T., Aiypova D.A., Akunov A.Ch., Alieva M.K., Almukhambedova A.R., Aparkina A.V., Aruslanova O.R., Ashina E.Yu., Badina O.Yu., Barysheva O.Yu., Batluk T.I., Batchaeva A.S., Bashkinov R.A., Bitieva A.M., Bikhteev I.U., Borodulina N.A., Bragin M.V., Brazhnik V.A., Budu A.M., Bykova G.A., Vagapova K.R., Varlamova D.D., Vezikova N.N., Verbitskaya E.A., Vilkova O.E., Vinnikova E.A., Vustina V.V., Galova E.A., Genkel V.V., Giller D.B., Gorshenina E.I., Grigoryeva E.V., Gubareva E.Yu., Dabylova G.M., Demchenko A.I., Dolgikh O.Yu., Duishobaev M.Y., Evdokimov D.S., Egorova K.E., Ermilova A.N., Zheldybaeva A.E., Zarechnova N.V., Zimina Yu.D., Ivanova S.Yu., Ivanchenko E.Yu., Ilyina M.V., Kazakovtseva M.V., Kazymova E.V., Kalinina Yu.S., Kamardina N.A., Karachenova A.M., Karetnikov I.A., Karoli N.A., Karsiev M.Kh., Kaskaeva D.S., Kasymova K.F., Kerimbekova J.B., Kim E.S., Kiseleva N.V., Klimenko D.A., Klimova A.V., Kovalishena O.V., Kozlov S.V., Kolmakova E.V., Kolchinskaya T.P., Kolyadich M.I., Kondryakova O.V., Konoval M.P., Konstantinov D.Yu., Konstantinova E.A., Kordyukova V.A., Koroleva E.V., Kraposhina A.Yu., Kryukova T.V., Kuznetsova A.P., Kuzmina T.Yu., Kuzmichev K.V., Kulchoroeva Ch.K., Kuprina T.V., Kuranova I.M., Kurenkova L.V., Kurchugina N.Yu., Kushubakova N.A., Levankova V.I., Ledyaeva A.A., Lisun T.V., Lisyanskaya V.E., Lyubavina N.A., Magdeeva N.A., Mazalov K.V., Mayseenko V.I., Makarova A.S., Maripov A.M., Markov N.V., Marusina A.A., Melnikov E.S., Metlinskaya A.I., Moiseenko N.B., Muradova F.N., Muradyan R.G., Musaelyan Sh.N., Nekaeva E.S., Nikitina N.M., Nifontov S.E., Obolentseva E.Yu., Obukhova A.A., Ogurlieva B.B., Odegova A.A., Omarova Yu.V., Omurzakova N.A., Ospanova Sh.O., Pavlova V.A., Pakhomova E.V., Petrov L.D., Plastinina S.S., Platonov D.A., Pogrebetskaya V.A., Polyakov D.V., Polyakov D.S., Ponomarenko E.V., Popova L.L., Potanin A.A., Prokofieva N.A., Rabik Yu.D., Rakov N.A., Rakhimov A.N., Rozanova N.A., Serikbolkyzy S., Sidorkina Ya.A., Simonov A.A., Skachkova V.V., Skvortsova R.D., Skuridin D.S., Solovieva D.V., Solovieva I.A., Sukhomlinova I.M., Sushilova A.G., Tagaeva D.R., Titoikina Yu.V., Tikhonova E.P., Tokmin D.S., Tolmacheva A.A., Torgunakova M.S., Trenogina K.V., Trostyanetskaya N.A., Trofimov D.A., Trubnikova M.A., Tulichev A.A., Tursunova A.T., Ulanova N.D., Fatenkov O.V., Fedorishina O.V., Fil T.S., Fomina I.Yu., Fominova I.S., Frolova I.A., Tsvinger S.M., Tsoma V.V., Cholponbaeva M.B., Chudinovskikh T.I., Shavrin I.V., Shevchenko O.A., Shikhaliev D.R., Shishkina E.A., Shishkov K.Yu., Shcherbakov S.Yu., Shcherbakova G.V., Yausheva E.A. Lipid profile in hospitalized patients with COVID-19 depending on the outcome of its acute phase: data from the international registry "Dynamics analysis of comorbidities in SARS-CoV-2 infection survivors". Russian Journal of Cardiology. 2022;27(9):5042. (In Russ.) https://doi.org/10.15829/1560-4071-2022-5042