Advertisement

Cardiac Complications After Community-Acquired Pneumonia

Published:October 15, 2015DOI:https://doi.org/10.1016/j.amjcard.2015.10.003
      We read with interest the report by Cangemi et al
      • Cangemi R.
      • Calvieri C.
      • Falcone M.
      • Bucci T.
      • Bertazzoni G.
      • Scarpellini M.G.
      • Barilla F.
      • Taliani G.
      • Violi F.
      Relation of cardiac complications in the early phase of community-acquired pneumonia to long-term mortality and cardiovascular events.
      “Relation of cardiac complications in the early phase of community-acquired pneumonia (CAP) to long-term mortality and cardiovascular events” published in the August 5th issue of the American Journal of Cardiology. The investigators show that 18% of patients with CAP study develop intrahospital cardiac complications, defined as myocardial infarction (MI) and atrial fibrillation. Furthermore, the investigators prospectively show that these cardiac complications in the early phase of CAP are associated with adverse long-term cardiovascular prognosis (with the end point being cardiovascular death, nonfatal MI, and stroke). We commend the investigators on their work. We would also like to ask for some clarifications because we think that the subject of cardiac complications during CAP hospitalization merits more clinical and scientific attention.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cangemi R.
        • Calvieri C.
        • Falcone M.
        • Bucci T.
        • Bertazzoni G.
        • Scarpellini M.G.
        • Barilla F.
        • Taliani G.
        • Violi F.
        Relation of cardiac complications in the early phase of community-acquired pneumonia to long-term mortality and cardiovascular events.
        Am J Cardiol. 2015; 116: 647-651
        • Cangemi R.
        • Casciaro M.
        • Rossi E.
        • Calvieri C.
        • Bucci T.
        • Calabrese C.M.
        • Taliani G.
        • Falcone M.
        • Palange P.
        • Bertazzoni G.
        • Farcomeni A.
        • Grieco S.
        • Pignatelli P.
        • Violi F.
        Platelet activation is associated with myocardial infarction in patients with pneumonia.
        J Am Coll Cardiol. 2014; 64: 1917-1925
        • Corrales-Medina V.F.
        • Suh K.N.
        • Rose G.
        • Chirinos J.A.
        • Doucette S.
        • Cameron D.W.
        • Fergusson D.A.
        Cardiac complications in patients with community-acquired pneumonia: a systematic review and meta-analysis of observational studies.
        PLoS Med. 2011; 8: e1001048
        • Corrales-Medina V.F.
        • Musher D.M.
        • Wells G.A.
        • Chirinos J.A.
        • Chen L.
        • Fine M.J.
        Cardiac complications in patients with community-acquired pneumonia: incidence, timing, risk factors, and association with short-term mortality.
        Circulation. 2012; 125: 773-781
        • Santos-Gallego C.G.
        • Badimon J.J.
        The sum of two evils: pneumonia and myocardial infarction: is platelet activation the missing link?.
        J Am Coll Cardiol. 2014; 64: 1926-1928
        • Santos-Gallego C.G.
        • Picatoste B.
        • Badimon J.J.
        Pathophysiology of acute coronary syndrome.
        Curr Atheroscler Rep. 2014; 16: 401

      Linked Article

      • Relation of Cardiac Complications in the Early Phase of Community-Acquired Pneumonia to Long-Term Mortality and Cardiovascular Events
        American Journal of CardiologyVol. 116Issue 4
        • Preview
          Community-acquired pneumonia (CAP) is complicated by cardiac events in the early phase of the disease. Aim of this study was to assess if these intrahospital cardiac complications may account for overall mortality and cardiovascular events occurring during a long-term follow-up. Three hundred one consecutive patients admitted to the University-Hospital, Policlinico Umberto I, with community-acquired pneumonia were prospectively recruited and followed up for a median of 17.4 months. Primary end point was the occurrence of death for any cause, and secondary end point was the occurrence of cardiovascular events (cardiovascular death, nonfatal myocardial infarction [MI], and stroke).
        • Full-Text
        • PDF