I think they defined asymptomatic as “not showing up at the hospital to be tested in enough numbers to representative of the asymptomatic population at large”. In any case I think we should trust the authors of the study when they say their study doesn’t represent asymptomatic patients.
If I had to guess I’d say most of the pool was sick enough to show up at the hospital, although at least some of them had very mild symptoms. And maybe a few (but not enough to be representative) were even asymptomatic, but still managed to get on the hospital registry somehow (hospital worker maybe?).
I could definitely see 78% “signs of possible heart injury” among a pool of mostly sick people who showed up at a hospital with covid.
This is a prospective observational cohort study of 100 patients diagnosed with severe acute respiratory syndrome coronavirus 2 by reverse transcription–polymerase chain reaction on swab test of the upper respiratory tract who fulfilled inclusion criteria for this CMR investigation. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline (eFigure in the Supplement). Participants were identified from the University Hospital Frankfurt COVID-19 Registry, covering for the area of the State of Hesse, Germany, and were recruited between April and June 2020. All participants were considered eligible after a minimum of 2 weeks from the original diagnosis if they had resolution of respiratory symptoms and negative results on a swab test at the end of the isolation period. Patients recently recovered from COVID-19 referred for a clinical CMR due to active cardiac symptoms were not included in this analysis.“
Pretty sure we determined before this is not the hospital, but the hospital registry, which covers an area of Germany. These people tested positive with a swab somewhere (clinic, doctor’s office, drive-thru, hospital, etc)
They removed anybody who had heart symptoms during their covid bout, which is what it meant by “no symptoms” so these are only people who didn’t have known heart issues.
But yes, they will hopefully follow up in 6 months and 1 year and 2 years with these same 100 patients to see if the elevated levels etc went down yet.
Asymptotic almost certainly refers to known COVID symptoms.
Baseline characteristics are provided in Table 1. Most patients recovered at home (n = 67), with severity of the acute COVID-19 illness ranging from asymptomatic (n = 18) to minor to moderate symptoms (n = 49). A total of 33 severely unwell patients (33%) required hospitalization.
God alfuckingmighty can people stop posting scare/hysteria stuff? It might make you feel better to be in the company of a forum-wide panic but it’s pretty dire for everyone else.
“ Meaning These findings indicate the need for ongoing investigation of the long-term cardiovascular consequences of COVID-19.”
This is all many of us are arguing. We are pushing back against people with their head in the sand acting like it’s death or nothing or acting like it’s 60+ or nothing.
We
Do
Not
Yet
Know
How bad this thing is long-term for you.
We need to find out before we open for business. Before we send our kids to school to get something that may affect their entire lives.
Great day in Sc (I know, it’s Sunday) but still… back down to 12.9% positive. Clearly over a hump. Last 3 grocery store trips have seen 100% mask usage.
Deaths, hospitalizations, ventilator use also trending down.
An internal model by Trump’s Council on Economic Advisers predicts a looming disaster, with the number of infections projected to rise later in August and into September and October in the Midwest and elsewhere, according to people briefed on the data.
Now we get to wait for the next cycle of people thinking “ok it’s over, no more masks” and then it spikes up again then they mask up then it goes back down…
Best guess is you have a positive covid rest in the state of Hesse, Germany
Regardless, we know 18% were asymptomatic, so you can get on the registry without symptoms if you test positive.
We also know 33% were hospitalized, which is high. Maybe they hospitalize more often in places they aren’t overwhelmed like Germany, but not that much more on average.
Or does it have to be a positive test at that hospital? If I get tested at my local urgent care I doubt I wind up on any hospital’s registry. Maybe it’s different in Germany.
In any case even if it was 100 random people who got an actual test, that’s still a massively different pool than 100 random people who got covid - as many with mild symptoms don’t ever get tested.
I wonder if the asymptomatic were hospital workers. Whatever they were the study authors were clear that they didn’t want the results to represent asymptomatic people - which of course makes sense.