Table 4

Studies on troponin elevation and risk of severe disease or death in COVID-19

StudyRegionDates of studyNumberAge*Male (%)Tn elevation (%)Arrhythmia (%)Death (%)OR of death or severe disease‡ with Tn elevation
Huang et al 3 China16 December 2019–2 January 202041 (with 17.1% censored)49 [41–58]73.212.2---14.612.0 [1.2 - 121.8]
Zhou et al 22 China29 December 2020–31 January 202019156 [46–67]62.316.6---28.380.1 [10.3 - 620.4]
Wang et al 4 China1 January 2020–28 January 2020138 (with 61.6% censored)56 [42–68]54.37.2§16.74.314.3 [2.9 - 71.1]
Shi et al 7 China20 January 2020–10 February 2020416 (with 76.7% censored)64 (21–95)†49.319.7---14.153.2 [11.4 - 248.0]
Guo et al 6 China23 January 2020–3 February 202018759±1548.727.816.723.015.1 [6.7 - 34.1]
Chen et al 86 ChinaJanuary 2020–February 202015059±1656.014.7---7.328.3 [9.2 - 87.2]‡
  • *Expressed as median [IQR] or mean±SD.

  • †Expressed as median (range).

  • ‡OR of severe disease with troponin elevation.

  • § Acute myocardial injury defined as biomarker above the 99th percentile upper reference limit or new abnormalities in electrocardiography or echocardiography

  • IQR, interquartile range; OR, odds ratio; SD, standard deviation; Tn, troponin.