The bimodal "rise and fall" ACS curve overlapping COVID-19 pandemic peaks
American Journal of Cardiovascular Disease
; 11(3):295-299, 2021.
Article
in English
| Web of Science | ID: covidwho-1323724
ABSTRACT
Background:
The COVID-19 outbreak harmed acute coronary syndromes. During the national lockdown in Italy, the fear of post-admission contagion translated into significant delays in seeking medical help among STEMI (ST-elevation myocardial infarction) patients. Objective andmethods:
Our analysis aimed to assess the ACS (Acute Coronary Syndromes) admissions during the pandemic, together with time to presentation and clinical outcomes compared to 2019 in a cardiovascular hub in Milan. Data of ACS patients admitted during the pandemic year 2020 were extracted by the hospital & rsquo;s database and compared to a historical cohort of patients admitted for the same clinical indications in 2019.Results:
A total of 599 ACS cases were recorded in 2020 vs. 386 cases in 2019, with a net 55% increase, associated with late clinical presentations, a threefold increase in cardiogenic shock, and a more than two-fold higher mortality rate.Conclusions:
The ultimate goal of this analysis is to preserve the life-saving focus on universal and prompt STEMI diagnosis and treatment, even in a time of dynamic global crisis.
Search on Google
Collection:
Databases of international organizations
Database:
Web of Science
Language:
English
Journal:
American Journal of Cardiovascular Disease
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS