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Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA.
Conte, Edoardo; Mushtaq, Saima; Mancini, Maria Elisabetta; Annoni, Andrea; Formenti, Alberto; Muscogiuri, Giuseppe; Gaudenzi Asinelli, Margherita; Gigante, Carlo; Collet, Carlos; Sonck, Jeroen; Guglielmo, Marco; Baggiano, Andrea; Cosentino, Nicola; Denora, Marialessia; Belmonte, Marta; Agalbato, Cecilia; Esposito, Andrea Alessandro; Assanelli, Emilio; Bartorelli, Antonio L; Pepi, Mauro; Pontone, Gianluca; Andreini, Daniele.
  • Conte E; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
  • Mushtaq S; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Mancini ME; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Annoni A; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Formenti A; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Muscogiuri G; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Gaudenzi Asinelli M; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Gigante C; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Collet C; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Sonck J; Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Hospital, Aalst, Belgium.
  • Guglielmo M; Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Hospital, Aalst, Belgium.
  • Baggiano A; Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
  • Cosentino N; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Denora M; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Belmonte M; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Agalbato C; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Esposito AA; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Assanelli E; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Bartorelli AL; Foundation Istituto di Ricerca e Cura a Carattere Scientifico Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
  • Pepi M; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Pontone G; Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico, Milan, Italy.
  • Andreini D; Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.
Front Cardiovasc Med ; 8: 775115, 2021.
Article in English | MEDLINE | ID: covidwho-1631295
ABSTRACT

Aim:

The aim of this study is to evaluate the potential use of coronary CT angiography (CCTA) as the sole available non-invasive diagnostic technique for suspected coronary artery disease (CAD) during the coronavirus disease 2019 (COVID-19) pandemic causing limited access to the hospital facilities. Methods and

Results:

A consecutive cohort of patients with suspected stable CAD and clinical indication to non-invasive test was enrolled in a hub hospital in Milan, Italy, from March 9 to April 30, 2020. Outcome measures were obtained as follows cardiac death, ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina. All the changes in medical therapy following the result of CCTA were annotated. A total of 58 patients with a mean age of 64 ± 11 years (36 men and 22 women) were enrolled. CCTA showed no CAD in 14 patients (24.1%), non-obstructive CAD in 30 (51.7%) patients, and obstructive CAD in 14 (24.1%) patients. Invasive coronary angiography (ICA) was considered deferrable in 48 (82.8%) patients. No clinical events were recorded after a mean follow-up of 376.4 ± 32.1 days. Changes in the medical therapy were significantly more prevalent in patients with vs. those without CAD at CCTA.

Conclusion:

The results of the study confirm the capability of CCTA to safely defer ICA in the majority of symptomatic patients and to correctly identify those with critical coronary stenoses necessitating coronary revascularization. This characteristic could be really helpful especially when the hospital resources are limited.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Front Cardiovasc Med Year: 2021 Document Type: Article Affiliation country: Fcvm.2021.775115

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Front Cardiovasc Med Year: 2021 Document Type: Article Affiliation country: Fcvm.2021.775115