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Impact of COVID-19 outbreak on patients with ST-segment elevation myocardial infarction (STEMI) in Turkey: results from TURSER study (TURKISH St-segment elevation myocardial infarction registry).
Kiris, Tuncay; Avci, Eyüp; Ekin, Tuba; Akgün, Didar Elif; Tiryaki, Mücahit; Yidirim, Arafat; Hazir, Kutluhan; Murat, Bektas; Yeni, Mehtap; Altindag, Rojhad; Gül, Sefa; Arik, Baran; Güzel, Tuncay; Murat, Selda; Oz, Ahmet; Karabacak, Mustafa; Aktas, Zihni; Yildirim, Tarik; Kilicaslan, Baris; Ergene, Asim Oktay.
  • Kiris T; Department of Cardiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey. drtkiris@hotmail.com.
  • Avci E; Department of Cardiology, Balikesir University Medical School, Balikesir, Turkey.
  • Ekin T; Department of Cardiology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
  • Akgün DE; Department of Cardiology, Balikesir University Medical School, Balikesir, Turkey.
  • Tiryaki M; Department of Cardiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.
  • Yidirim A; Department of Cardiology, Ministry Of Health Adana City Training & Research Hospital, Adana, Turkey.
  • Hazir K; Department of Cardiology, Izmir University Of Health Sciences Tepecik Training And Research Hospital, Izmir, Turkey.
  • Murat B; Department of Cardiology, Ministry Of Health Eskisehir City Hospital, Eskisehir, Turkey.
  • Yeni M; Department of Cardiology, Ministry Of Health Isparta City Hospital, Isparta, Turkey.
  • Altindag R; Department of Cardiology, Training and Research Hospital, Health Sciences University Diyarbakir Gazi Yasargil, Diyarbakir, Turkey.
  • Gül S; Department of Cardiology, Samsun Education and Research Hospital, Samsun, Turkey.
  • Arik B; icle University Medical School, Dicle University, Diyarbakir, Turkey.
  • Güzel T; Department of Cardiology, Akhisar State Hospital, Manisa, Turkey.
  • Murat S; Department of Cardiology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
  • Oz A; Department of Cardiology, Istanbul Education and Research Hospital, Istanbul, Turkey.
  • Karabacak M; Department of Cardiology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
  • Aktas Z; Department of Cardiology, BalikesirAtatürk City Hospital, Balikesir, Turkey.
  • Yildirim T; Department of Cardiology, Balikesir University Medical School, Balikesir, Turkey.
  • Kilicaslan B; Department of Cardiology, Izmir University Of Health Sciences Tepecik Training And Research Hospital, Izmir, Turkey.
  • Ergene AO; Department of Cardiology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
J Thromb Thrombolysis ; 53(2): 321-334, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1729348
ABSTRACT

OBJECTIVE:

We aimed to investigate both the impact of COVID-19 pandemic on ST-segment elevation myocardial infarction (STEMI) admission, and demographic, angiographic, procedural characteristics, and in-hospital clinical outcomes of patients with COVID-19 positive STEMI in Turkey.

METHODS:

This was a multi-center and cross-sectional observational study. The study population included 1788 STEMI patients from 15 centers in Turkey. The patients were divided into two groups COVID-19 era (March 11st-May 15st, 2020; n = 733) or pre- COVID-19 era group (March 11st-May 15st, 2019; n = 1055). Also, the patients in COVID-19 era were grouped as COVID-19 positive (n = 65) or negative (n = 668).

RESULTS:

There was a 30.5% drop in STEMI admission during COVID-19 era in comparison to pre-COVID-19 era. The patients admitted to the medical centers during COVID-19 era had a longer symptom-to-first medical contact time [120 (75-240) vs. 100 (60-180) minutes, p < 0.001]. COVID-19 positive STEMI patients had higher thrombus grade and lower left ventricular ejection fraction compared to COVID-19 negative patients. COVID-19 positive patients had higher mortality (28% vs. 6%, p < 0.001) and cardiogenic shock (20% vs. 7%, p < 0.001) rates compared with those without COVID-19. Matching based on propensity scores showed higher mortality and high thrombus grade in STEMI patients who were infected by SARS-COV-2 (each p < 0.05).

CONCLUSIONS:

We detected significantly lower STEMI hospitalization rates and significant delay in duration of symptom onset to first medical contact in the context of Turkey during the COVID-19 outbreak. Moreover, high thrombus grade and mortality were more common in COVID-19 positive STEMI patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: ST Elevation Myocardial Infarction / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Asia Language: English Journal: J Thromb Thrombolysis Journal subject: Vascular Diseases Year: 2022 Document Type: Article Affiliation country: S11239-021-02487-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: ST Elevation Myocardial Infarction / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Asia Language: English Journal: J Thromb Thrombolysis Journal subject: Vascular Diseases Year: 2022 Document Type: Article Affiliation country: S11239-021-02487-3