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Symptoms-to-emergency-call timing delay in acute coronary syndrome before and during COVID-19: independent predictors and their impact on mortality.
Sticchi, Alessandro; Costa, Francesco; Muscoli, Saverio; Zilio, Filippo; Buono, Andrea; Ruggiero, Rossella; Scoccia, Alessandra; Caracciolo, Alessandro; Licordari, Roberto; Cammalleri, Valeria; Iacovelli, Fortunato; Loffi, Marco; Scordino, Domenico; Ferro, Jayme; Rognoni, Andrea; Nava, Stefano; Albani, Stefano; Pavani, Marco; Colaiori, Iginio; Benenati, Stefano; Pescetelli, Fabio; DE Marzo, Vincenzo; Borghesi, Marco; Regazzoni, Valentina; Mannarini, Antonia; Spione, Francesco; Baldassarre, Doronzo; de Benedictis, Michele; Bonmassari, Roberto; Danzi, Gian Battista; Galli, Mario; Ielasi, Alfonso; Musumeci, Giuseppe; Tomai, Fabrizio; Micari, Antonio; Pasceri, Vincenzo; Patti, Giuseppe; Porto, Italo; Campo, Gianluca; Colombo, Antonio; Giannini, Francesco.
  • Sticchi A; Humanitas Research Hospital IRCCS, Milan, Italy - sticchialessandro@gmail.com.
  • Costa F; Centro per la Lotta Contro L'Infarto (CLI) Foundation, Rome, Italy - sticchialessandro@gmail.com.
  • Muscoli S; GVM Care & Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy - sticchialessandro@gmail.com.
  • Zilio F; Department of Clinical and Experimental Medicine, G. Martino Polyclinic, University of Messina, Messina, Italy.
  • Buono A; Department of Cardiovascular Disease, Tor Vergata University, Rome, Italy.
  • Ruggiero R; Unit of Cardiology, Santa Chiara Hospital, Trento, Italy.
  • Scoccia A; Sant'Ambrogio Clinical Institute, Milan, Italy.
  • Caracciolo A; GVM Care & Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy.
  • Licordari R; GVM Care & Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy.
  • Cammalleri V; Department of Clinical and Experimental Medicine, G. Martino Polyclinic, University of Messina, Messina, Italy.
  • Iacovelli F; Department of Clinical and Experimental Medicine, G. Martino Polyclinic, University of Messina, Messina, Italy.
  • Loffi M; Department of Cardiovascular Disease, Tor Vergata University, Rome, Italy.
  • Scordino D; Division of Cardiology, Cardiothoracic Department, Polyclinic University of Bari, Bari, Italy.
  • Ferro J; Department of Cardiology, Hospital of Cremona, Cremona, Italy.
  • Rognoni A; Division of Cardiology, Aurelia Hospital, Rome, Italy.
  • Nava S; UOSD Cardiology, Department of Emergency, Intensive Care and Anesthesia, hemodynamics laboratory, ASST Lariana, S. Anna Hospital, Como, Italy.
  • Albani S; AOU Maggiore della Carità, Novara, Italy.
  • Pavani M; Division of Invasive Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
  • Colaiori I; Mauriziano Hospital, Turin, Italy.
  • Benenati S; SS Annunziata Civil Hospital, Savigliano, Cuneo, Italy.
  • Pescetelli F; AUSL IRCCS Reggio Emilia, Reggio Emilia, Italy.
  • DE Marzo V; CardioToracoVascular Department, IRCCS San Martino University Hospital, Genoa, Italy.
  • Borghesi M; CardioToracoVascular Department, IRCCS San Martino University Hospital, Genoa, Italy.
  • Regazzoni V; CardioToracoVascular Department, IRCCS San Martino University Hospital, Genoa, Italy.
  • Mannarini A; Unit of Cardiology, Santa Chiara Hospital, Trento, Italy.
  • Spione F; Department of Cardiology, Hospital of Cremona, Cremona, Italy.
  • Baldassarre D; Division of Cardiology, Cardiothoracic Department, Polyclinic University of Bari, Bari, Italy.
  • de Benedictis M; Division of Cardiology, Cardiothoracic Department, Polyclinic University of Bari, Bari, Italy.
  • Bonmassari R; SS Annunziata Civil Hospital, Savigliano, Cuneo, Italy.
  • Danzi GB; SS Annunziata Civil Hospital, Savigliano, Cuneo, Italy.
  • Galli M; Unit of Cardiology, Santa Chiara Hospital, Trento, Italy.
  • Ielasi A; Department of Cardiology, Hospital of Cremona, Cremona, Italy.
  • Musumeci G; UOSD Cardiology, Department of Emergency, Intensive Care and Anesthesia, hemodynamics laboratory, ASST Lariana, S. Anna Hospital, Como, Italy.
  • Tomai F; Sant'Ambrogio Clinical Institute, Milan, Italy.
  • Micari A; Mauriziano Hospital, Turin, Italy.
  • Pasceri V; Division of Cardiology, Aurelia Hospital, Rome, Italy.
  • Patti G; Department of Clinical and Experimental Medicine, G. Martino Polyclinic, University of Messina, Messina, Italy.
  • Porto I; San Filippo Neri Hospital, Rome, Italy.
  • Campo G; AOU Maggiore della Carità, Novara, Italy.
  • Colombo A; CardioToracoVascular Department, IRCCS San Martino University Hospital, Genoa, Italy.
  • Giannini F; Cardiovascular Institute, AOU Ferrara, Cona, Ferrara, Italy.
Minerva Cardiol Angiol ; 2022 Oct 28.
Article in English | MEDLINE | ID: covidwho-2282606
ABSTRACT

BACKGROUND:

The COVID-19 pandemic severely impacted global health. The aim of this study was to compare predictors of symptoms-to-emergency-call timing delay in Acute Coronary Syndrome (ACS) and their impact on mortality before and during the COVID-19 outbreak.

METHODS:

We collected sociodemographic, clinical data, procedural features, pre-admission and intra-hospital outcomes of consecutive patients admitted for ACS in seventeen Italian centers from March to April 2018, 2019, and 2020.

RESULTS:

In 2020, a 32.92% reduction in ACS admissions was observed compared to 2018 and 2019. Unstable angina, typical and atypical symptoms, and intermittent angina were identified as significant predictors of symptoms-to-emergency-call timing delay before and during the COVID-19 pandemic (p<0.005 for all the items). Differently from 2018-2019, during the pandemic, hypertension and dyspnea (p=0.002 versus [vs] p=0.490 and p=0.001 vs p=0.761 for 2018-2019 and 2020, respectively) did not result as predictors of delay in symptoms-to-emergency-call timing. Among these predictors, only the atypical symptoms (HR 3.36; 95% CI 1.172 - 9.667, p=0.024) in 2020 and the dyspnea (HR 2.64; 95% CI 1.345 - 5.190, p=0.005) in 2018-2019 resulted significantly associated with higher mortality. Finally, the family attendance at the onset of the symptoms resulted in a reduction in symptoms-to-emergency-call timing (in 2020 p<0.001; CI -1710.73; -493.19) and in a trend of reduced mortality (HR 0.31; 95% CI 0.089 - 1.079, p=0.066) in 2020.

CONCLUSIONS:

During the COVID-19 outbreak, atypical symptoms and family attendance at ACS onset were identified, respectively, as adverse and favorable predictors of symptoms-to-emergencycall timing delay and mortality.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Year: 2022 Document Type: Article