COVID-19 PANDEMIC IS ASSOCIATED WITH REDUCED ADMISSIONS FOR STEMI, INCREASED ISCHAEMIA TIME, MORTALITY REMAINS THE SAME: DATA FROM A LOW COVID-19 MORBIDITY COUNTRY
| Autor: | Povilas Budrys, Pranas Šerpytis, Vilhelmas Bajoras, Aleksandr Volodko, Aurelija Martinonyte, Giedrius Davidavicius, K Cerlinskaite, Jelena Celutkiene, Greta Rodevic, Egle Urbonaite, Ignas Badaras, Mindaugas Lizaitis, Laurynas Dieckus |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
First medical contact Coronavirus disease 2019 (COVID-19) business.industry medicine.medical_treatment Ischemia Percutaneous coronary intervention medicine.disease Retrospective data Spotlight on Special Topics Conventional PCI Emergency medicine Pandemic medicine Population study Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of the American College of Cardiology |
| ISSN: | 0735-1097 |
| Popis: | Background The COVID-19 pandemic has put on an enormous pressure on the health system, aggravating timely diagnosis and treatment of other diseases, resulting in increased mortality. We aimed to analyse whether COVID-19 pandemic had an impact on the treatment of patients suffering from acute ST segment elevation myocardial infarction (STEMI) in a country with a low COVID-19 morbidity during the first wave. Methods We conducted a retrospective data analysis from a tertiary centre in Lithuania. Patients who presented with STEMI were analysed. Data was collected from March 1 to June 30 in 2020 (quarantine period in Lithuania) and during the same period in 2019. Final study population was 317 patients. Patients were divided into two groups: 2020 year (n=146) and 2019 year (n=171). The primary study endpoint was all-cause mortality during 3 months follow-up. Secondary endpoint was first medical contact (FMC) to percutaneous coronary intervention (PCI) time. Results Results are demonstrated in Table 1. All-cause mortality during 3 months follow up did not differ significantly (10.5% in 2019 and 6.8% in 2020, p=0.341). In 2019 74.3% of patients received PCI within recommended 120 minutes from the FMC, while this number was only 51.7% in 2020, p=0.024. [Formula presented] Conclusion There was a 9.3% reduction of admissions for STEMI during the first wave of COVID-19. FMC to PCI time has increased significantly in 2020, however, it did not translate into worse survival during follow-up. |
| Databáze: | OpenAIRE |
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