Potential Relationship Between Lifestyle Changes and Incidence of Hospital Admissions for Acute Coronary Syndrome During the COVID-19 Lockdown
| Autor: | Athanasios Moulias, Ioannis Miliordos, Panagiotis Vardas, Ioannis Christodoulou, Andreas Kivetos, Panagiotis Patrinos, Periklis Davlouros, Eleni-Evangelia Koufou, Konstantinos Katsanos, Fotini Papanikolaou, Georgios Almpanis, Grigorios Tsigkas, Theodora Dimitroula |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Acute coronary syndrome
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Passive smoking Coronavirus disease 2019 (COVID-19) Population lifestyle—related disease Cardiovascular Medicine 030204 cardiovascular system & hematology medicine.disease_cause stabilization of atherosclerotic plaque 03 medical and health sciences 0302 clinical medicine medicine In patient 030212 general & internal medicine Myocardial infarction education Original Research education.field_of_study business.industry Incidence (epidemiology) way of life COVID-19 medicine.disease ACS lcsh:RC666-701 Emergency medicine business Lifestyle habits Cardiology and Cardiovascular Medicine |
| Zdroj: | Frontiers in Cardiovascular Medicine, Vol 8 (2021) Frontiers in Cardiovascular Medicine |
| ISSN: | 2297-055X |
| DOI: | 10.3389/fcvm.2021.604374 |
| Popis: | Aims: To evaluate the impact of lockdown during the COVID-19 pandemic on lifestyle changes of the general population, and on admissions for acute coronary syndrome (ACS).Methods and Results: All ACS admissions during the COVID-19 lockdown (10 March to 4 May, 2020), in 3 municipalities (3 spoke, and 1 hub hospital), in Southwestern Greece (411,576 inhabitants), were prospectively recorded and compared to the equivalent periods during 2018, and 2019. A telephone survey of 1014 participants was conducted to explore the lifestyle habits of citizens aged ≥35-years-old before and during lockdown. The median ACS incidence rate decreased from 19.0 cases per week in 2018 and 21.5 in 2019 down to 13.0 in 2020 (RR: 0.66 during the Covid-19 lockdown; 95%CI: 0.53–0.82; P = 0.0002). This was driven by a significant reduction of admissions for Non-ST elevation myocardial infarction (NSTEMI) (RR: 0.68; 95%CI: 0.52–0.88; P = 0.0037), mainly in patients with a lower burden of cardiovascular risk factors, as we noticed an inverse association between the reduction of the incidence of ACS during the Covid-19 lockdown period and the number of registered patient risk factors. There was no difference in the rates of STEMI and population-based all-cause mortality across the examined time periods. The telephone survey demonstrated reduction of passive smoking, working hours, alcohol, junk food and salt consumption, and an increase in sleeping hours, mainly in participants with a lower burden of cardiovascular risk factors.Conclusions: A significant decline in ACS admissions during the COVID-19 lockdown was noted, affecting mainly NSTEMI patients with a lower burden of cardiovascular risk factors. This was accompanied by significant lifestyle changes. Thus, it is tempting to speculate that to some extend the latter might be associated with the observed decline in ACS admissions. |
| Databáze: | OpenAIRE |
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