Decrease and Delay in Hospitalization for Acute Coronary Syndromes During the 2020 SARS-CoV-2 Pandemic

The diffusion of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) forced the Italian population to restrictive measures that modified patients’ responses to non-SARS-CoV-2 medical conditions. We evaluated all patients with acute coronary syndromes admitted in 3 high-volume hospitals duri...

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Detalles Bibliográficos
Autores principales: Secco, Gioel Gabrio, Zocchi, Chiara, Parisi, Rosario, Roveta, Annalisa, Mirabella, Francesca, Vercellino, Matteo, Pistis, Gianfranco, Reale, Maurizio, Maggio, Silvia, Audo, Andrea, Kozel, Daniela, Centini, Giacomo, Maconi, Antonio, Di Mario, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Cardiovascular Society. Published by Elsevier Inc. 2020
Materias:
Training/Practice
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242185/
https://www.ncbi.nlm.nih.gov/pubmed/32447060
http://dx.doi.org/10.1016/j.cjca.2020.05.023
Descripción
Sumario:The diffusion of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) forced the Italian population to restrictive measures that modified patients’ responses to non-SARS-CoV-2 medical conditions. We evaluated all patients with acute coronary syndromes admitted in 3 high-volume hospitals during the first month of SARS-CoV-2 Italian-outbreak and compared them with patients with ACS admitted during the same period 1 year before. Hospitalization for ACS decreased from 162 patients in 2019 to 84 patients in 2020. In 2020, both door-to-balloon and symptoms-to-percutaneous coronary intervention were longer, and admission levels of high-sensitive cardiac troponin I were higher. They had a lower discharged residual left-ventricular function and an increased predicted late cardiovascular mortality based on their Global Registry of Acute Coronary Events (GRACE) scores.

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