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Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI

BACKGROUND: The fear of contagion during the coronavirus disease-2019 (COVID-19) pandemic may have potentially refrained patients with ST-segment elevation myocardial infarction (STEMI) from accessing the emergency system, with subsequent impact on mortality. OBJECTIVES: The ISACS-STEMI COVID-19 reg...

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Autores principales: De Luca, Giuseppe, Verdoia, Monica, Cercek, Miha, Jensen, Lisette Okkels, Vavlukis, Marija, Calmac, Lucian, Johnson, Tom, Ferrer, Gerard Rourai, Ganyukov, Vladimir, Wojakowski, Wojtek, Kinnaird, Tim, van Birgelen, Clemens, Cottin, Yves, IJsselmuiden, Alexander, Tuccillo, Bernardo, Versaci, Francesco, Royaards, Kees-Jan, Berg, Jurrien Ten, Laine, Mika, Dirksen, Maurits, Siviglia, Massimo, Casella, Gianni, Kala, Petr, Díez Gil, José Luis, Banning, Adrian, Becerra, Victor, De Simone, Ciro, Santucci, Andrea, Carrillo, Xavier, Scoccia, Alessandra, Amoroso, Giovanni, Lux, Arpad, Kovarnik, Tomas, Davlouros, Periklis, Mehilli, Julinda, Gabrielli, Gabriele, Rios, Xacobe Flores, Bakraceski, Nikola, Levesque, Sébastien, Cirrincione, Giuseppe, Guiducci, Vincenzo, Kidawa, Michał, Spedicato, Leonardo, Marinucci, Lucia, Ludman, Peter, Zilio, Filippo, Galasso, Gennaro, Fabris, Enrico, Menichelli, Maurizio, Garcia-Touchard, Arturo, Manzo, Stephane, Caiazzo, Gianluca, Moreu, Jose, Forés, Juan Sanchis, Donazzan, Luca, Vignali, Luigi, Teles, Rui, Benit, Edouard, Agostoni, Pierfrancesco, Bosa Ojeda, Francisco, Lehtola, Heidi, Camacho-Freiere, Santiago, Kraaijeveld, Adriaan, Antti, Ylitalo, Boccalatte, Marco, Deharo, Pierre, Martínez-Luengas, Iñigo Lozano, Scheller, Bruno, Alexopoulos, Dimitrios, Moreno, Raul, Kedhi, Elvin, Uccello, Giuseppe, Faurie, Benjamin, Gutierrez Barrios, Alejandro, Di Uccio, Fortunato Scotto, Wilbert, Bor, Smits, Pieter, Cortese, Giuliana, Parodi, Guido, Dudek, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by the American College of Cardiology Foundation. Published by Elsevier. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7834750/
https://www.ncbi.nlm.nih.gov/pubmed/33183506
http://dx.doi.org/10.1016/j.jacc.2020.09.546
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author De Luca, Giuseppe
Verdoia, Monica
Cercek, Miha
Jensen, Lisette Okkels
Vavlukis, Marija
Calmac, Lucian
Johnson, Tom
Ferrer, Gerard Rourai
Ganyukov, Vladimir
Wojakowski, Wojtek
Kinnaird, Tim
van Birgelen, Clemens
Cottin, Yves
IJsselmuiden, Alexander
Tuccillo, Bernardo
Versaci, Francesco
Royaards, Kees-Jan
Berg, Jurrien Ten
Laine, Mika
Dirksen, Maurits
Siviglia, Massimo
Casella, Gianni
Kala, Petr
Díez Gil, José Luis
Banning, Adrian
Becerra, Victor
De Simone, Ciro
Santucci, Andrea
Carrillo, Xavier
Scoccia, Alessandra
Amoroso, Giovanni
Lux, Arpad
Kovarnik, Tomas
Davlouros, Periklis
Mehilli, Julinda
Gabrielli, Gabriele
Rios, Xacobe Flores
Bakraceski, Nikola
Levesque, Sébastien
Cirrincione, Giuseppe
Guiducci, Vincenzo
Kidawa, Michał
Spedicato, Leonardo
Marinucci, Lucia
Ludman, Peter
Zilio, Filippo
Galasso, Gennaro
Fabris, Enrico
Menichelli, Maurizio
Garcia-Touchard, Arturo
Manzo, Stephane
Caiazzo, Gianluca
Moreu, Jose
Forés, Juan Sanchis
Donazzan, Luca
Vignali, Luigi
Teles, Rui
Benit, Edouard
Agostoni, Pierfrancesco
Bosa Ojeda, Francisco
Lehtola, Heidi
Camacho-Freiere, Santiago
Kraaijeveld, Adriaan
Antti, Ylitalo
Boccalatte, Marco
Deharo, Pierre
Martínez-Luengas, Iñigo Lozano
Scheller, Bruno
Alexopoulos, Dimitrios
Moreno, Raul
Kedhi, Elvin
Uccello, Giuseppe
Faurie, Benjamin
Gutierrez Barrios, Alejandro
Di Uccio, Fortunato Scotto
Wilbert, Bor
Smits, Pieter
Cortese, Giuliana
Parodi, Guido
Dudek, Dariusz
author_facet De Luca, Giuseppe
Verdoia, Monica
Cercek, Miha
Jensen, Lisette Okkels
Vavlukis, Marija
Calmac, Lucian
Johnson, Tom
Ferrer, Gerard Rourai
Ganyukov, Vladimir
Wojakowski, Wojtek
Kinnaird, Tim
van Birgelen, Clemens
Cottin, Yves
IJsselmuiden, Alexander
Tuccillo, Bernardo
Versaci, Francesco
Royaards, Kees-Jan
Berg, Jurrien Ten
Laine, Mika
Dirksen, Maurits
Siviglia, Massimo
Casella, Gianni
Kala, Petr
Díez Gil, José Luis
Banning, Adrian
Becerra, Victor
De Simone, Ciro
Santucci, Andrea
Carrillo, Xavier
Scoccia, Alessandra
Amoroso, Giovanni
Lux, Arpad
Kovarnik, Tomas
Davlouros, Periklis
Mehilli, Julinda
Gabrielli, Gabriele
Rios, Xacobe Flores
Bakraceski, Nikola
Levesque, Sébastien
Cirrincione, Giuseppe
Guiducci, Vincenzo
Kidawa, Michał
Spedicato, Leonardo
Marinucci, Lucia
Ludman, Peter
Zilio, Filippo
Galasso, Gennaro
Fabris, Enrico
Menichelli, Maurizio
Garcia-Touchard, Arturo
Manzo, Stephane
Caiazzo, Gianluca
Moreu, Jose
Forés, Juan Sanchis
Donazzan, Luca
Vignali, Luigi
Teles, Rui
Benit, Edouard
Agostoni, Pierfrancesco
Bosa Ojeda, Francisco
Lehtola, Heidi
Camacho-Freiere, Santiago
Kraaijeveld, Adriaan
Antti, Ylitalo
Boccalatte, Marco
Deharo, Pierre
Martínez-Luengas, Iñigo Lozano
Scheller, Bruno
Alexopoulos, Dimitrios
Moreno, Raul
Kedhi, Elvin
Uccello, Giuseppe
Faurie, Benjamin
Gutierrez Barrios, Alejandro
Di Uccio, Fortunato Scotto
Wilbert, Bor
Smits, Pieter
Cortese, Giuliana
Parodi, Guido
Dudek, Dariusz
author_sort De Luca, Giuseppe
collection PubMed
description BACKGROUND: The fear of contagion during the coronavirus disease-2019 (COVID-19) pandemic may have potentially refrained patients with ST-segment elevation myocardial infarction (STEMI) from accessing the emergency system, with subsequent impact on mortality. OBJECTIVES: The ISACS-STEMI COVID-19 registry aims to estimate the true impact of the COVID-19 pandemic on the treatment and outcome of patients with STEMI treated by primary percutaneous coronary intervention (PPCI), with identification of “at-risk” patient cohorts for failure to present or delays to treatment. METHODS: This retrospective registry was performed in European high-volume PPCI centers and assessed patients with STEMI treated with PPPCI in March/April 2019 and 2020. Main outcomes are the incidences of PPCI, delayed treatment, and in-hospital mortality. RESULTS: A total of 6,609 patients underwent PPCI in 77 centers, located in 18 countries. In 2020, during the pandemic, there was a significant reduction in PPCI as compared with 2019 (incidence rate ratio: 0.811; 95% confidence interval: 0.78 to 0.84; p < 0.0001). The heterogeneity among centers was not related to the incidence of death due to COVID-19. A significant interaction was observed for patients with arterial hypertension, who were less frequently admitted in 2020 than in 2019. Furthermore, the pandemic was associated with a significant increase in door-to-balloon and total ischemia times, which may have contributed to the higher mortality during the pandemic. CONCLUSIONS: The COVID-19 pandemic had significant impact on the treatment of patients with STEMI, with a 19% reduction in PPCI procedures, especially among patients suffering from hypertension, and a longer delay to treatment, which may have contributed to the increased mortality during the pandemic. (Primary Angioplasty for STEMI During COVID-19 Pandemic [ISACS-STEMI COVID-19] Registry; NCT04412655).
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spelling pubmed-78347502021-01-26 Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI De Luca, Giuseppe Verdoia, Monica Cercek, Miha Jensen, Lisette Okkels Vavlukis, Marija Calmac, Lucian Johnson, Tom Ferrer, Gerard Rourai Ganyukov, Vladimir Wojakowski, Wojtek Kinnaird, Tim van Birgelen, Clemens Cottin, Yves IJsselmuiden, Alexander Tuccillo, Bernardo Versaci, Francesco Royaards, Kees-Jan Berg, Jurrien Ten Laine, Mika Dirksen, Maurits Siviglia, Massimo Casella, Gianni Kala, Petr Díez Gil, José Luis Banning, Adrian Becerra, Victor De Simone, Ciro Santucci, Andrea Carrillo, Xavier Scoccia, Alessandra Amoroso, Giovanni Lux, Arpad Kovarnik, Tomas Davlouros, Periklis Mehilli, Julinda Gabrielli, Gabriele Rios, Xacobe Flores Bakraceski, Nikola Levesque, Sébastien Cirrincione, Giuseppe Guiducci, Vincenzo Kidawa, Michał Spedicato, Leonardo Marinucci, Lucia Ludman, Peter Zilio, Filippo Galasso, Gennaro Fabris, Enrico Menichelli, Maurizio Garcia-Touchard, Arturo Manzo, Stephane Caiazzo, Gianluca Moreu, Jose Forés, Juan Sanchis Donazzan, Luca Vignali, Luigi Teles, Rui Benit, Edouard Agostoni, Pierfrancesco Bosa Ojeda, Francisco Lehtola, Heidi Camacho-Freiere, Santiago Kraaijeveld, Adriaan Antti, Ylitalo Boccalatte, Marco Deharo, Pierre Martínez-Luengas, Iñigo Lozano Scheller, Bruno Alexopoulos, Dimitrios Moreno, Raul Kedhi, Elvin Uccello, Giuseppe Faurie, Benjamin Gutierrez Barrios, Alejandro Di Uccio, Fortunato Scotto Wilbert, Bor Smits, Pieter Cortese, Giuliana Parodi, Guido Dudek, Dariusz J Am Coll Cardiol Original Investigation BACKGROUND: The fear of contagion during the coronavirus disease-2019 (COVID-19) pandemic may have potentially refrained patients with ST-segment elevation myocardial infarction (STEMI) from accessing the emergency system, with subsequent impact on mortality. OBJECTIVES: The ISACS-STEMI COVID-19 registry aims to estimate the true impact of the COVID-19 pandemic on the treatment and outcome of patients with STEMI treated by primary percutaneous coronary intervention (PPCI), with identification of “at-risk” patient cohorts for failure to present or delays to treatment. METHODS: This retrospective registry was performed in European high-volume PPCI centers and assessed patients with STEMI treated with PPPCI in March/April 2019 and 2020. Main outcomes are the incidences of PPCI, delayed treatment, and in-hospital mortality. RESULTS: A total of 6,609 patients underwent PPCI in 77 centers, located in 18 countries. In 2020, during the pandemic, there was a significant reduction in PPCI as compared with 2019 (incidence rate ratio: 0.811; 95% confidence interval: 0.78 to 0.84; p < 0.0001). The heterogeneity among centers was not related to the incidence of death due to COVID-19. A significant interaction was observed for patients with arterial hypertension, who were less frequently admitted in 2020 than in 2019. Furthermore, the pandemic was associated with a significant increase in door-to-balloon and total ischemia times, which may have contributed to the higher mortality during the pandemic. CONCLUSIONS: The COVID-19 pandemic had significant impact on the treatment of patients with STEMI, with a 19% reduction in PPCI procedures, especially among patients suffering from hypertension, and a longer delay to treatment, which may have contributed to the increased mortality during the pandemic. (Primary Angioplasty for STEMI During COVID-19 Pandemic [ISACS-STEMI COVID-19] Registry; NCT04412655). by the American College of Cardiology Foundation. Published by Elsevier. 2020-11-17 2020-11-09 /pmc/articles/PMC7834750/ /pubmed/33183506 http://dx.doi.org/10.1016/j.jacc.2020.09.546 Text en © 2020 by the American College of Cardiology Foundation. Published by Elsevier. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Investigation
De Luca, Giuseppe
Verdoia, Monica
Cercek, Miha
Jensen, Lisette Okkels
Vavlukis, Marija
Calmac, Lucian
Johnson, Tom
Ferrer, Gerard Rourai
Ganyukov, Vladimir
Wojakowski, Wojtek
Kinnaird, Tim
van Birgelen, Clemens
Cottin, Yves
IJsselmuiden, Alexander
Tuccillo, Bernardo
Versaci, Francesco
Royaards, Kees-Jan
Berg, Jurrien Ten
Laine, Mika
Dirksen, Maurits
Siviglia, Massimo
Casella, Gianni
Kala, Petr
Díez Gil, José Luis
Banning, Adrian
Becerra, Victor
De Simone, Ciro
Santucci, Andrea
Carrillo, Xavier
Scoccia, Alessandra
Amoroso, Giovanni
Lux, Arpad
Kovarnik, Tomas
Davlouros, Periklis
Mehilli, Julinda
Gabrielli, Gabriele
Rios, Xacobe Flores
Bakraceski, Nikola
Levesque, Sébastien
Cirrincione, Giuseppe
Guiducci, Vincenzo
Kidawa, Michał
Spedicato, Leonardo
Marinucci, Lucia
Ludman, Peter
Zilio, Filippo
Galasso, Gennaro
Fabris, Enrico
Menichelli, Maurizio
Garcia-Touchard, Arturo
Manzo, Stephane
Caiazzo, Gianluca
Moreu, Jose
Forés, Juan Sanchis
Donazzan, Luca
Vignali, Luigi
Teles, Rui
Benit, Edouard
Agostoni, Pierfrancesco
Bosa Ojeda, Francisco
Lehtola, Heidi
Camacho-Freiere, Santiago
Kraaijeveld, Adriaan
Antti, Ylitalo
Boccalatte, Marco
Deharo, Pierre
Martínez-Luengas, Iñigo Lozano
Scheller, Bruno
Alexopoulos, Dimitrios
Moreno, Raul
Kedhi, Elvin
Uccello, Giuseppe
Faurie, Benjamin
Gutierrez Barrios, Alejandro
Di Uccio, Fortunato Scotto
Wilbert, Bor
Smits, Pieter
Cortese, Giuliana
Parodi, Guido
Dudek, Dariusz
Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title_full Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title_fullStr Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title_full_unstemmed Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title_short Impact of COVID-19 Pandemic on Mechanical Reperfusion for Patients With STEMI
title_sort impact of covid-19 pandemic on mechanical reperfusion for patients with stemi
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7834750/
https://www.ncbi.nlm.nih.gov/pubmed/33183506
http://dx.doi.org/10.1016/j.jacc.2020.09.546
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