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Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry

To investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on myocardial infarctions (MIs), consecutive MI patients were retrospectively reviewed in a multi-center registry. The patient characteristics and 180-day mortality for both ST-segment elevation myocardial infarctions (STE...

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Autores principales: Arai, Riku, Nobuhiro, Murata, Kojima, Keisuke, Iida, Korehito, Kitano, Daisuke, Fukamachi, Daisuke, Watanabe, Yoji, Matsumoto, Michiaki, Matsumoto, Naoya, Hirata, Shu, Nomoto, Kazumiki, Sasa, Yusuke, Tachibana, Eizo, Arai, Masaru, Arima, Ken, Haruta, Hironori, Okumura, Yasuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575639/
https://www.ncbi.nlm.nih.gov/pubmed/36251051
http://dx.doi.org/10.1007/s00380-022-02183-z
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author Arai, Riku
Nobuhiro, Murata
Kojima, Keisuke
Iida, Korehito
Kitano, Daisuke
Fukamachi, Daisuke
Watanabe, Yoji
Matsumoto, Michiaki
Matsumoto, Naoya
Hirata, Shu
Nomoto, Kazumiki
Sasa, Yusuke
Tachibana, Eizo
Arai, Masaru
Arima, Ken
Haruta, Hironori
Okumura, Yasuo
author_facet Arai, Riku
Nobuhiro, Murata
Kojima, Keisuke
Iida, Korehito
Kitano, Daisuke
Fukamachi, Daisuke
Watanabe, Yoji
Matsumoto, Michiaki
Matsumoto, Naoya
Hirata, Shu
Nomoto, Kazumiki
Sasa, Yusuke
Tachibana, Eizo
Arai, Masaru
Arima, Ken
Haruta, Hironori
Okumura, Yasuo
author_sort Arai, Riku
collection PubMed
description To investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on myocardial infarctions (MIs), consecutive MI patients were retrospectively reviewed in a multi-center registry. The patient characteristics and 180-day mortality for both ST-segment elevation myocardial infarctions (STEMIs) and non-STEMIs (NSTEMIs) in the after-pandemic period (7 April 2020–6 April 2021) were compared to the pre-pandemic period (7 April 2019–6 April 2020). Inpatients with MIs, STEMIs, and NSTEMIs decreased by 9.5%, 12.5%, and 4.1% in the after-pandemic period. The type of the presenting symptoms (as classified as typical symptoms, atypical symptoms, and out-of-hospital cardiac arrests [OHCAs]) did not differ between the two time periods for both STEMIs and NSTEMIs, while the rate of OHCAs was numerically higher in the after-pandemic period for the STEMIs (12.1% vs. 8.0%, p = 0.30). The symptom-to-admission time (STAT) did not differ between the two time periods for both STEMIs and NSTEMIs, but the door-to-balloon time (DTBT) for STEMIs was significantly longer in the after-pandemic period (83.0 [67.0–100.7] min vs. 70.0 [59.0–88.7] min, p = 0.004). The 180-day mortality did not significantly differ between the two time periods for both STEMIs (15.9% vs. 11.4%, p = 0.14) and NSTEMIs (9.9% vs. 8.0%, p = 0.59). In conclusion, hospitalizations for MIs decreased after the COVID-19 pandemic. Although the DTBTs were significantly longer in the after-pandemic period, the mid-term outcomes for MIs were preserved.
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spelling pubmed-95756392022-10-17 Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry Arai, Riku Nobuhiro, Murata Kojima, Keisuke Iida, Korehito Kitano, Daisuke Fukamachi, Daisuke Watanabe, Yoji Matsumoto, Michiaki Matsumoto, Naoya Hirata, Shu Nomoto, Kazumiki Sasa, Yusuke Tachibana, Eizo Arai, Masaru Arima, Ken Haruta, Hironori Okumura, Yasuo Heart Vessels Original Article To investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on myocardial infarctions (MIs), consecutive MI patients were retrospectively reviewed in a multi-center registry. The patient characteristics and 180-day mortality for both ST-segment elevation myocardial infarctions (STEMIs) and non-STEMIs (NSTEMIs) in the after-pandemic period (7 April 2020–6 April 2021) were compared to the pre-pandemic period (7 April 2019–6 April 2020). Inpatients with MIs, STEMIs, and NSTEMIs decreased by 9.5%, 12.5%, and 4.1% in the after-pandemic period. The type of the presenting symptoms (as classified as typical symptoms, atypical symptoms, and out-of-hospital cardiac arrests [OHCAs]) did not differ between the two time periods for both STEMIs and NSTEMIs, while the rate of OHCAs was numerically higher in the after-pandemic period for the STEMIs (12.1% vs. 8.0%, p = 0.30). The symptom-to-admission time (STAT) did not differ between the two time periods for both STEMIs and NSTEMIs, but the door-to-balloon time (DTBT) for STEMIs was significantly longer in the after-pandemic period (83.0 [67.0–100.7] min vs. 70.0 [59.0–88.7] min, p = 0.004). The 180-day mortality did not significantly differ between the two time periods for both STEMIs (15.9% vs. 11.4%, p = 0.14) and NSTEMIs (9.9% vs. 8.0%, p = 0.59). In conclusion, hospitalizations for MIs decreased after the COVID-19 pandemic. Although the DTBTs were significantly longer in the after-pandemic period, the mid-term outcomes for MIs were preserved. Springer Japan 2022-10-17 2023 /pmc/articles/PMC9575639/ /pubmed/36251051 http://dx.doi.org/10.1007/s00380-022-02183-z Text en © Springer Japan KK, part of Springer Nature 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Arai, Riku
Nobuhiro, Murata
Kojima, Keisuke
Iida, Korehito
Kitano, Daisuke
Fukamachi, Daisuke
Watanabe, Yoji
Matsumoto, Michiaki
Matsumoto, Naoya
Hirata, Shu
Nomoto, Kazumiki
Sasa, Yusuke
Tachibana, Eizo
Arai, Masaru
Arima, Ken
Haruta, Hironori
Okumura, Yasuo
Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title_full Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title_fullStr Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title_full_unstemmed Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title_short Impact of the COVID-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a Japanese multi-center registry
title_sort impact of the covid-19 pandemic on the hospitalizations, time course, presenting symptoms, and mid-term outcomes in patients with myocardial infarctions in a japanese multi-center registry
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575639/
https://www.ncbi.nlm.nih.gov/pubmed/36251051
http://dx.doi.org/10.1007/s00380-022-02183-z
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