Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Oliveira, Luís
Data de Publicação: 2022
Outros Autores: Teles, Rui Campante, Machado, Carina, Madeira, Sérgio, Vale, Nélson, Almeida, Carla, Brito, João, Leal, Sílvio, Raposo, Luís, de Araújo Gonçalves, Pedro, Pacheco, António Miguel, Gabriel, Henrique Mesquita, Almeida, Manuel, Martins, Dinis, Mendes, Miguel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/136114
Resumo: © 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U.
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spelling Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemicData from Portuguese centersSDG 3 - Good Health and Well-being© 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U.INTRODUCTION: During the Covid-19 pandemic there has been a general belief that hospital admissions for non-infectious causes, especially cardiovascular disease, have fallen. OBJECTIVES: To assess the impact of the pandemic on admissions for ST-elevation myocardial infarction (STEMI) during the first pandemic wave. METHODS: We performed a multicenter retrospective analysis of consecutive patients presenting with STEMI in two Portuguese hospital centers in two sequential periods - P1 (March 1 to April 30) and P2 (May 1 to June 30). Patients' clinical data and hospital outcomes were compared between the two periods for the years 2017 to 2019 and for 2020. RESULTS: During P1 in 2020, a reduction in the number of STEMI patients was observed in comparison with previous years (26.0±4.2 vs. 16.5±4.9 cases per month; p=0.033), as well as an increase in the number of mechanical complications (0.0% vs. 3.0%; p=0.029). Percutaneous coronary interventions in the setting of failed thrombolysis were more frequent (1.9% vs. 9.1%; p=0.033). An overall trend for longer delays in key timings of STEMI care bundles was noted. Mortality was higher during P1 compared to previous years (1.9% vs. 12.1%; p=0.005). CONCLUSIONS: During the first Covid-19 wave fewer patients presented with STEMI at the catheterization laboratory for percutaneous coronary intervention. These patients presented more mechanical complications and higher mortality.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNOliveira, LuísTeles, Rui CampanteMachado, CarinaMadeira, SérgioVale, NélsonAlmeida, CarlaBrito, JoãoLeal, SílvioRaposo, Luísde Araújo Gonçalves, PedroPacheco, António MiguelGabriel, Henrique MesquitaAlmeida, ManuelMartins, DinisMendes, Miguel2022-04-08T22:35:33Z2022-062022-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/136114por0870-2551PURE: 42247360https://doi.org/10.1016/j.repc.2021.03.012info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T18:01:02Zoai:run.unl.pt:10362/136114Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T18:01:02Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
Data from Portuguese centers
title Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
spellingShingle Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
Oliveira, Luís
SDG 3 - Good Health and Well-being
title_short Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
title_full Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
title_fullStr Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
title_full_unstemmed Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
title_sort Worrisome trends of ST-elevation myocardial infarction during the Covid-19 pandemic
author Oliveira, Luís
author_facet Oliveira, Luís
Teles, Rui Campante
Machado, Carina
Madeira, Sérgio
Vale, Nélson
Almeida, Carla
Brito, João
Leal, Sílvio
Raposo, Luís
de Araújo Gonçalves, Pedro
Pacheco, António Miguel
Gabriel, Henrique Mesquita
Almeida, Manuel
Martins, Dinis
Mendes, Miguel
author_role author
author2 Teles, Rui Campante
Machado, Carina
Madeira, Sérgio
Vale, Nélson
Almeida, Carla
Brito, João
Leal, Sílvio
Raposo, Luís
de Araújo Gonçalves, Pedro
Pacheco, António Miguel
Gabriel, Henrique Mesquita
Almeida, Manuel
Martins, Dinis
Mendes, Miguel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Estudos de Doenças Crónicas (CEDOC)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Oliveira, Luís
Teles, Rui Campante
Machado, Carina
Madeira, Sérgio
Vale, Nélson
Almeida, Carla
Brito, João
Leal, Sílvio
Raposo, Luís
de Araújo Gonçalves, Pedro
Pacheco, António Miguel
Gabriel, Henrique Mesquita
Almeida, Manuel
Martins, Dinis
Mendes, Miguel
dc.subject.por.fl_str_mv SDG 3 - Good Health and Well-being
topic SDG 3 - Good Health and Well-being
description © 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-08T22:35:33Z
2022-06
2022-06-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/136114
url http://hdl.handle.net/10362/136114
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv 0870-2551
PURE: 42247360
https://doi.org/10.1016/j.repc.2021.03.012
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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