2024-03-29T06:43:02Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/125662023-09-21T10:42:38Zcom_20.500.12105_2145com_20.500.12105_2051com_20.500.12105_2144col_20.500.12105_2146
00925njm 22002777a 4500
dc
Rodríguez-Leor, Oriol
author
Cid-Álvarez, Belén
author
Pérez de Prado, Armando
author
Rossello, Xavier
author
Ojeda, Soledad
author
Serrador, Ana
author
López-Palop, Ramón
author
Martín-Moreiras, Javier
author
Rumoroso, José Ramón
author
Cequier, Ángel
author
Ibáñez, Borja
author
Cruz-González, Ignacio
author
Romaguera, Rafael
author
Moreno, Raúl
author
Villa, Manuel
author
Ruíz-Salmerón, Rafael
author
Molano, Francisco
author
Sánchez, Carlos
author
Muñoz-García, Erika
author
Íñigo, Luís
author
Herrador, Juan
author
Gómez-Menchero, Antonio
author
Caballero, Juan
author
Cárdenas, Mérida
author
Gheorghe, Livia
author
Oneto, Jesús
author
Morales, Francisco
author
Valencia, Félix
author
Ruíz, José Ramón
author
Diarte, José Antonio
author
Avanzas, Pablo
author
Rondán, Juan
author
Peral, Vicente
author
Pernasetti, Lucía Vera
author
Hernández, Julio
author
Bosa, Francisco
author
Lorenzo, Pedro Luís Martín
author
Jiménez, Francisco
author
Hernández, José M de la Torre
author
Jiménez-Mazuecos, Jesús
author
Lozano, Fernando
author
Moreu, José
author
Novo, Enrique
author
Robles, Javier
author
Moreiras, Javier Martín
author
Fernández-Vázquez, Felipe
author
Amat-Santos, Ignacio J
author
Gómez-Hospital, Joan Antoni
author
García-Picart, Joan
author
Blanco, Bruno García Del
author
Regueiro, Ander
author
Carrillo-Suárez, Xavier
author
Tizón, Helena
author
Mohandes, Mohsen
author
Casanova, Juan
author
Agudelo-Montañez, Víctor
author
Muñoz, Juan Francisco
author
Franco, Juan
author
Del Castillo, Roberto
author
Salinas, Pablo
author
Elizaga, Jaime
author
Sarnago, Fernando
author
Jiménez-Valero, Santiago
author
Rivero, Fernando
author
Oteo, Juan Francisco
author
Alegría-Barrero, Eduardo
author
Sánchez-Recalde, Ángel
author
Ruíz, Valeriano
author
Pinar, Eduardo
author
Planas, Ana
author
Ledesma, Bernabé López
author
Berenguer, Alberto
author
Fernández-Cisnal, Agustín
author
Aguar, Pablo
author
Pomar, Francisco
author
Jerez, Miguel
author
Torres, Francisco
author
García, Ricardo
author
Frutos, Araceli
author
Nodar, Juan Miguel Ruíz
author
García, Koldobika
author
Sáez, Roberto
author
Torres, Alfonso
author
Tellería, Miren
author
Sadaba, Mario
author
Mínguez, José Ramón López
author
Merchán, Juan Carlos Rama
author
Portales, Javier
author
Trillo, Ramiro
author
Aldama, Guillermo
author
Fernández, Saleta
author
Santás, Melisa
author
Pérez, María Pilar Portero
author
2020-12-01
The COVID-19 outbreak has had an unclear impact on the treatment and outcomes of patients with ST-segment elevation myocardial infarction (STEMI). The aim of this study was to assess changes in STEMI management during the COVID-19 outbreak.
Using a multicenter, nationwide, retrospective, observational registry of consecutive patients who were managed in 75 specific STEMI care centers in Spain, we compared patient and procedural characteristics and in-hospital outcomes in 2 different cohorts with 30-day follow-up according to whether the patients had been treated before or after COVID-19.
Suspected STEMI patients treated in STEMI networks decreased by 27.6% and patients with confirmed STEMI fell from 1305 to 1009 (22.7%). There were no differences in reperfusion strategy (> 94% treated with primary percutaneous coronary intervention in both cohorts). Patients treated with primary percutaneous coronary intervention during the COVID-19 outbreak had a longer ischemic time (233 [150-375] vs 200 [140-332] minutes, P < .001) but showed no differences in the time from first medical contact to reperfusion. In-hospital mortality was higher during COVID-19 (7.5% vs 5.1%; unadjusted OR, 1.50; 95%CI, 1.07-2.11; P < .001); this association remained after adjustment for confounders (risk-adjusted OR, 1.88; 95%CI, 1.12-3.14; P = .017). In the 2020 cohort, there was a 6.3% incidence of confirmed SARS-CoV-2 infection during hospitalization.
The number of STEMI patients treated during the current COVID-19 outbreak fell vs the previous year and there was an increase in the median time from symptom onset to reperfusion and a significant 2-fold increase in the rate of in-hospital mortality. No changes in reperfusion strategy were detected, with primary percutaneous coronary intervention performed for the vast majority of patients. The co-existence of STEMI and SARS-CoV-2 infection was relatively infrequent.
Rev Esp Cardiol. 2020; 73(12):994-1002
0300-8932
http://hdl.handle.net/20.500.12105/12566
33071427
10.1016/j.recesp.2020.07.033
1579-2242
Revista espanola de cardiologia
Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience