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oai:repisalud.isciii.es:20.500.12105/125662025-04-07T07:17:08Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605

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 Martín Lorenzo, Pedro Luís author Jiménez, Francisco author de la Torre Hernández, José M author Jiménez-Mazuecos, Jesús author Lozano, Fernando author Moreu, José author Novo, Enrique author Robles, Javier author Martín Moreiras, Javier author Fernández-Vázquez, Felipe author Amat-Santos, Ignacio J author Gómez-Hospital, Joan Antoni author García-Picart, Joan author García del Blanco, Bruno 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 López Ledesma, Bernabé 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 Ruíz Nodar, Juan Miguel author García, Koldobika author Sáez, Roberto author Torres, Alfonso author Tellería, Miren author Sadaba, Mario author López Mínguez, José Ramón author Rama Merchán, Juan Carlos author Portales, Javier author Trillo, Ramiro author Aldama, Guillermo author Fernández, Saleta author Santás, Melisa author Portero Pérez, María Pilar 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 10.1016/j.recesp.2020.07.033 1579-2242 0300-8932 Revista espanola de cardiologia 33071427 http://hdl.handle.net/20.500.12105/12566 Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience