COVID-19 pandemic, mechanical reperfusion and 30-day mortality in ST elevation myocardial infarction

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F22%3A00125199" target="_blank" >RIV/00216224:14110/22:00125199 - isvavai.cz</a>

Result on the web

<a href="https://heart.bmj.com/content/early/2021/10/27/heartjnl-2021-319750" target="_blank" >https://heart.bmj.com/content/early/2021/10/27/heartjnl-2021-319750</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1136/heartjnl-2021-319750" target="_blank" >10.1136/heartjnl-2021-319750</a>

Result language

angličtina

Original language name

COVID-19 pandemic, mechanical reperfusion and 30-day mortality in ST elevation myocardial infarction

Original language description

Objective The initial data of the International Study on Acute Coronary Syndromes - ST Elevation Myocardial Infarction COVID-19 showed in Europe a remarkable reduction in primary percutaneous coronary intervention procedures and higher in-hospital mortality during the initial phase of the pandemic as compared with the prepandemic period. The aim of the current study was to provide the final results of the registry, subsequently extended outside Europe with a larger inclusion period (up to June 2020) and longer follow-up (up to 30 days). Methods This is a retrospective multicentre registry in 109 high-volume primary percutaneous coronary intervention (PPCI) centres from Europe, Latin America, South-East Asia and North Africa, enrolling 16 674 patients with ST segment elevation myocardial infarction (STEMI) undergoing PPPCI in March/June 2019 and 2020. The main study outcomes were the incidence of PPCI, delayed treatment (ischaemia time &gt;12 hours and door-to-balloon &gt;30 min), in-hospital and 30-day mortality. Results In 2020, during the pandemic there was a significant reduction in PPCI as compared with 2019 (incidence rate ratio 0.843, 95% CI 0.825 to 0.861, p&lt;0.0001). This reduction was significantly associated with age, being higher in older adults (&gt;75 years) (p=0.015), and was not related to the peak of cases or deaths due to COVID-19. The heterogeneity among centres was high (p&lt;0.001). Furthermore, the pandemic was associated with a significant increase in doorto-balloon time (40 (25-70) min vs 40 (25-64) min, p=0.01) and total ischaemia time (225 (135-410) min vs 196 (120-355) min, p&lt;0.001), which may have contributed to the higher in-hospital (6.5% vs 5.3%, p&lt;0.001) and 30-day (8% vs 6.5%, p=0.001) mortality observed during the pandemic. Conclusion Percutaneous revascularisation for STEMI was significantly affected by the COVID-19 pandemic, with a 16% reduction in PPCI procedures, especially among older patients (about 20%), and longer delays to treatment, which may have contributed to the increased in-hospital and 30-day mortality during the pandemic.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Heart

ISSN

1355-6037

e-ISSN

1468-201X

Volume of the periodical

108

Issue of the periodical within the volume

6

Country of publishing house

GB - UNITED KINGDOM

Number of pages

9

Pages from-to

458-466

UT code for WoS article

000724310100001

EID of the result in the Scopus database

2-s2.0-85125289272