Justyna Jankowska-Sanetra, Krzyszto Sanetra, Marta Konopko, Monika Kutowicz, Magdalena Synak, Paweł Kaźmierczak, Krzysztof Milewski, Łukasz Kołtowski, Piotr Paweł Buszman
Abstract
The collateral damage caused by the COVID-19 pandemic influences cardiovascular disease patients, mainly acute coronary syndrome (ACS) cases. Additionally, lockdown has caused treatment-related concerns and reluctance, factors that can delay treatment.
To analyse the incidence and course of ACS patients following the first COVID-19 wave.
The report represents a multi-institutional registry of 10 interventional cardiology departments. ACS patient data were gathered from June to October 2020, the period following the first lockdown in Poland (March 30-May 31, 2020), and compared with the corresponding 2019 timeframe.
Patients (2801 and 2620) hospitalized for ACS in 2019 and 2020 (June-October), represent 52.8% and 57.9% of coronary artery disease admissions, respectively. In 2020 vs. 2019, more cases of arterial hypertension (80.2% vs. 71.5%; P <0.001), diabetes (32.7% vs. 28.2%; P <0.001), hyperlipidaemia (53.2% vs. 49.8%; P = 0.01) and smoking history (29.5% vs. 25.8%; P = 0.003) were detected. Median troponin and cholesterol values, as well as glycemia were higher in 2020. Patients were more likely to undergo percutaneous treatment (91.2% vs. 87.5%; P <0.001) and less often referred for surgery (3.7% vs. 4.9%; P = 0.03). No differences in deaths, repeat myocardial infarction, stroke, and/or composite endpoint (major adverse cardiac and cerebrovascular events [MACCE]) were noted. However, suffering from ACS in 2020 (June-October) was a risk factor for mortality based on a multivariable analysis.
The COVID-19 pandemic affects ACS patient profile, course of treatment, and increases risk for mortality.
This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 November 2022.
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