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

dc.contributor.authorDe Luca, Giuseppe
dc.contributor.authorAlgowhary, Magdy
dc.contributor.authorUguz, Berat
dc.contributor.authorOliveira, Dinaldo C
dc.contributor.authorGanyukov, Vladimir
dc.contributor.authorZimbakov, Zan
dc.contributor.authorCercek, Miha
dc.contributor.authorJensen, Lisette Okkels
dc.contributor.authorLoh, Poay Huan
dc.contributor.authorCalmac, Lucian
dc.contributor.authorRoura-Ferrer, Gerard
dc.contributor.authorQuadros, Alexandre
dc.contributor.authorMilewski, Marek
dc.contributor.authorScotto di Uccio, Fortunato
dc.contributor.authorvon Birgelen, Clemens
dc.contributor.authorVersaci, Francesco
dc.contributor.authorTen Berg, Jurriën
dc.contributor.authorCasella, Gianni
dc.contributor.authorWong, Aaron Sung Lung
dc.contributor.authorKala, Petr
dc.contributor.authorDiez Gil, Jose Luis
dc.contributor.authorCarrillo, Xavier
dc.contributor.authorDirksen, Maurits Theodoor
dc.contributor.authorBecerra-Muñoz, Víctor Manuel
dc.contributor.authorKang-Yin Lee, Michael
dc.contributor.authorJuzar, Dafsah A
dc.contributor.authorde Moura Joaquim, Rodrigo
dc.contributor.authorPaladino, Roberto
dc.contributor.authorMilicic, Davor
dc.contributor.authorDavlouros, Periklis
dc.contributor.authorBakraceski, Nikola
dc.contributor.authorZilio, Filippo
dc.contributor.authorDonazzan, Luca
dc.contributor.authorKraaijeveld, Adriaan O
dc.contributor.authorGalasso, Gennaro
dc.contributor.authorLux, Arpad
dc.contributor.authorMarinucci, Lucia
dc.contributor.authorGuiducci, Vincenzo
dc.contributor.authorMenichelli, Maurizio
dc.contributor.authorScoccia, Alessandra
dc.contributor.authorYamac, Aylin
dc.contributor.authorUgur Mert, Kadir
dc.contributor.authorFlores Rios, Xacobe
dc.contributor.authorKovarnik, Tomas
dc.contributor.authorKidawa, Michal
dc.contributor.authorMoreu, Jose
dc.contributor.authorFlavien, Vincent
dc.contributor.authorFabris, Enrico
dc.contributor.authorLozano Martìnez-Luengas, Iñigo
dc.contributor.authorBoccalatte, Marco
dc.contributor.authorBosa Ojeda, Francisco
dc.contributor.authorArellano-Serrano, Carlos
dc.contributor.authorCaiazzo, Gianluca
dc.contributor.authorCirrincione, Giuseppe
dc.contributor.authorKao, Hsien-Li
dc.contributor.authorSanchis Fores, Juan
dc.contributor.authorVignali, Luigi
dc.contributor.authorPereira, Helder
dc.contributor.authorManzo-Silberman, Stéphane
dc.contributor.authorOrdonez, Santiago
dc.contributor.authorÖzkan, Alev Arat
dc.contributor.authorScheller, Bruno
dc.contributor.authorLehtola, Heidi
dc.contributor.authorTeles, Rui
dc.contributor.authorMantis, Christos
dc.contributor.authorYlitalo, Antti
dc.contributor.authorBrum Silveira, Joao Antonio
dc.contributor.authorZoni, Rodrigo
dc.contributor.authorBessonov, Ivan
dc.contributor.authorSavonitto, Stefano
dc.contributor.authorKochiadakis, George
dc.contributor.authorAlexopoulos, Dimitrios
dc.contributor.authorUribe, Carlos
dc.contributor.authorKanakakis, John
dc.contributor.authorFaurie, Benjamin
dc.contributor.authorGabrielli, Gabriele
dc.contributor.authorGutiérrez, Alejandro
dc.contributor.authorBachini, Juan Pablo
dc.contributor.authorRocha, Alex
dc.contributor.authorTam, Franckie Cc
dc.contributor.authorRodriguez, Alfredo
dc.contributor.authorLukito, Antonia
dc.contributor.authorSaint-Joy, Veauthyelau
dc.contributor.authorPessah, Gustavo
dc.contributor.authorTuccillo, Bernardino
dc.contributor.authorCortese, Giuliana
dc.contributor.authorParodi, Guido
dc.contributor.authorBouraghda, Mohamed Abed
dc.contributor.authorKedhi, Elvin
dc.contributor.authorLamelas, Pablo
dc.contributor.authorSuryapranata, Harry
dc.contributor.authorNardin, Matteo
dc.contributor.authorVerdoia, Monica
dc.contributor.authorISACS-STEMI COVID-19
dc.contributor.authorCollaborators
dc.date.accessioned2023-05-03T13:31:30Z
dc.date.available2023-05-03T13:31:30Z
dc.date.issued2021-10-28
dc.description.abstractThe 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). 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 >12 hours and door-to-balloon >30 min), in-hospital and 30-day mortality. 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, p75 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 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. NCT04412655.
dc.identifier.doi10.1136/heartjnl-2021-319750
dc.identifier.essn1468-201X
dc.identifier.pmcPMC8561823
dc.identifier.pmid34711661
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561823/pdf
dc.identifier.unpaywallURLhttps://heart.bmj.com/content/heartjnl/108/6/458.full.pdf
dc.identifier.urihttp://hdl.handle.net/10668/20156
dc.issue.number6
dc.journal.titleHeart (British Cardiac Society)
dc.journal.titleabbreviationHeart
dc.language.isoen
dc.organizationHospital Universitario Puerta del Mar
dc.organizationHospital Universitario Virgen de la Victoria
dc.page.number458-466
dc.pubmedtypeJournal Article
dc.pubmedtypeMulticenter Study
dc.rights.accessRightsopen access
dc.subjectCOVID-19
dc.subjectmyocardial infarction
dc.subjectpercutaneous coronary intervention
dc.subject.meshAged
dc.subject.meshCOVID-19
dc.subject.meshCardiologists
dc.subject.meshFemale
dc.subject.meshHospital Mortality
dc.subject.meshHumans
dc.subject.meshIncidence
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPercutaneous Coronary Intervention
dc.subject.meshPractice Patterns, Physicians'
dc.subject.meshRegistries
dc.subject.meshRetrospective Studies
dc.subject.meshRisk Assessment
dc.subject.meshRisk Factors
dc.subject.meshST Elevation Myocardial Infarction
dc.subject.meshTime Factors
dc.subject.meshTime-to-Treatment
dc.subject.meshTreatment Outcome
dc.titleCOVID-19 pandemic, mechanical reperfusion and 30-day mortality in ST elevation myocardial infarction.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number108
dspace.entity.typePublication

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