RT Journal Article T1 Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry. A1 De Luca, Giuseppe A1 Debel, Niels A1 Cercek, Miha A1 Jensen, Lisette Okkels A1 Vavlukis, Marija A1 Calmac, Lucian A1 Johnson, Tom A1 Ferrer, Gerard Rourai A1 Ganyukov, Vladimir A1 Wojakowski, Wojtek A1 Kinnaird, Tim A1 von Birgelen, Clemens A1 Cottin, Yves A1 IJsselmuiden, Alexander A1 Tuccillo, Bernardo A1 Versaci, Francesco A1 Royaards, Kees-Jan A1 Berg, Jurrien Ten A1 Laine, Mika A1 Dirksen, Maurits A1 Siviglia, Massimo A1 Casella, Gianni A1 Kala, Petr A1 Díez Gil, José Luis A1 Banning, Adrian A1 Becerra, Victor A1 De Simone, Ciro A1 Santucci, Andrea A1 Carrillo, Xavier A1 Scoccia, Alessandra A1 Amoroso, Giovanni A1 Van't Hof, Arnoud Wj A1 Kovarnik, Tomas A1 Tsigkas, Grigorios A1 Mehilli, Julinda A1 Gabrielli, Gabriele A1 Rios, Xacobe Flores A1 Bakraceski, Nikola A1 Levesque, Sébastien A1 Cirrincione, Giuseppe A1 Guiducci, Vincenzo A1 Kidawa, Michał A1 Spedicato, Leonardo A1 Marinucci, Lucia A1 Ludman, Peter A1 Zilio, Filippo A1 Galasso, Gennaro A1 Fabris, Enrico A1 Menichelli, Maurizio A1 Garcia-Touchard, Arturo A1 Manzo, Stephane A1 Caiazzo, Gianluca A1 Moreu, Jose A1 Forés, Juan Sanchis A1 Donazzan, Luca A1 Vignali, Luigi A1 Teles, Rui A1 Benit, Edouard A1 Agostoni, Pierfrancesco A1 Ojeda, Francisco Bosa A1 Lehtola, Heidi A1 Camacho-Freiere, Santiago A1 Kraaijeveld, Adriaan A1 Antti, Ylitalo A1 Boccalatte, Marco A1 Deharo, Pierre A1 Martínez-Luengas, Iñigo Lozano A1 Scheller, Bruno A1 Varytimiadi, Efthymia A1 Moreno, Raul A1 Uccello, Giuseppe A1 Faurie, Benjamin A1 Gutierrez Barrios, Alejandro A1 Milewski, Marek A1 Bruwiere, Ewout A1 Smits, Pieter A1 Wilbert, Bor A1 Di Uccio, Fortunato Scotto A1 Parodi, Guido A1 Kedhi, Elvin A1 Verdoia, Monica K1 SARS-CoV-2 K1 ST segment elevation myocardial infarction K1 Thrombosis(please add them) AB SARS-Cov-2 predisposes patients to thrombotic complications, due to excessive inflammation, endothelial dysfunction, platelet activation, and coagulation/fibrinolysis disturbances. The aim of the present study was to evaluate clinical characteristics and prognostic impact of SARS-CoV-2 positivity among STEMI patients undergoing primary percutaneous coronary intervention (PPCI). We selected SARS-CoV-2 positive patients included in the ISACS-STEMI COVID-19, a retrospective multicenter European registry including 6609 STEMI patients treated with PPCI from March 1st until April 30th, in 2019 and 2020. As a reference group, we randomly sampled 5 SARS-Cov-2 negative patients per each SARS-CoV-2 positive patient, individually matched for age, sex, and hospital/geographic area. Study endpoints were in-hospital mortality, definite stent thrombosis, heart failure. Our population is represented by 62 positive SARS-CoV-2 positive patients who were compared with a matched population of 310 STEMI patients. No significant difference was observed in baseline characteristics or the modality of access to the PCI center. In the SARS-CoV-2 positive patients, the culprit lesion was more often located in the RCA (p  Our study showed that among STEMI patients, SARS-CoV-2 positivity is associated with larger thrombus burden, a remarkably higher mortality but also higher rates of in-stent thrombosis and heart failure. YR 2021 FD 2021-07-21 LK http://hdl.handle.net/10668/18377 UL http://hdl.handle.net/10668/18377 LA en DS RISalud RD Apr 5, 2025