%0 Journal Article
%A Rodríguez-Leor, Oriol
%A Cid-Álvarez, Belén
%A Pérez de Prado, Armando
%A Rossello, Xavier
%A Ojeda, Soledad
%A Serrador, Ana
%A López-Palop, Ramón
%A Martín-Moreiras, Javier
%A Rumoroso, José Ramón
%A Cequier, Ángel
%A Ibáñez, Borja
%A Cruz-González, Ignacio
%A Romaguera, Rafael
%A Moreno, Raúl
%A en representación de los investigadores del Grupo de Trabajo sobre Código Infarto de la Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología
%A Villa, Manuel
%A Ruíz-Salmerón, Rafael
%A Molano, Francisco
%A Sánchez, Carlos
%A Muñoz-García, Erika
%A Íñigo, Luís
%A Herrador, Juan
%A Gómez-Menchero, Antonio
%A Gómez-Menchero, Antonio
%A Caballero, Juan
%A Ojeda, Soledad
%A Cárdenas, Mérida
%A Gheorghe, Livia
%A Oneto, Jesús
%A Morales, Francisco
%A Valencia, Félix
%A Ruíz, José Ramón
%A Diarte, José Antonio
%A Avanzas, Pablo
%A Rondán, Juan
%A Peral, Vicente
%A Pernasetti, Lucía Vera
%A Hernández, Julio
%A Bosa, Francisco
%A Lorenzo, Pedro Luís Martín
%A Jiménez, Francisco
%A Hernández, José M de la Torre
%A Jiménez-Mazuecos, Jesús
%A Lozano, Fernando
%A Moreu, José
%A Novo, Enrique
%A Robles, Javier
%A Moreiras, Javier Martín
%A Fernández-Vázquez, Felipe
%A Amat-Santos, Ignacio J
%A Gómez-Hospital, Joan Antoni
%A García-Picart, Joan
%A Blanco, Bruno García Del
%A Regueiro, Ander
%A Carrillo-Suárez, Xavier
%A Tizón, Helena
%A Mohandes, Mohsen
%A Casanova, Juan
%A Agudelo-Montañez, Víctor
%A Muñoz, Juan Francisco
%A Franco, Juan
%A Del Castillo, Roberto
%A Salinas, Pablo
%A Elizaga, Jaime
%A Sarnago, Fernando
%A Jiménez-Valero, Santiago
%A Rivero, Fernando
%A Oteo, Juan Francisco
%A Alegría-Barrero, Eduardo
%A Sánchez-Recalde, Ángel
%A Ruíz, Valeriano
%A Pinar, Eduardo
%A Pinar, Eduardo
%A Planas, Ana
%A Ledesma, Bernabé López
%A Berenguer, Alberto
%A Fernández-Cisnal, Agustín
%A Aguar, Pablo
%A Pomar, Francisco
%A Jerez, Miguel
%A Torres, Francisco
%A García, Ricardo
%A Frutos, Araceli
%A Nodar, Juan Miguel Ruíz
%A García, Koldobika
%A Sáez, Roberto
%A Torres, Alfonso
%A Tellería, Miren
%A Sadaba, Mario
%A Mínguez, José Ramón López
%A Merchán, Juan Carlos Rama
%A Portales, Javier
%A Trillo, Ramiro
%A Aldama, Guillermo
%A Fernández, Saleta
%A Santás, Melisa
%A Pérez, María Pilar Portero
%T [Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience].
%D 2020
%U https://hdl.handle.net/10668/25791
%X 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  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  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.
%K COVID-19
%K Primary angioplasty
%K STEMI
%K STEMI network
%~