| Title: | STEMI patients in the first and second waves of the COVID-19 pandemic in northeast Slovenia - a retrospective, single-center observational study |
|---|
| Authors: | ID Sinkovič, Andreja (Author)
ID Kraševec, Manja (Author)
ID Šuran, David (Author)
ID Marinšek, Martin (Author) |
|---|
| Files: |  Sinkovic-2022-STEMI_Patients_in_the_First_and.pdf (1,04 MB)
MD5: 6A2A788104AC947A03CC3B4731FB3FB6
 https://doi.org/10.3390/covid2090090
|
|---|
| Language: | English |
|---|
| Work type: | Scientific work |
|---|
| Typology: | 1.01 - Original Scientific Article |
|---|
| Organization: | MF - Faculty of Medicine
|
|---|
| Abstract: | The COVID-19 pandemic has affected the outcomes of ST-elevation myocardial infarction (STEMI) patients in most countries. We aimed to retrospectively assess the admissions, treatments, complications, and mortality of STEMI patients in the northeast of Slovenia during the first (March–May 2020) and second waves (October–December 2020) of the COVID-19 pandemic and to compare them with data from 2019 (March–October). Comparing 2019 and both waves of the COVID-19 pandemic, we observed nonsignificant differences in the number of STEMI admissions, baseline characteristics, use of primary percutaneous coronary intervention (PCI) within the first 3 (40.5%* vs. 38.7% vs. 25%*, *p = 0.074) or 6 h, TIMI III flow after primary PCI, and hospital complications, as well as significant increases in hospital heart failure (23.3% vs. 42%, p = 0.015) and mitral regurgitation in the second wave (10% vs. 26.9%, p = 0.008) of the pandemic and a nonsignificant increase in hospital mortality (8.9% vs. 9.4% vs. 13.6%) during both waves of the pandemic. We conclude that, due to the increased severity of the COVID-19 pandemic in the second wave, there were longer delays to primary PCI in STEMI patients, resulting in significantly increased hospital heart failure and non-significantly increased hospital mortality. |
|---|
| Keywords: | ST-elevation myocardial infarction, COVID-19, time delay, primary percutaneous coronary intervention, heart failure, mortality, pandemic |
|---|
| Publication status: | Published |
|---|
| Publication version: | Version of Record |
|---|
| Submitted for review: | 27.07.2022 |
|---|
| Article acceptance date: | 29.08.2022 |
|---|
| Publication date: | 31.08.2022 |
|---|
| Publisher: | MDPI |
|---|
| Year of publishing: | 2022 |
|---|
| Number of pages: | Str. 1232-1243 |
|---|
| Numbering: | Letn. 2, Št. 9 |
|---|
| PID: | 20.500.12556/DKUM-89357  |
|---|
| UDC: | 616.1 |
|---|
| ISSN on article: | 2673-8112 |
|---|
| COBISS.SI-ID: | 125583875 |
|---|
| DOI: | 10.3390/covid2090090 |
|---|
| Publication date in DKUM: | 04.07.2024 |
|---|
| Views: | 134 |
|---|
| Downloads: | 22 |
|---|
| Metadata: |    |
|---|
| Categories: | Misc.
|
|---|
|
:
|
Copy citation |
|---|
| | | | Average score: | (0 votes) |
|---|
| Your score: | Voting is allowed only for logged in users. |
|---|
| Share: |  |
|---|
Hover the mouse pointer over a document title to show the abstract or click
on the title to get all document metadata. |
