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Impact of the COVID-19 pandemic in the Interventional Cardiology: results of a tertiary centre
Session:
Posters - H. Interventional Cardiology and Cardiovascular Surgery
Speaker:
André Azul Freitas
Congress:
CPC 2021
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.4 Interventional Cardiology - Other
Session Type:
Posters
FP Number:
---
Authors:
André Azul Freitas; Valdirene Gonçalves; James Milner; Cátia Ferreira; José Paulo Almeida; Sofia Martinho; João Rosa; Gustavo Campos; João André Ferreira; Elisabete Jorge; Marco Costa; Lino Gonçalves
Abstract
<p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">INTRODUCTION:</span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Cardiovascular diseases are the leading cause of death worldwide and the pandemic caused by coronavirus disease 2019 (COVID-19) has forced profound changes in the care of patients with cardiac conditions. In Portugal, an increase in mortality beyond that attributed solely to COVID-19 was observed. We aimed to realize how COVID-19 has changed the activity of our Interventional Cardiology Unit.</span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">METHODS</span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">We retrospectively assessed all patients submitted to any interventional procedure in 2019 and 2020. A total of 7621 patients and 9163 procedures were evaluated. The mean weekly numbers of coronarography, angioplasty, right heart catheterization and structural heart intervention during 2019 were assessed and were compared with the first COVID-19 wave (comprising March and April 2020) and the second COVID-19 wave (including the time period from October to end of December 2020).</span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">RESULTS</span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Mean age was 65.2 <span style="font-family:Symbol">±</span> 16.6 years with 72% being male. In the first COVID-19 wave there was a significant reduction in the mean weekly numbers of all procedures, with a 64% decline in coronarographies (30.9 <span style="font-family:Symbol">±</span>29.3 vs 87.2 <span style="font-family:Symbol">±</span> 12.9, P<0.001), 48% in angiographies (15.7 <span style="font-family:Symbol">±</span> 10.9 vs 30.2 <span style="font-family:Symbol">±</span> 5.7, P=0.004), 51% in right heart catheterizations (5.3 <span style="font-family:Symbol">±</span> 5.9 vs 10.9 <span style="font-family:Symbol">±</span> 4.5, P=0.002) and 57% in structural heart interventions (1.1 <span style="font-family:Symbol">±</span> 1.9 vs 2.6 <span style="font-family:Symbol">±</span> 2, P=0.044). Although there was an evident recovery in activity (figure 1), comparing to 2019, the second wave also showed a significant lower number of procedures, with 24% fewer coronarographies (66.6 <span style="font-family:Symbol">±</span> 20.6 vs 87.2 <span style="font-family:Symbol">±</span> 12.9, P=0.003) and 13% fewer angiographies (26.4 <span style="font-family:Symbol">±</span> 7.6 vs 30.2 <span style="font-family:Symbol">±</span> 5.7, P=0.004). Contrariwise, in the second wave there was no difference in the number of right heart catheterizations (7.3 <span style="font-family:Symbol">±</span> 6.1 vs 10.9 <span style="font-family:Symbol">±</span>4.5, P=0.055) or structural heart interventions (1.6 <span style="font-family:Symbol">±</span> 1.6 vs 2.6 <span style="font-family:Symbol">±</span> 2, P=0.106).</span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">CONCLUSIONS</span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">In our Interventional Cardiology Unit, COVID-19 led to a significant reduction of procedures in the first and second pandemic waves. The effect on the increase in morbidity and mortality has yet to be determined. Health authorities should focus attention in defining measures to amend the consequences of this documented activity reduction. </span></span></span></p>
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