Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Acute Myocardial Infarction during COVID-19 Era: Patient characteristics, presentation and outcomes
Session:
Comunicações Orais (Sessão 2) - DAC e Cuidados Intensivos 1: Síndromes Coronárias Agudas
Speaker:
Catarina Amaral Marques
Congress:
CPC 2022
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.6 Acute Coronary Syndromes - Clinical
Session Type:
Comunicações Orais
FP Number:
---
Authors:
Catarina Amaral Marques; André Cabrita; Paulo Maia Araújo; Sofia Torres; Tânia Proença; Ricardo Pinto; Miguel Carvalho; Catarina Costa; Filipa Amador; João Calvão; Ana Pinho; Cátia Santos; Luís Santos; Cristina Cruz; Filipe Macedo
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Background: </span></strong><span style="color:black">COVID-19 pandemic has been associated with a negative impact on care of acute myocardial infarction (AMI) patients (pts). Despite that, impact on pts characteristics, presentation, treatment and in-hospital outcomes are not well established. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Methods:</span></strong><span style="color:black"> Prospective study of pts admitted in a tertiary hospital due to type-1 AMI. Pts were consecutively enrolled during a 6-month period in 2021 (n=196) and during a similar period of time in 2019 (n=122). Data was based on a pts well-structured interview within 48h after admission and review of medical records. Data collected in these 2 periods allowed us to compare AMI pts during pre-COVID-19 (PC) vs late-COVID-19 (C) pandemic times.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Results:</span></strong></span></span></span><strong><span style="color:black"> </span></strong><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">Age and gender distribution was similar between groups (</span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">C: 62</span><span style="color:#000000; font-family:Symbol; font-size:11pt"><span style="color:black">±</span></span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">13 years/78% males; PC: 64</span><span style="color:#000000; font-family:Symbol; font-size:11pt"><span style="color:black">±</span></span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">13 years/76% males), as well as ST/Non-ST-Elevation Myocardial Infarction (STEMI/NSTEMI) proportion (C: 51%/49%; PC: 55%/45%). C pts presented more cardiovascular (CV) comorbidities (43% vs 30%; p=0,03). A typical chest pain was described more often by C pts (94% vs 84%; p=0,002) with a higher level of pain intensity (0-10 </span><span style="color:#000000; font-family:Calibri,sans-serif"><span style="font-size:11pt">scale) reported (</span></span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">8</span><span style="color:#000000; font-family:Symbol; font-size:11pt"><span style="color:black">±</span></span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">2 vs 7</span><span style="color:#000000; font-family:Symbol; font-size:11pt"><span style="color:black">±</span></span><span style="color:black; font-family:Calibri,sans-serif; font-size:11pt">2; p=0,02). Coronariography (C: 97%, PC: 96%) and revascularization (C: 80%, PC: 81%) were equally performed. C pts presented more AMI-complications (27% vs 15%; p=0,01) and a worse Killip (K) class (K</span><em>>/=</em><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><span style="color:black">2: 22% C vs 13% PC pts; p=0,05). In-hospital mortality (C: 2%, PC: 1%; p=0,7), cardiac arrest (C: 4%, PC: 1%; p=0,3) and length of hospital stay (</span><span style="color:black">C: 5</span><span style="font-family:Symbol"><span style="color:black">±</span></span><span style="color:black">5 days (d); PC: 6</span><span style="font-family:Symbol"><span style="color:black">±</span></span><span style="color:black">5d) were not significantly different. Significant differences were found in the type of first healthcare facility contacted by pts (figure 1; p<0,001), as well as means of transport used (figure 1; p<0,001). Nevertheless, differences regarding activation of emergency medical services (C: 54%, PC: 50%; p=0,5) or time to first medical contact (</span><span style="color:black">C: 116</span><span style="font-family:Symbol"><span style="color:black">±</span></span><span style="color:black">229 minutes (min); PC: 110</span><span style="font-family:Symbol"><span style="color:black">±</span></span><span style="color:black">311 min; p=0,3) were not found.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Conclusion: </span></strong><span style="color:black">COVID-19 pts presenting with AMI showed a significant worse in-hospital outcomes in our study. Also, these pts had a higher burden of CV disease and a more typical and intense symptom presentation. Therefore, it can be hypothesized that “sicker” pts continued to look for help when presenting AMI symptoms, while "healthier" pts and the ones with less typical and intense symptoms possibly avoided contact with health care services during COVID-19 pandemic. Finally, it is worth noting</span></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><span style="color:black"> a more frequent recurrence to public emergency department rather than to private or primary health care services during pandemic times.</span></span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site