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Decrease and Delay in Hospitalization for Acute Coronary Syndromes During the 2020 SARS-CoV-2 Pandemic

2020; Elsevier BV; Volume: 36; Issue: 7 Linguagem: Francês

10.1016/j.cjca.2020.05.023

1916-7075

Gioel Gabrio Secco, Chiara Zocchi, Rosario Parisi, Annalisa Roveta, Francesca Mirabella, Matteo Vercellino, Gianfranco Pistis, M Reale, Silvia Maggio, Andrea Audo, Daniela Kozel, Giacomo Centini, Antonio Maconi, Carlo Di Mario,

Climate Change and Health Impacts

The diffusion of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) forced the Italian population to restrictive measures that modified patients' responses to non-SARS-CoV-2 medical conditions. We evaluated all patients with acute coronary syndromes admitted in 3 high-volume hospitals during the first month of SARS-CoV-2 Italian-outbreak and compared them with patients with ACS admitted during the same period 1 year before. Hospitalization for ACS decreased from 162 patients in 2019 to 84 patients in 2020. In 2020, both door-to-balloon and symptoms-to-percutaneous coronary intervention were longer, and admission levels of high-sensitive cardiac troponin I were higher. They had a lower discharged residual left-ventricular function and an increased predicted late cardiovascular mortality based on their Global Registry of Acute Coronary Events (GRACE) scores.