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Acute Myocardial Infarction Mortality in Argentina During the COVID-19 Pandemic. Ministry of Health Vital Statistics Data

2023; Sociedad Argentina de Cardiología; Volume: 91; Issue: 6 Linguagem: Inglês

10.7775/rac.es.v91.i6.20708

1850-3748

Adrián Charask, Carlos Tajer, Juan Gagliardi, Yanina Castillo Costa, Heraldo D`Imperio, Flavio Delfino,

COVID-19 and Mental Health

Background: During the COVID-19 pandemic, health care centers and especially intensive care units worldwide were saturated by cases of acute respiratory failure produced by the SARS-CoV-2 virus. Social preventive and mandatory isolation (SPMI), established by law N° 27 541 since March 20, 2020, and extended by Decree N° 260/20 to December 31, 2021, determined home confinement, and during this period coronary angioplasties and central cardiac surgeries decreased. The hypothesis of our study was that during the pandemic acute myocardial infarction (AMI) increased in Argentina, as this is a time-dependent disease, mainly with out-of-hospital mortality.Objectives: The aim of this study was to evaluate general and COVID-19 mortality in the population ≥20 years during the pandemic and analyze the trend of overall and divided by age and sex AMI mortality.Methods: Vital statics published by the Ministry of Health of Argentina were analyzed, considering the pandemic period as the two SPMI years and 2019 as the pre-pandemic period. Overall and AMI gross and specific rate of mortality were considered as (number of deaths taking place in the Argentine population during 1 year / total population in the same zone at midyear) × 1000, respectively. Deaths for AMI were those contemplated in the International Classification of Diseases 10th revision (ICD-10) as I21, I22. The mortality trend was analyzed with linear trend in proportions (Chi2 for trends; significant p 85-year population. In the analysis by age the population was divided into ≥ or < 60 years.Results: During the pandemic mortality increased by 26% with respect to 2019 (p<0.001) (table). Deaths for COVID-19 were 53 222 and 84 698 for 2020 and 2021, respectively. Acute myocardial infarction mortality increased by 15%, with a greater number of deaths in the young and female population. How to cite this article: Charask A, Tajer C, Gagliardi J, Castillo Costa Y, D Imperio H, Delfino F. Acute Myocardial Infarction Mortality in Argentina During the COVID-19 Pandemic. Ministry of Health Vital Statistics Data. Rev Argent Cardiol 2023;91:389-394. http://dx.doi.org/10.7775/rac.v91.i6.20708