STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study
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 s...
Gespeichert in:
Veröffentlicht in: | COVID 2022-09, Vol.2 (9), p.1232-1243 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1243 |
---|---|
container_issue | 9 |
container_start_page | 1232 |
container_title | COVID |
container_volume | 2 |
creator | Sinkovič, Andreja Kraševec, Manja Šuran, David Marinšek, Martin |
description | 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. |
doi_str_mv | 10.3390/covid2090090 |
format | Article |
fullrecord | <record><control><sourceid>crossref</sourceid><recordid>TN_cdi_crossref_primary_10_3390_covid2090090</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_3390_covid2090090</sourcerecordid><originalsourceid>FETCH-LOGICAL-c273t-4e149181f723c760cb2fe5f75bcea707d0bea3de4ede30331e6bf758bfba1f803</originalsourceid><addsrcrecordid>eNpNkM1KAzEUhYMoWGp3PkAeoKP5aZuZZRlbLVQrTtXlkEluNDKdKUkc6M5HcOET-iSm6qJw4Vz4OPdcDkLnlFxwnpFL1XZWM5KROEeoxyaCJyml7PhgP0UD798IISwVnGWshz6L9ex2ge9lsNAEj22DwyvguXU-YNloXIBqozzLDjxuzS_NV0-Lq4Rm0dZo2Fi1t921LjIZbUXddtBY-f3xNcUPEFzrt6CC7WCIC9u81JDkMQwcXlUeXBez20bWuAjveneGToysPQz-tY8e57N1fpMsV9eLfLpMFBM8JCOgo4ym1AjGlZgQVTEDYyPGlQIpiNCkAsk1jEADJ5xTmFSRppWpJDUp4X00_Lur4nvegSm3zm6k25WUlPtCy8NC-Q-Vnmv0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Directory of Open Access Journals(OpenAccess)</source><source>Free E-Journal (出版社公開部分のみ)</source><creator>Sinkovič, Andreja ; Kraševec, Manja ; Šuran, David ; Marinšek, Martin</creator><creatorcontrib>Sinkovič, Andreja ; Kraševec, Manja ; Šuran, David ; Marinšek, Martin</creatorcontrib><description>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.</description><identifier>ISSN: 2673-8112</identifier><identifier>EISSN: 2673-8112</identifier><identifier>DOI: 10.3390/covid2090090</identifier><language>eng</language><ispartof>COVID, 2022-09, Vol.2 (9), p.1232-1243</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c273t-4e149181f723c760cb2fe5f75bcea707d0bea3de4ede30331e6bf758bfba1f803</citedby><cites>FETCH-LOGICAL-c273t-4e149181f723c760cb2fe5f75bcea707d0bea3de4ede30331e6bf758bfba1f803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Sinkovič, Andreja</creatorcontrib><creatorcontrib>Kraševec, Manja</creatorcontrib><creatorcontrib>Šuran, David</creatorcontrib><creatorcontrib>Marinšek, Martin</creatorcontrib><title>STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study</title><title>COVID</title><description>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.</description><issn>2673-8112</issn><issn>2673-8112</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpNkM1KAzEUhYMoWGp3PkAeoKP5aZuZZRlbLVQrTtXlkEluNDKdKUkc6M5HcOET-iSm6qJw4Vz4OPdcDkLnlFxwnpFL1XZWM5KROEeoxyaCJyml7PhgP0UD798IISwVnGWshz6L9ex2ge9lsNAEj22DwyvguXU-YNloXIBqozzLDjxuzS_NV0-Lq4Rm0dZo2Fi1t921LjIZbUXddtBY-f3xNcUPEFzrt6CC7WCIC9u81JDkMQwcXlUeXBez20bWuAjveneGToysPQz-tY8e57N1fpMsV9eLfLpMFBM8JCOgo4ym1AjGlZgQVTEDYyPGlQIpiNCkAsk1jEADJ5xTmFSRppWpJDUp4X00_Lur4nvegSm3zm6k25WUlPtCy8NC-Q-Vnmv0</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Sinkovič, Andreja</creator><creator>Kraševec, Manja</creator><creator>Šuran, David</creator><creator>Marinšek, Martin</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20220901</creationdate><title>STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study</title><author>Sinkovič, Andreja ; Kraševec, Manja ; Šuran, David ; Marinšek, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-4e149181f723c760cb2fe5f75bcea707d0bea3de4ede30331e6bf758bfba1f803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sinkovič, Andreja</creatorcontrib><creatorcontrib>Kraševec, Manja</creatorcontrib><creatorcontrib>Šuran, David</creatorcontrib><creatorcontrib>Marinšek, Martin</creatorcontrib><collection>CrossRef</collection><jtitle>COVID</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sinkovič, Andreja</au><au>Kraševec, Manja</au><au>Šuran, David</au><au>Marinšek, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study</atitle><jtitle>COVID</jtitle><date>2022-09-01</date><risdate>2022</risdate><volume>2</volume><issue>9</issue><spage>1232</spage><epage>1243</epage><pages>1232-1243</pages><issn>2673-8112</issn><eissn>2673-8112</eissn><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.</abstract><doi>10.3390/covid2090090</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2673-8112 |
ispartof | COVID, 2022-09, Vol.2 (9), p.1232-1243 |
issn | 2673-8112 2673-8112 |
language | eng |
recordid | cdi_crossref_primary_10_3390_covid2090090 |
source | MDPI - Multidisciplinary Digital Publishing Institute; Directory of Open Access Journals(OpenAccess); Free E-Journal (出版社公開部分のみ) |
title | STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T05%3A21%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-crossref&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=STEMI%20Patients%20in%20the%20First%20and%20Second%20Waves%20of%20the%20COVID-19%20Pandemic%20in%20Northeast%20Slovenia%E2%80%94A%20Retrospective,%20Single-Center%20Observational%20Study&rft.jtitle=COVID&rft.au=Sinkovi%C4%8D,%20Andreja&rft.date=2022-09-01&rft.volume=2&rft.issue=9&rft.spage=1232&rft.epage=1243&rft.pages=1232-1243&rft.issn=2673-8112&rft.eissn=2673-8112&rft_id=info:doi/10.3390/covid2090090&rft_dat=%3Ccrossref%3E10_3390_covid2090090%3C/crossref%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |