Incidencia, morbimortalidad y tratamiento del síndrome coronario agudo durante el confinamiento por COVID-19

  1. Julio César Echarte Morales 1
  2. Carlos Minguito Carazo 1
  3. Pedro L. Cepas Guillén 2
  4. Víctor Vallejo García 3
  5. Dolores Poveda Pinedo 4
  6. Eduardo Martínez Gómez 5
  7. Enrique Sánchez Muñoz 1
  8. María López Benito 1
  9. Anthony Salazar Rodríguez 2
  10. Ignacio Cruz González 3
  11. Emilio Arbas Redondo 4
  12. Tomás Benito González 1
  13. Joan Guzmán Bofarull 2
  14. Daniel Tébar Márquez 4
  15. Ana Viana Tejedor 5
  16. Pedro Luis Sánchez Fernández 3
  17. Manel Sabaté Tenas 2
  18. Felipe Fernández Vázquez 1
  1. 1 Servicio de Cardiología, Complejo Asistencial Universitario de León, León, España
  2. 2 Servicio de Cardiología, Instituto Cardiovascular, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, España
  3. 3 Servicio de Cardiología, Hospital Clínico de Salamanca, Salamanca, España
  4. 4 Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
  5. 5 Servicio de Cardiología, Hospital Clínico San Carlos, Madrid, España
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Journal:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Year of publication: 2022

Volume: 4

Issue: 3

Pages: 186-192

Type: Article

DOI: 10.24875/RECIC.M22000267 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: REC: Interventional Cardiology

Abstract

Introduction and objectives: During the lockdown due to the pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a decrease in the number of admissions due to acute coronary syndrome (ACS) was observed. The objective of our study was to evaluate the impact lockdown had on the incidence, morbidity and mortality, and management of ACS. Methods: A retrospective and multicenter study was conducted including patients admitted due to ACS from February 14 through June 24, 2020. Patients with acute myocardial infarction and coronary arteries without significant lesions were excluded. The following groups were established based on the period of admission: a) 1 month before lockdown; b) during lockdown; and c) 1 month after lockdown. The differences in mortality seen among the 3 groups were evaluated, as well as the temporal differences reported between symptom onset and the first medical contact (FMC). Results: a total of 634 patients were included (group a, 205; group b, 303, and group c, 126). A 41% decrease in the number of admissions due to ACS was observed during the first month of lockdown compared to the previous month, as well as diagnostic delay during this same period (group a, 66 minutes (45-180), group b, 120 minutes (60-240), and group c, 120 minutes (60-240), P = .007). However, a higher mortality rate during confinement was not reported (RR, 1.26; 95%CI, 0.53-2.97; P = .60). Conclusions: During lockdown, a remarkable decrease in the number of admissions due to ACS was observed, and although there was an increase in the time elapsed from symptom onset to the FCM in this period in patients with STEMI, the mortality rate was similar in the 3 groups studied.

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