Κατεύθυνση Αναζωογόνηση
Library of the School of Health Sciences

2024-10-21

2024

Archontikis Alexandros

Θεόδωρος Ξάνθος, Καθηγητής, Τμήμα Μαιευτικής, ΠΑΔΑ
Eκμεκτζόγλου Κωνσταντίνος, Επίκουρος Καθηγητής, Τμήμα Ιατρικής, Ευρωπαϊκό Πανεπιστήμιο Κύπρου
Ιακωβίδου Νικολέττα, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Η σχέση μεταξύ της πανδημίας COVID-19 και οξέος εμφράγματος του μυοκαρδίου STEMI και NSTEMI στους COVID-19 αρνητικούς ασθενείς

Greek

Correlation between COVID-19 pandemic and acute myocardial infarction STEMI and NSTEMI in patients with no COVID-19 infection

Introduction: The COVID-19 pandemic at the beginning of the 21st century placed a significant burden on health systems worldwide, as they had to make major changes to cope with it. Among other collateral losses, the impact of the pandemic became evident in the care of cardiac patients.
Aim: We studied the epidemiology of acute myocardial infarction (with or without ST-segment elevation) in a tertiary center of the greater Athens area during and after the Covid-19 pandemic, with emphasis on demographic characteristics, and on ultrasound and coronary angiography data, compared to the corresponding pre-pandemic period.
Methodology/ Results: This is a retrospective study of patients hospitalized with a diagnosis of acute myocardial infarction (with or without ST-segment elevation) at the Cardiology Clinic of the General Hospital of Piraeus "Tzaneio" during the period February 2019 - January 2022 (n=965 patients), and studied in 3 equal 12-month intervals. Compared to the 1st interval (control period, pre-pandemic Covid-19), during the 2nd interval (during pandemic Covid-19) there was a numerical but not statistically significant decrease in the number of patients admitted (n2=311 vs n1=357, p=0.095). In contrast, during the third study period (post-pandemic) a statistically significant decrease in admissions was recorded (n3=297 vs n1=357, p=0.025), while more patients during this period had a history of myocardial infarction compared to the control period (22.2% patients vs 14.9% patients, p=0.016). Regarding left ventricular systolic function as assessed ultrasonographically, there was no significant difference in the left ventricular ejection fraction of patients, however, greater wall motility disturbances were recorded in the 3rd interval compared to the control period. From coronary angiography, hemodynamically significant lesions in the anterior cationic branch were also detected more frequently in the post-pandemic period (64.3% versus 51.5% of patients in the control period, p-value = 0.002).
Conclusions: In our population, there was a decrease in admissions due to acute myocardial infarction mainly in the period following the pandemic.During this period, more significant ultrasound findings and more extensive coronary artery disease were also observed compared to the pre-pandemic period.Our findings provide important insights into the epidemiology of coronary artery disease, particularly during the poorly studied post-pandemic period.

Health Sciences

Acute myocardial infarction, Coronary artery disease, Covid-19, Coronavirus, Pandemic

No

0

Yes

323

141

File access is restricted until 2025-04-22.

https://pergamos.lib.uoa.gr/uoa/dl/object/3420147