Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

STEMI Patients in the First and Second Wave of Covid-19 Pandemic in Northeast Slovenia – A Retrospective, Single Center Observational Study

Version 1 : Received: 10 July 2022 / Approved: 12 July 2022 / Online: 12 July 2022 (03:33:22 CEST)

How to cite: Sinkovic, A.; Krasevec, M.; Šuran, D.; Marinšek, M. STEMI Patients in the First and Second Wave of Covid-19 Pandemic in Northeast Slovenia – A Retrospective, Single Center Observational Study. Preprints 2022, 2022070164. https://doi.org/10.20944/preprints202207.0164.v1 Sinkovic, A.; Krasevec, M.; Šuran, D.; Marinšek, M. STEMI Patients in the First and Second Wave of Covid-19 Pandemic in Northeast Slovenia – A Retrospective, Single Center Observational Study. Preprints 2022, 2022070164. https://doi.org/10.20944/preprints202207.0164.v1

Abstract

Covid-19 pandemic affected outcome in ST-elevation myocardial infarction (STEMI) patients in majority of countries. We aimed to assess retrospectively admissions, treatments, complications and mortality of STEMI patients in the northeast of Slovenia in the first (March-May 2020) and the second wave (October-December 2020) of Covid-19 pandemic and compare them with the data from 2019 (March-October). Comparing 2019 and both waves of Covid-19 pandemic we observed nonsignificant differences in the number of STEMI admissions, in baseline characteristics, in the use of primary percutaneous coronary intervention (PCI), either within the first 3 (40.5%* vs 30.2% vs 25%*, *p = 0.074) and 6 hours, nonsignificant differences in TIMI III flow after primary PCI and in hospital complications, except for significant increase 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 with nonsignificant increase in hospital mortality (8.9% vs 9.4% vs 13.6%) in both waves of the pandemic. We conclude, that with increased severity of Covid-19 pandemic in the second wave there was a longer delay to primary PCI in STEMI patients, resulting in significantly increased hospital heart failure and nonsignificantly increased hospital mortality

Keywords

ST-elevation myocardial infarction; Covid-19 pandemic; time delay; primary percutaneous cor-onary intervention; heart failure; mortality

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.