Abstract
To compare the number of admissions, clinical features and therapeutic outcomes of patients treated for acute ST-segment elevation myocardial infarction (STEMI), before and after the COVID-19 pandemic state of emergency in Peru. Observational analytical study of retrospective cohorts, derivated from the PEruvian Registry of ST-segment Elevation Myocardial Infarction II (PERSTEMI II). We compared the patients treated for STEMI, between 45 days before and during the first 45 days of the COVID-19 state of emergency in Peru. During the first 45 days of the COVID-19 state of emergency, the team found a 59% decrease on the number of admissions for STEMI. There was a larger proportion of patients with high blood pressure and dyslipidemia. We noticed a decreasing trend in the access to reperfusion therapies (73% vs. 66.6%); the fibrinolysis was the most commonly used therapy. The most frequent reason for no reperfusion was the late onset >24 hours (41.7%, p=0.004). There was a trend of time reduction to first medical contact and less ischemia time to reperfusion. A lower incidence of post-infarction heart failure was registered. The mortality was similar in both groups (3.4% vs. 2.7%). COVID-19 pandemic in Peru has generated a significant reduction of STEMI admissions and a trend in less use of reperfusion therapies. The late onset of patients was the most common reason of not reperfusion.
Highlights
To compare the number of admissions, clinical features and therapeutic outcomes of patients treated for acute ST-segment elevation myocardial infarction (STEMI), before and after the COVID-19 pandemic state of emergency in Peru
We compared the patients treated for STEMI, between 45 days before and during the first 45 days of the COVID-19 state of emergency in Peru
COVID-19 pandemic in Peru has generated a significant reduction of STEMI admissions and a trend in less use of reperfusion therapies
Summary
Objetivo: Comparar el número de ingresos, características clínicas y resultados terapéuticos de los Afiliaciones de los Autores: 1 Servicio de Cardiología. Pacientes atendidos por infarto de miocardio con elevación del segmento ST (IMCEST) antes y durante el estado de emergencia por COVID-19 en Perú. Se comparó los pacientes atendidos por IMCEST 45 días antes y durante los 45 días iniciales del estado de emergencia por COVID-19 en Perú. Resultados: Durante los primeros 45 días del período de emergencia se encontró una disminución del 59% en el número de ingresos por IMCEST. Conclusiones: La pandemia por COVID-19 en el Perú ha generado una disminución significativa en los Conflicto de interés: No se reporta conflicto de interés. La presentación tardía de los pacientes fue la causa más frecuente de no reperfusión. Impact of the COVID-19 pandemic on ST- elevation myocardial infarction care in Peru
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