Clinical Characteristics and In-Hospital Outcomes of STEMI Patients Admitted during the SARS-CoV-2 Pandemic – an Observational Comparative Study

Baumhardt, Michael; Rattka, Manuel; Dreyhaupt, Jens; Thiessen, Kevin; Markovic, Sinisa; Buckert, Dominik; Mörike, Johannes; Lm, Schneider; Gonska, Bernd–Dieter; Scharnbeck, D; Pott, Alexander; Kessler, Michèle; Dahme, Tilman; Rottbauer, Wolfgang; Imhof, Armin

doi:10.26502/fccm.92920196

Cited by 3 publications

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“…A key finding of our study was that patients with at least one worsening CAD symptom since March 2020—compared to patients without worsening of symptoms—consulted a doctor less often despite having CAD symptoms to avoid the risk of infection with COVID-19. Our findings are in line with clinical data reporting increased severe AMI cases since the outbreak of the pandemic, suggesting a delayed treatment-seeking in patients ( 6 , 8 , 9 , 55 ). In other patient groups, worse health outcomes due to delayed medical care utilization have also been observed ( 56 – 58 ).…”

Section: Discussionsupporting

confidence: 91%

“…Clinical data showed that hospital admissions for AMI decreased since the outbreak of the COVID-19 pandemic in Germany ( 3 , 6 , 7 ). However, an increase in severe AMI cases with higher troponin levels, mortality, major cardiac complications, and a critical time delay from onset of symptoms to first medical contact has been observed compared to pre-pandemic times ( 6 , 8 , 9 ). Importantly, over 50% of these AMI patients reported a pre-existing CAD.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

et al. 2021

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The COVID-19 pandemic affected regular health care for patients with chronic diseases. However, the impact of the pandemic on primary care for patients with coronary artery disease (CAD) who are enrolled in a structured disease management program (DMP) in Germany is not clear. We investigated whether the pandemic affected primary care and health outcomes of DMP-CAD patients (n = 750) by using a questionnaire assessing patients' utilization of medical care, CAD symptoms, as well as health behavior and mental health since March 2020. We found that out of concern about getting infected with COVID-19, 9.1% of the patients did not consult a medical practitioner despite having CAD symptoms. Perceived own influence on infection risk was lower and anxiety was higher in these patients compared to symptomatic CAD patients who consulted a physician. Among the patients who reported chest pain lasting longer than 30 min, one third did not consult a medical practitioner subsequently. These patients were generally more worried about COVID-19. Patients with at least one worsening CAD symptom (chest pain, dyspnea, perspiration, or nausea without apparent reason) since the pandemic showed more depressive symptoms, higher anxiety scores, and were less likely to consult a doctor despite having CAD symptoms out of fear of infection. Our results provide evidence that the majority of patients received sufficient medical care during the COVID-19 pandemic in Germany. However, one in ten patients could be considered particularly at risk for medical undersupply and adverse health outcomes. The perceived infection risk with COVID-19 might have facilitated the decision not to consult a medical doctor.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

et al. 2021

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The Effect of the Lockdown on Patients With Myocardial Infarction During the COVID-19 Pandemic

Baumhardt

Dreyhaupt²,

Winsauer³

et al. 2021

Deutsches Ärzteblatt International

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STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study

Sinkovič

Krasevec

Suran

et al. 2022

COVID

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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.

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Clinical Characteristics and In-Hospital Outcomes of STEMI Patients Admitted during the SARS-CoV-2 Pandemic – an Observational Comparative Study

Cited by 3 publications

References 0 publications

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

The Effect of the Lockdown on Patients With Myocardial Infarction During the COVID-19 Pandemic

STEMI Patients in the First and Second Waves of the COVID-19 Pandemic in Northeast Slovenia—A Retrospective, Single-Center Observational Study

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