Impact on mortality after implementation of a network for ST-segment elevation myocardial infarction care. The IPHENAMIC study

Impact of COVID-19 outbreak and public lockdown on ST-segment elevation myocardial infarction care in Spain

“…Herein, it was sought to describe the impact of the COVID-19 outbreak on STEMI care at a tertiary level hospital with a 700,000-person reference population area in Coruña, a city in the Northwest of Spain. The hospital had offered 24/7 pPCI with a well-established network since 2005 [5], and was maintaining the pPCI system during the pandemic time. Patients with STEMI were included and were admitted via the Emergency Department (ED), the Emergency Medical System (EMS) and non-PCI centers undergoing pPCI during the first 6 weeks of the public lockdown period, i.e.…”

ST-segment elevation myocardial infarction in times of COVID-19: back to the last century? A call for attention

“…1 Reperfusion strategies in patients with STEMI are timedependent and should ideally be implanted within the first 2 hours after the onset of symptoms. 2,3 The ongoing outbreak of coronavirus disease 2019 (COVID-19) has become a global pandemic. On 31 January, 2020, Spain confirmed its first COVID-19 case and since then the number of cases has increased exponentially.…”

“…1 International HTx guidelines thus consider PH to be a relative contraindication for this procedure. 2 PH is defined by systolic pulmonary artery pressure > 50 mmHg, transpulmonary gradient > 12 mmHg, pulmonary vascular resistance > 3 Wood units despite optimal medical therapy, and irreversibility following a vasodilator challenge.…”

Infarto agudo de miocardio con elevación del segmento ST en tiempos de COVID-19: ¿regreso al siglo pasado? Una llamada de atención

“…En el siglo pasado se estableció claramente que un diagnó stico temprano y un tratamiento de reperfusió n inmediato mediante una intervenció n coronaria percutá nea primaria son las formas má s eficaces de mejorar los resultados generales al reducir el riesgo de complicaciones tras el IAMCEST, incluidas las mecá nicas 1 . Las estrategias de reperfusió n para los pacientes con IAMCEST dependen del tiempo, y lo ideal es que el implante se realice en las 2 h siguientes al inicio de los síntomas 2,3 .…”