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Impact of COVID-19 outbreak on patients with ST-segment elevation myocardial infarction (STEMI) in Turkey: results from TURSER study (TURKISH St-segment elevation myocardial infarction registry)

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Date

2021

Author

Kiris, Tuncay
Avcı, Eyüp
Ekin, Tuba
Akgün, Didar Elif
Tiryaki, Mücahit
Yidirim, Arafat
Hazır, Kutluhan
Murat, Bektaş
Yeni, Mehtap
Altındağ, Rojhad
Gül, Sefa
Arık, Baran
Güzel, Tuncay
Murat, Selda
Öz, Ahmet
Karabacak, Mustafa
Aktaş, Zihni
Yıldırım, Tarık
Kılıçaslan, Barış
Ergene, Asim Oktay

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Citation

Kiris, T., Avcı, E., Ekin, T., Akgün, D.E., Tiryaki, M., Yidirim, A. ve diğerleri. (2021). Impact of COVID-19 outbreak on patients with ST-segment elevation myocardial infarction (STEMI) in Turkey: results from TURSER study (TURKISH St-segment elevation myocardial infarction registry). Journal of Thrombosis and Thrombolysis, Early access. 1-14.

Abstract

Objective We aimed to investigate both the impact of COVID-19 pandemic on ST-segment elevation myocardial infarction (STEMI) admission, and demographic, angiographic, procedural characteristics, and in-hospital clinical outcomes of patients with COVID-19 positive STEMI in Turkey. Methods This was a multi-center and cross-sectional observational study. The study population included 1788 STEMI patients from 15 centers in Turkey. The patients were divided into two groups: COVID-19 era (March 11st–May 15st, 2020; n=733) or pre- COVID-19 era group (March 11st–May 15st, 2019; n=1055). Also, the patients in COVID-19 era were grouped as COVID-19 positive (n=65) or negative (n=668). Results There was a 30.5% drop in STEMI admission during COVID-19 era in comparison to pre-COVID-19 era. The patients admitted to the medical centers during COVID-19 era had a longer symptom-to-frst medical contact time [120 (75–240) vs. 100 (60–180) minutes, p<0.001]. COVID-19 positive STEMI patients had higher thrombus grade and lower left ventricular ejection fraction compared to COVID-19 negative patients. COVID-19 positive patients had higher mortality (28% vs. 6%, p<0.001) and cardiogenic shock (20% vs. 7%, p<0.001) rates compared with those without COVID-19. Matching based on propensity scores showed higher mortality and high thrombus grade in STEMI patients who were infected by SARS-COV-2 (each p<0.05). Conclusions We detected signifcantly lower STEMI hospitalization rates and signifcant delay in duration of symptom onset to frst medical contact in the context of Turkey during the COVID-19 outbreak. Moreover, high thrombus grade and mortality were more common in COVID-19 positive STEMI patients.

Source

Journal of Thrombosis and Thrombolysis

Volume

Early Access

URI

https://link.springer.com/content/pdf/10.1007/s11239-021-02487-3.pdf
https://hdl.handle.net/11468/7113

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