1. Characteristics and hospital course of patients admitted for acute cardiovascular diseases during the coronavirus disease-19 outbreak
- Author
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Sabino Iliceto, Riccardo Vio, Giulia Famoso, Carolina Montonati, Giulio Sinigiani, Carlo M Dellino, Marco Gallucci, Luciano Babuin, Riccardo Vianello, Alessia Giannattasio, Luisa Cacciavillani, Diana Lupasco, Alessandro Zorzi, Alberto Ravagnin, Andrea S Giordani, Chiara Condello, Gianpaolo Torreggiani, Luca Licchelli, Federico Migliore, Pasquale Valerio Falzone, Petra Deola, and Francesco Rivezzi
- Subjects
Male ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,medicine.medical_treatment ,Disease ,030204 cardiovascular system & hematology ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Clinical endpoint ,Humans ,030212 general & internal medicine ,Myocardial infarction ,Hospitals, Teaching ,Pandemics ,Coronavirus ,Aged ,Aged, 80 and over ,Heart Failure ,business.industry ,Outbreak ,COVID-19 ,Arrhythmias, Cardiac ,General Medicine ,Middle Aged ,medicine.disease ,Hospitalization ,Italy ,Ventricular assist device ,Heart failure ,Acute Disease ,ST Elevation Myocardial Infarction ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
INTRODUCTION: During the coronavirus disease-19 (COVID-19) outbreak in spring 2020, people may have been reluctant to seek medical care fearing infection. We aimed to assess the number, characteristics and in-hospital course of patients admitted for acute cardiovascular diseases during the COVID-19 outbreak. METHODS: We enrolled all consecutive patients admitted urgently for acute myocardial infarction, heart failure or arrhythmias from 1 March to 31 May 2020 (outbreak period) and 2019 (control period). We evaluated the time from symptoms onset to presentation, clinical conditions at admission, length of hospitalization, in-hospital medical procedures and outcome. The combined primary end point included in-hospital death for cardiovascular causes, urgent heart transplant or discharge with a ventricular assist device. RESULTS: A similar number of admissions were observed in 2020 (Nâ=â210) compared with 2019 (Nâ=â207). Baseline characteristics of patients were also similar. In 2020, a significantly higher number of patients presented more than 6âh after symptoms onset (57 versus 38%, Pâ
- Published
- 2020