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Impact of diabetes in patients waiting for invasive cardiac procedures during COVID-19 pandemic

Authors :
Raúl Moreno
José-Luis Díez
José-Antonio Diarte
Pablo Salinas
José María de la Torre Hernández
Juan F. Andres-Cordón
Ramiro Trillo
Juan Alonso Briales
Ignacio Amat-Santos
Rafael Romaguera
José-Francisco Díaz
Beatriz Vaquerizo
Soledad Ojeda
Ignacio Cruz-González
Daniel Morena-Salas
Armando Pérez de Prado
Fernando Sarnago
Pilar Portero
Alejandro Gutierrez-Barrios
Fernando Alfonso
Eduard Bosch
Eduardo Pinar
José-Ramón Ruiz-Arroyo
Valeriano Ruiz-Quevedo
Jesús Jiménez-Mazuecos
Fernando Lozano
José-Ramón Rumoroso
Enrique Novo
Francisco J. Irazusta
Bruno García del Blanco
José Moreu
Sara M. Ballesteros-Pradas
Araceli Frutos
Manuel Villa
Eduardo Alegría-Barrero
Rosa Lázaro
Emilio Paredes
Source :
Cardiovascular Diabetology, Vol 20, Iss 1, Pp 1-10 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background During COVID-19 pandemic, elective invasive cardiac procedures (ICP) have been frequently cancelled or postponed. Consequences may be more evident in patients with diabetes. Objectives The objective was to identify the peculiarities of patients with DM among those in whom ICP were cancelled or postponed due to the COVID-19 pandemic, as well as to identify subgroups in which the influence of DM has higher impact on the clinical outcome. Methods We included 2,158 patients in whom an elective ICP was cancelled or postponed during COVID-19 pandemic in 37 hospitals in Spain. Among them, 700 (32.4%) were diabetics. Patients with and without diabetes were compared. Results Patients with diabetes were older and had a higher prevalence of other cardiovascular risk factors, previous cardiovascular history and co-morbidities. Diabetics had a higher mortality (3.0% vs. 1.0%; p = 0.001) and cardiovascular mortality (1.9% vs. 0.4%; p = 0.001). Differences were especially important in patients with valvular heart disease (mortality 6.9% vs 1.7% [p

Details

Language :
English
ISSN :
14752840
Volume :
20
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Cardiovascular Diabetology
Publication Type :
Academic Journal
Accession number :
edsdoj.33d3f7afd2de45b08eb312847132bd25
Document Type :
article
Full Text :
https://doi.org/10.1186/s12933-021-01261-2