An international survey in Latin America on the practice of interventional cardiology during the COVID-19 pandemic, with a particular focus on myocardial infarction

STEMI Working Group of Stent-Save a Life! LATAM and SOLACI (Latin American Society of Interventional Cardiology)

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Introduction: A reduction in the number of interventional cardiology procedures has emerged as a result of the COVID-19 pandemic. A survey was performed to quantify this decrease and the impact on the management of myocardial infarction in Latin America. Methods: A telematic survey was conducted for all countries in Latin America. Diagnostic catheterisations, coronary and structural interventions, as well as the incidence and delay to reperfusion therapy of myocardial infarction (STEMI), were recorded. Two periods were compared: from 24 February to 8 March 2020 (pre-COVID-19) and another 2‑week period that varied according to country (COVID-19). Results: Responses were obtained from 79 centres in 20 countries. There was a significant decrease in the number of diagnostic procedures (−65.2%), coronary interventions (−59.4%), structural therapeutics (−86.1%) and STEMI care (−51.2%). A decrease was noted in the incidence of STEMI, but also a delay in the time to STEMI reperfusion. While there was a variation in activity in interventional cardiology between countries, patient behaviour was rather homogeneous. Conclusions: A significant reduction in healthcare activity has been noted during the COVID-19 pandemic, including STEMI care, with the risk of increased mortality and/or morbidity following STEMI. Healthcare providers should encourage patients with suspected symptoms of STEMI to call for emergency care to ensure rapid diagnosis and timely reperfusion treatment.

Original languageEnglish
Pages (from-to)424-430
Number of pages7
JournalNetherlands Heart Journal
Volume28
Issue number7-8
DOIs
StatePublished - 1 Jul 2020

Bibliographical note

Funding Information:
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The work of researchers was performed on an honorary basis. The Google Forms survey format is free to use. Jorge Mayol; Carolina Artucio; Ignacio Batista; Angel Puentes; John Gough; Luis Urna; Jorge Villegas; Luis Guti?rrez Jaikel; Ronald Aroche; Ricardo Quizpe; Marco Fuentes; Hector Mora; Francisco Somoza; Patricio Ortiz; Daniel Meneses; Alfaro Marchena; Victor Rojas; Cesar Conde; Aramis Gomez; Pedro Hidalgo; Jose Mangione; Jorge Belardi

Publisher Copyright:
© 2020, The Author(s).

Keywords

  • COVID-19
  • Percutaneous coronary intervention
  • ST-elevation myocardial infarction
  • Telematic survey

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