Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal
Introduction: The COVID-19 pandemic has imposed an unprecedented burden on healthcare systems worldwide, changing the profile of interventional cardiology activity. Objectives: To quantify and compare the number of percutaneous coronary interventions (PCIs) performed for acute and chronic coronary s...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Revista Portuguesa de Cardiologia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0870255122003535 |
| _version_ | 1828070059337056256 |
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| author | Carlos Galvão Braga Pedro Araújo Gonçalves Pedro Cardoso António Fiarresga Lino Santos Ana Domingues Marco Costa Rui Ferreira José Duarte Filipe Seixo Rui Campante Teles Hélder Pereira João Carlos Silva Renato Fernandes José Baptista Pedro Braga João Costa Pedro Farto e Abreu Pedro Costa Ferreira Graça Caires Dinis Martins Paulino Sousa João Brum da Silveira |
| author_facet | Carlos Galvão Braga Pedro Araújo Gonçalves Pedro Cardoso António Fiarresga Lino Santos Ana Domingues Marco Costa Rui Ferreira José Duarte Filipe Seixo Rui Campante Teles Hélder Pereira João Carlos Silva Renato Fernandes José Baptista Pedro Braga João Costa Pedro Farto e Abreu Pedro Costa Ferreira Graça Caires Dinis Martins Paulino Sousa João Brum da Silveira |
| author_sort | Carlos Galvão Braga |
| collection | DOAJ |
| description | Introduction: The COVID-19 pandemic has imposed an unprecedented burden on healthcare systems worldwide, changing the profile of interventional cardiology activity. Objectives: To quantify and compare the number of percutaneous coronary interventions (PCIs) performed for acute and chronic coronary syndromes during the first COVID-19 outbreak with the corresponding period in previous years. Methods: Data on PCI from the prospective multicenter Portuguese Registry on Interventional Cardiology (RNCI) were used to analyze changes in PCI for ST-elevation myocardial infarction (STEMI), non-ST-elevation acute coronary syndromes (NSTE-ACS) and chronic coronary syndromes (CCS). The number of PCIs performed during the initial period of the COVID-19 outbreak in Portugal, from March 1 to May 2, 2020, was compared with the mean frequency of PCIs performed during the corresponding period in the previous three years (2017–2019). Results: The total number of PCIs procedures was significantly decreased during the initial COVID-19 outbreak in Portugal (−36%, p<0.001). The reduction in PCI procedures for STEMI, NSTE-ACS and CCS was, respectively, −25% (p<0.019), −20% (p<0.068) and −59% (p<0.001). Conclusions: Compared with the corresponding period in the previous three years, the number of PCI procedures performed for STEMI and CCS decreased markedly during the first wave of the COVID-19 pandemic in Portugal. Resumo: Introdução: A pandemia por Covid-19 causou uma sobrecarga sem precedentes sobre os sistemas de saúde a nível mundial, alterando o perfil de atividade da cardiologia de intervenção. Objetivos: Quantificar e comparar o número de intervenções coronárias percutâneas (ICP) realizadas no contexto de síndromes coronárias agudas e crónicas durante a primeira vaga de Covid-19, com o período homólogo dos anos anteriores. Métodos: Utilizou-se um registo prospetivo multicêntrico nacional, o Registo Nacional de Cardiologia de Intervenção de Intervenção Coronária Percutânea (RNCI ICP), para analisar a evolução do número de ICP realizadas por enfarte agudo do miocárdio com elevação do segmento ST (EAMcEST), síndromes coronárias agudas sem elevação do segmento ST (SCA sem elevação de ST) e síndromes coronárias crónicas (SCC). Comparou-se o número de ICP efetuadas em Portugal durante a primeira vaga de Covid-19, desde o dia 1 de março até ao dia 2 de maio, com a frequência média de ICP realizadas durante o período homólogo dos três anos anteriores (2017-2019). Resultados: O número total de ICP diminuiu significativamente durante a primeira vaga de Covid-19 em Portugal (36%, p<0,001). A redução no número de ICP no contexto de EAMcEST, SCA sem elevação do segmento ST e SCC foi, respetivamente, de −25% (p=0,019), −20% (p=0,068) e −59% (p<0,001). Conclusões: Comparando com o período homólogo dos três anos anteriores, o número de ICP realizadas no contexto de EAMcEST e SCC foi significativamente reduzido durante a primeira vaga da pandemia por Covid-19 em Portugal. |
| first_indexed | 2024-04-11T00:29:42Z |
| format | Article |
| id | doaj.art-9f13154e06c94628a101687341254913 |
| institution | Directory Open Access Journal |
| issn | 0870-2551 |
| language | English |
| last_indexed | 2024-04-11T00:29:42Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Portuguesa de Cardiologia |
| spelling | doaj.art-9f13154e06c94628a1016873412549132023-01-08T04:13:32ZengElsevierRevista Portuguesa de Cardiologia0870-25512023-01-0142116Impact of the COVID-19 pandemic on percutaneous coronary interventions in PortugalCarlos Galvão Braga0Pedro Araújo Gonçalves1Pedro Cardoso2António Fiarresga3Lino Santos4Ana Domingues5Marco Costa6Rui Ferreira7José Duarte8Filipe Seixo9Rui Campante Teles10Hélder Pereira11João Carlos Silva12Renato Fernandes13José Baptista14Pedro Braga15João Costa16Pedro Farto e Abreu17Pedro Costa Ferreira18Graça Caires19Dinis Martins20Paulino Sousa21João Brum da Silveira22Hospital de Braga, Braga, Portugal; Corresponding author.Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, PortugalCentro Hospitalar Lisboa Norte EPE, Lisboa, PortugalCentro Hospitalar de Lisboa Central EPE, Lisboa, PortugalCentro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, PortugalAssociação Portuguesa de Intervenção Cardiovascular, Lisboa, PortugalCentro Hospitalar e Universitário de Coimbra EPE, Lisboa, PortugalCentro Hospitalar de Lisboa Central EPE, Lisboa, PortugalCentro Hospitalar Lisboa Norte EPE, Lisboa, PortugalCentro Hospitalar de Setúbal EPE, Setúbal, PortugalCentro Hospitalar de Lisboa Ocidental EPE, Lisboa, PortugalGarcia de Orta Hospital: Hospital Garcia de Orta EPE, Almada, PortugalCentro Hospitalar Universitário de São João, Porto, PortugalHospital do Espírito Santo EPE, Évora, PortugalHospital Particular do Algarve, Alvor, PortugalCentro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, PortugalHospital de Braga, Braga, PortugalHospital Professor Doutor Fernando Fonseca EPE, Amadora, PortugalCentro Hospitalar Tondela Viseu, Viseu, PortugalHospital Dr. Nélio Mendonça, Funchal, PortugalHospital do Divino Espírito Santo de Ponta Delgada EPE, Ponta Delgada, PortugalCentro Hospitalar de Trás-os-Montes e Alto Douro EPE, Vila Real, PortugalCentro Hospitalar Universitário do Porto EPE, Porto, PortugalIntroduction: The COVID-19 pandemic has imposed an unprecedented burden on healthcare systems worldwide, changing the profile of interventional cardiology activity. Objectives: To quantify and compare the number of percutaneous coronary interventions (PCIs) performed for acute and chronic coronary syndromes during the first COVID-19 outbreak with the corresponding period in previous years. Methods: Data on PCI from the prospective multicenter Portuguese Registry on Interventional Cardiology (RNCI) were used to analyze changes in PCI for ST-elevation myocardial infarction (STEMI), non-ST-elevation acute coronary syndromes (NSTE-ACS) and chronic coronary syndromes (CCS). The number of PCIs performed during the initial period of the COVID-19 outbreak in Portugal, from March 1 to May 2, 2020, was compared with the mean frequency of PCIs performed during the corresponding period in the previous three years (2017–2019). Results: The total number of PCIs procedures was significantly decreased during the initial COVID-19 outbreak in Portugal (−36%, p<0.001). The reduction in PCI procedures for STEMI, NSTE-ACS and CCS was, respectively, −25% (p<0.019), −20% (p<0.068) and −59% (p<0.001). Conclusions: Compared with the corresponding period in the previous three years, the number of PCI procedures performed for STEMI and CCS decreased markedly during the first wave of the COVID-19 pandemic in Portugal. Resumo: Introdução: A pandemia por Covid-19 causou uma sobrecarga sem precedentes sobre os sistemas de saúde a nível mundial, alterando o perfil de atividade da cardiologia de intervenção. Objetivos: Quantificar e comparar o número de intervenções coronárias percutâneas (ICP) realizadas no contexto de síndromes coronárias agudas e crónicas durante a primeira vaga de Covid-19, com o período homólogo dos anos anteriores. Métodos: Utilizou-se um registo prospetivo multicêntrico nacional, o Registo Nacional de Cardiologia de Intervenção de Intervenção Coronária Percutânea (RNCI ICP), para analisar a evolução do número de ICP realizadas por enfarte agudo do miocárdio com elevação do segmento ST (EAMcEST), síndromes coronárias agudas sem elevação do segmento ST (SCA sem elevação de ST) e síndromes coronárias crónicas (SCC). Comparou-se o número de ICP efetuadas em Portugal durante a primeira vaga de Covid-19, desde o dia 1 de março até ao dia 2 de maio, com a frequência média de ICP realizadas durante o período homólogo dos três anos anteriores (2017-2019). Resultados: O número total de ICP diminuiu significativamente durante a primeira vaga de Covid-19 em Portugal (36%, p<0,001). A redução no número de ICP no contexto de EAMcEST, SCA sem elevação do segmento ST e SCC foi, respetivamente, de −25% (p=0,019), −20% (p=0,068) e −59% (p<0,001). Conclusões: Comparando com o período homólogo dos três anos anteriores, o número de ICP realizadas no contexto de EAMcEST e SCC foi significativamente reduzido durante a primeira vaga da pandemia por Covid-19 em Portugal.http://www.sciencedirect.com/science/article/pii/S0870255122003535Covid-19Intervenção coronária percutâneaSíndromes coronárias agudasSíndromes coronárias crónicas |
| spellingShingle | Carlos Galvão Braga Pedro Araújo Gonçalves Pedro Cardoso António Fiarresga Lino Santos Ana Domingues Marco Costa Rui Ferreira José Duarte Filipe Seixo Rui Campante Teles Hélder Pereira João Carlos Silva Renato Fernandes José Baptista Pedro Braga João Costa Pedro Farto e Abreu Pedro Costa Ferreira Graça Caires Dinis Martins Paulino Sousa João Brum da Silveira Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal Revista Portuguesa de Cardiologia Covid-19 Intervenção coronária percutânea Síndromes coronárias agudas Síndromes coronárias crónicas |
| title | Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
| title_full | Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
| title_fullStr | Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
| title_full_unstemmed | Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
| title_short | Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
| title_sort | impact of the covid 19 pandemic on percutaneous coronary interventions in portugal |
| topic | Covid-19 Intervenção coronária percutânea Síndromes coronárias agudas Síndromes coronárias crónicas |
| url | http://www.sciencedirect.com/science/article/pii/S0870255122003535 |
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