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30-06-2020 | Original Article | Uitgave 7-8/2020 Open Access

Netherlands Heart Journal 7-8/2020

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

Tijdschrift:
Netherlands Heart Journal > Uitgave 7-8/2020
Auteurs:
J. Mayol, C. Artucio, I. Batista, A. Puentes, J. Villegas, R Quizpe, V. Rojas, J. Mangione, J. Belardi, STEMI Working Group of Stent-Save a Life! LATAM and SOLACI (Latin American Society of Interventional Cardiology)
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s12471-020-01440-y) contains supplementary material which is available to authorized users.
The members of the STEMI Working Group of Stent-Save a Life! LATAM/SOLACI (Latin American Society of Interventional Cardiology) are listed in the Acknowledgements. A more detailed version can be found in the Electronic Supplementary Material.

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.

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