Impact of the COVID-19 pandemic on percutaneous coronary interventions in Portugal |
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| Affiliation: | 1. Hospital de Braga, Braga, Portugal;2. Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal;3. Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal;4. Associação Portuguesa de Intervenção Cardiovascular, Lisboa, Portugal;5. Centro Hospitalar e Universitário de Coimbra EPE, Lisboa, Portugal;6. Centro Hospitalar Lisboa Norte EPE, Lisboa, Portugal;7. Centro Hospitalar de Setúbal EPE, Setúbal, Portugal;8. Garcia de Orta Hospital: Hospital Garcia de Orta EPE, Almada, Portugal;9. Centro Hospitalar Universitário de São João, Porto, Portugal;10. Hospital do Espírito Santo EPE, Évora, Portugal;11. Hospital Particular do Algarve, Alvor, Portugal;13. Hospital Professor Doutor Fernando Fonseca EPE, Amadora, Portugal;14. Centro Hospitalar Tondela Viseu, Viseu, Portugal;15. Hospital Dr. Nélio Mendonça, Funchal, Portugal;p. Hospital do Divino Espírito Santo de Ponta Delgada EPE, Ponta Delgada, Portugal;q. Centro Hospitalar de Trás-os-Montes e Alto Douro EPE, Vila Real, Portugal;r. Centro Hospitalar Universitário do Porto EPE, Porto, Portugal;s. Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal |
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| Abstract: | IntroductionThe COVID-19 pandemic has imposed an unprecedented burden on healthcare systems worldwide, changing the profile of interventional cardiology activity.ObjectivesTo 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.MethodsData 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).ResultsThe 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).ConclusionsCompared 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. |
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| Keywords: | COVID-19 Percutaneous coronary intervention Acute coronary syndromes Chronic coronary syndromes Covid-19 Intervenção coronária percutânea Síndromes coronárias agudas Síndromes coronárias crónicas |
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