Impacto de la pandemia de COVID-19 sobre la actividad asistencial en cardiología intervencionista en España

  1. Oriol Rodríguez-Leor 1
  2. B. Cid Álvarez 2
  3. Soledad Ojeda 3
  4. Javier Martín Moreiras 4
  5. José R. Rumoroso Cuevas 5
  6. Ramón López Palop 6
  7. Ana María Serrador Frutos 7
  8. Angel Cequier 8
  9. Rafael Romaguera Torres 8
  10. Ignacio Cruz González 4
  11. Armando Pérez de Prado 9
  12. Raúl Moreno Gómez 10
  1. 1 Institut del Cor, Hospital Germans Trias i Pujol, Badalona, Barcelona, España; Institut per la Recerca Germans Trias i Pujol, Badalona, Barcelona, España; CIBERCV, Instituto de Salud Carlos III, Madrid, España
  2. 2 Departamento de Cardiología, Hospital Clínico de Santiago de Compostela, Santiago de Compostela, A Coruña, España
  3. 3 Departamento de Cardiología, Hospital Reina Sofía, Córdoba, España
  4. 4 Departamento de Cardiología, Hospital Clínico de Salamanca, Salamanca, España
  5. 5 Departamento de Cardiología, Hospital de Galdakao, Galdakao, Vizcaya, España
  6. 6 Departamento de Cardiología, Hospital Virgen de la Arrixaca, El Palmar, Murcia, España
  7. 7 Departamento de Cardiología, Hospital Clínico de Valladolid, Valladolid, España
  8. 8 Departamento de Cardiología, Hospital de Bellvitge, IDIBELL, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, España
  9. 9 Departamento de Cardiología, Hospital de León, León, España
  10. 10 Departamento de Cardiología, Hospital de La Paz, Madrid, España
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Journal:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Year of publication: 2020

Volume: 2

Issue: 2

Pages: 82-89

Type: Article

DOI: 10.24875/RECIC.M20000120 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: REC: Interventional Cardiology

Abstract

Introduction and objectives: The COVID-19 epidemic and the declaration of the state of alarm have led to a decrease in healthcare activity in interventional cardiology units. The objective of this study is to quantify these changes in activity, with special interest in the treatment of patients with ST-segment elevation myocardial infarction (STEMI). Methods: A telematic survey of 81 centers involved in STEMI networks in the 17 autonomous communities of Spain. Information was collected on diagnostic activity, percutaneous coronary intervention (PCI), structural interventions, and PCI in STEMI on changes in the organization of STEMI networks, and on the prevalence of COVID-19 among interventional cardiologists. Data was compared for the week of February 24 through March 1 (before the outbreak) and for the week of March 16 through March 22 (during the outbreak). Results: Response has been obtained from 73 centers (90%). A very significant decrease in the number of diagnostic procedures (─56%), PCI (─48%), structural interventions (─81%) and PCI in STEMI (─40%) has been observed. A slight increase in the use of pharmacological thrombolysis has been reported, although primary angioplasty remains the leading reperfusion strategy. Up to 5% of interventional cardiologists (17) had COVID-19. Conclusions: An important reduction in the activity in interventional cardiology has been observed during the COVID-19 epidemic. Likewise, a great decrease has been detected in the number of patients treated in the STEMI networks, with the risk of increased morbidity and mortality that this represents. Scientific societies and health authorities have to promote that patients presenting STEMI compatible symptoms proceed with no delay to access the health system to receive reperfusion treatment in an appropriate way.

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