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Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry
G. De Luca, N. Debel, M. Cercek, LO. Jensen, M. Vavlukis, L. Calmac, T. Johnson, GR. Ferrer, V. Ganyukov, W. Wojakowski, T. Kinnaird, C. von Birgelen, Y. Cottin, A. IJsselmuiden, B. Tuccillo, F. Versaci, KJ. Royaards, JT. Berg, M. Laine, M....
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem
Odkazy
PubMed
34391035
DOI
10.1016/j.atherosclerosis.2021.06.926
Knihovny.cz E-zdroje
- MeSH
- COVID-19 * MeSH
- infarkt myokardu s elevacemi ST úseků * diagnóza chirurgie MeSH
- koronární angioplastika * škodlivé účinky MeSH
- lidé MeSH
- registrace MeSH
- reperfuze MeSH
- retrospektivní studie MeSH
- SARS-CoV-2 MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
BACKGROUND AND AIMS: SARS-Cov-2 predisposes patients to thrombotic complications, due to excessive inflammation, endothelial dysfunction, platelet activation, and coagulation/fibrinolysis disturbances. The aim of the present study was to evaluate clinical characteristics and prognostic impact of SARS-CoV-2 positivity among STEMI patients undergoing primary percutaneous coronary intervention (PPCI). METHODS: We selected SARS-CoV-2 positive patients included in the ISACS-STEMI COVID-19, a retrospective multicenter European registry including 6609 STEMI patients treated with PPCI from March 1st until April 30th, in 2019 and 2020. As a reference group, we randomly sampled 5 SARS-Cov-2 negative patients per each SARS-CoV-2 positive patient, individually matched for age, sex, and hospital/geographic area. Study endpoints were in-hospital mortality, definite stent thrombosis, heart failure. RESULTS: Our population is represented by 62 positive SARS-CoV-2 positive patients who were compared with a matched population of 310 STEMI patients. No significant difference was observed in baseline characteristics or the modality of access to the PCI center. In the SARS-CoV-2 positive patients, the culprit lesion was more often located in the RCA (p < 0.001). Despite similar pre and postprocedural TIMI flow, we observed a trend in higher use of GP IIb-IIIa inhibitors and a significantly higher use of thrombectomy in the SARS-CoV-2 positive patients. SARS-CoV-2 positivity was associated with a remarkably higher in hospital mortality (29% vs 5.5%, p < 0.001), definite in-stent thrombosis (8.1% vs 1.6%, p = 0.004) and heart failure (22.6% vs 10.6%, p = 0.001) that was confirmed after adjustment for confounding factors. CONCLUSIONS: Our study showed that among STEMI patients, SARS-CoV-2 positivity is associated with larger thrombus burden, a remarkably higher mortality but also higher rates of in-stent thrombosis and heart failure.
AUSL IRCCS Reggio Emilia Italy
Azienda Ospedaliero Universitaria Ospedali Riuniti Trieste Italy
Azienda Ospedaliero Universitaria Sassari Italy
Cardiology Unit Virgen de la Victoria University Hospital
Catholic University of Leuven Leuven Belgium
Center for Cardiovascular Diseases Ohrid Macedonia
Center Hospitalier Universitaire de Poitiers Poitiers University Hospital Poitiers France
Central Hospital of Medical University of Lodz Poland
Clinic Emergency Hospital of Bucharest Romania
Complexo Hospetaliero Universitario La Coruna La Coruna Spain
Department of Cardiology Medical Center Ljubljana Slovenia
Department of Cardiology Medisch Spectrum Twente Thoraxcentrum Twente Enschede the Netherlands
Division of Cardiology Amphia Hospital Breda the Netherlands
Division of Cardiology Attikon University Hospital Athens Greece
Division of Cardiology Azienda Ospedaliera Ospedali Riuniti Marche Nord Pesaro Italy
Division of Cardiology CHU Lariboisière AP HP Paris 7 University INSERM UMRS 942 France
Division of Cardiology CHU Timone Marseille France
Division of Cardiology Clinica Villa dei Fiori Acerra Italy
Division of Cardiology Complejo Hospitalario de Toledo Toledo Spain
Division of Cardiology Division of Cardiology Ospedali Riuniti Reggio Calabria Italy
Division of Cardiology Groupe Hospitalier Mutualiste de Grenoble France
Division of Cardiology Heart Centre Turku Finland
Division of Cardiology Helsinki University Central Hospital Finland
Division of Cardiology Hopital Erasme Universitè Libre de Bruxelles Belgium
Division of Cardiology Hospital Cabueñes Gijon Spain
Division of Cardiology Hospital Clinico Universitario de Valencia Spain
Division of Cardiology Hospital de Santa Cruz CHLO Carnaxide Portugal
Division of Cardiology Hospital la Paz Madrid Spain
Division of Cardiology Hospital Puerta de Hierro Majadahonda Spain
Division of Cardiology Hospital Puerta del Mar Cadiz Spain
Division of Cardiology Hospital Universitario de Canarias Santa Cruz de Tenerife Spain
Division of Cardiology Jessa Ziekenhuis Hasselt Belgium
Division of Cardiology Juan Ramon Jimenez Hospital Huelva Spain
Division of Cardiology Maasstad Ziekenhuis Rotterdam the Netherlands
Division of Cardiology Medical University of Silezia Katowice Poland
Division of Cardiology Northwest Clinics Alkmaar the Netherlands
Division of Cardiology Odense Universitets Hospital Odense Denmark
Division of Cardiology Ospedale A Manzoni Lecco Italy
Division of Cardiology Ospedale Civico Arnas Palermo Italy
Division of Cardiology Ospedale degli Infermi ASL Biella Italy
Division of Cardiology Ospedale del Mare Napoli Italy
Division of Cardiology Ospedale F Spaziani Frosinone Italy
Division of Cardiology Ospedale G Moscati Aversa Italy
Division of Cardiology Ospedale Maggiore Bologna Italy
Division of Cardiology Ospedale S Maurizio Bolzano Italy
Division of Cardiology Ospedale San Giovanni di Dio e Ruggid'Aragona Salerno Italy
Division of Cardiology Ospedale Sant'Anna Ferrara Italy
Division of Cardiology Ospedale Santa Maria della Misericordia Udine Italy
Division of Cardiology Ospedale Santa Maria delle Grazie Pozzuoli Italy
Division of Cardiology Ospedale Santa Maria Goretti Latina Italy
Division of Cardiology Oulu University Hospital Finland
Division of Cardiology St Antonius Hospital Nieuwegein the Netherlands
Division of Cardiology UMC Utrecht the Netherlands
Division of Cardiology University Hospital Dijon France
Division of Cardiology University Hospital of Wales Cardiff UK
Division of Cardiology Ziekenhuis Netwerk Antwerpen Middelheim Antwerp Belgium
Faculté de Médecine Aix Marseille Université Marseille France
H Universitario y Politécnico La Fe Valencia Spain
Hospital Germans Triasi Pujol Badalona Spain
Interventional Cardiology Unit Azienda Ospedaliera Sanitaria Parma Italy
Interventional Cardiology Unit Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona Italy
Interventional Cardiology Unit Heart Disease Institute Hospital Universitari de Bellvitge Spain
Invasive Cardiology and Congenital Heart Disease Patras University Hospital Patras Greece
John Radcliffe Hospital Oxford UK
Mastricht University Medical Center the Netherlands
Onze Lieve Vrouwe Gasthuis Amsterdam the Netherlands
Ospedale Santa Chiara di Trento Italy
Ospedale Santa Maria della Misericordia Perugia Italy
University Clinic for Cardiology Medical Faculty Ss' Cyril and Methodius University Skopje Macedonia
University Hospital Birmingham Birmingham UK
University Hospital Brno Medical Faculty of Masaryk University Brno Czech Republic
University Hospital Munich Ludwig Maximilians University Munich Germany
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- $a De Luca, Giuseppe $u Division of Cardiology, Azienda Ospedaliero-Universitaria Maggiore della Carità, Università del Piemonte Orientale, Italy. Electronic address: giuseppe.deluca@med.uniupo.it
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- $a Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry / $c G. De Luca, N. Debel, M. Cercek, LO. Jensen, M. Vavlukis, L. Calmac, T. Johnson, GR. Ferrer, V. Ganyukov, W. Wojakowski, T. Kinnaird, C. von Birgelen, Y. Cottin, A. IJsselmuiden, B. Tuccillo, F. Versaci, KJ. Royaards, JT. Berg, M. Laine, M. Dirksen, M. Siviglia, G. Casella, P. Kala, JL. Díez Gil, A. Banning, V. Becerra, C. De Simone, A. Santucci, X. Carrillo, A. Scoccia, G. Amoroso, AW. Van't Hof, T. Kovarnik, G. Tsigkas, J. Mehilli, G. Gabrielli, XF. Rios, N. Bakraceski, S. Levesque, G. Cirrincione, V. Guiducci, M. Kidawa, L. Spedicato, L. Marinucci, P. Ludman, F. Zilio, G. Galasso, E. Fabris, M. Menichelli, A. Garcia-Touchard, S. Manzo, G. Caiazzo, J. Moreu, JS. Forés, L. Donazzan, L. Vignali, R. Teles, E. Benit, P. Agostoni, FB. Ojeda, H. Lehtola, S. Camacho-Freiere, A. Kraaijeveld, Y. Antti, M. Boccalatte, P. Deharo, IL. Martínez-Luengas, B. Scheller, E. Varytimiadi, R. Moreno, G. Uccello, B. Faurie, A. Gutierrez Barrios, M. Milewski, E. Bruwiere, P. Smits, B. Wilbert, FS. Di Uccio, G. Parodi, E. Kedhi, M. Verdoia
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- $a BACKGROUND AND AIMS: SARS-Cov-2 predisposes patients to thrombotic complications, due to excessive inflammation, endothelial dysfunction, platelet activation, and coagulation/fibrinolysis disturbances. The aim of the present study was to evaluate clinical characteristics and prognostic impact of SARS-CoV-2 positivity among STEMI patients undergoing primary percutaneous coronary intervention (PPCI). METHODS: We selected SARS-CoV-2 positive patients included in the ISACS-STEMI COVID-19, a retrospective multicenter European registry including 6609 STEMI patients treated with PPCI from March 1st until April 30th, in 2019 and 2020. As a reference group, we randomly sampled 5 SARS-Cov-2 negative patients per each SARS-CoV-2 positive patient, individually matched for age, sex, and hospital/geographic area. Study endpoints were in-hospital mortality, definite stent thrombosis, heart failure. RESULTS: Our population is represented by 62 positive SARS-CoV-2 positive patients who were compared with a matched population of 310 STEMI patients. No significant difference was observed in baseline characteristics or the modality of access to the PCI center. In the SARS-CoV-2 positive patients, the culprit lesion was more often located in the RCA (p < 0.001). Despite similar pre and postprocedural TIMI flow, we observed a trend in higher use of GP IIb-IIIa inhibitors and a significantly higher use of thrombectomy in the SARS-CoV-2 positive patients. SARS-CoV-2 positivity was associated with a remarkably higher in hospital mortality (29% vs 5.5%, p < 0.001), definite in-stent thrombosis (8.1% vs 1.6%, p = 0.004) and heart failure (22.6% vs 10.6%, p = 0.001) that was confirmed after adjustment for confounding factors. CONCLUSIONS: Our study showed that among STEMI patients, SARS-CoV-2 positivity is associated with larger thrombus burden, a remarkably higher mortality but also higher rates of in-stent thrombosis and heart failure.
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- $a Debel, Niels $u Catholic University of Leuven, Leuven, Belgium
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- $a Cercek, Miha $u Department of Cardiology, Medical Center Ljubljana, Slovenia
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- $a Jensen, Lisette Okkels $u Division of Cardiology, Odense Universitets Hospital, Odense, Denmark
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- $a Vavlukis, Marija $u University Clinic for Cardiology, Medical Faculty, Ss' Cyril and Methodius University, Skopje, Macedonia
- 700 1_
- $a Calmac, Lucian $u Clinic Emergency Hospital of Bucharest, Romania
- 700 1_
- $a Johnson, Tom $u Division of Cardiology, Bristol Heart Institute, University Hospitals Bristol NHSFT & University of Bristol, Bristol, UK
- 700 1_
- $a Ferrer, Gerard Rourai $u Interventional Cardiology Unit, Heart Disease Institute, Hospital Universitari de Bellvitge, Spain
- 700 1_
- $a Ganyukov, Vladimir $u Division of Cardiology,State Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia
- 700 1_
- $a Wojakowski, Wojtek $u Division of Cardiology, Medical University of Silezia, Katowice, Poland
- 700 1_
- $a Kinnaird, Tim $u Division of Cardiology, University Hospital of Wales, Cardiff, UK
- 700 1_
- $a von Birgelen, Clemens $u Department of Cardiology, Medisch Spectrum Twente, Thoraxcentrum Twente, Enschede, the Netherlands
- 700 1_
- $a Cottin, Yves $u Division of Cardiology, University Hospital, Dijon, France
- 700 1_
- $a IJsselmuiden, Alexander $u Division of Cardiology, Amphia Hospital, Breda, the Netherlands
- 700 1_
- $a Tuccillo, Bernardo $u Division of Cardiology, Ospedale del Mare, Napoli, Italy
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- $a Versaci, Francesco $u Division of Cardiology, Ospedale Santa Maria Goretti Latina, Italy
- 700 1_
- $a Royaards, Kees-Jan $u Division of Cardiology, Maasstad Ziekenhuis, Rotterdam, the Netherlands
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- $a Berg, Jurrien Ten $u Division of Cardiology, St Antonius Hospital, Nieuwegein, the Netherlands
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- $a Laine, Mika $u Division of Cardiology, Helsinki University Central Hospital, Finland
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- $a Dirksen, Maurits $u Division of Cardiology, Northwest Clinics Alkmaar, the Netherlands
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- $a Siviglia, Massimo $u Division of Cardiology, Division of Cardiology, Ospedali Riuniti, Reggio Calabria, Italy
- 700 1_
- $a Casella, Gianni $u Division of Cardiology, Ospedale Maggiore Bologna, Italy
- 700 1_
- $a Kala, Petr $u University Hospital Brno, Medical Faculty of Masaryk University Brno, Czech Republic
- 700 1_
- $a Díez Gil, José Luis $u H. Universitario y Politécnico La Fe, Valencia, Spain
- 700 1_
- $a Banning, Adrian $u John Radcliffe Hospital, Oxford, UK
- 700 1_
- $a Becerra, Victor $u Cardiology Unit, Virgen de la Victoria University Hospital; IBIMA, Málaga, Spain. CIBERCV
- 700 1_
- $a De Simone, Ciro $u Division of Cardiology, Clinica Villa dei Fiori, Acerra, Italy
- 700 1_
- $a Santucci, Andrea $u Ospedale Santa Maria della Misericordia, Perugia, Italy
- 700 1_
- $a Carrillo, Xavier $u Hospital Germans Triasi Pujol, Badalona, Spain
- 700 1_
- $a Scoccia, Alessandra $u Division of Cardiology, Ospedale "Sant'Anna", Ferrara, Italy
- 700 1_
- $a Amoroso, Giovanni $u Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, the Netherlands
- 700 1_
- $a Van't Hof, Arnoud Wj $u Mastricht University Medical Center, the Netherlands
- 700 1_
- $a Kovarnik, Tomas $u University Hospital Prague, Czech Republic
- 700 1_
- $a Tsigkas, Grigorios $u Invasive Cardiology and Congenital Heart Disease, Patras University Hospital, Patras, Greece
- 700 1_
- $a Mehilli, Julinda $u University Hospital Munich, Ludwig-Maximilians University, Munich, Germany
- 700 1_
- $a Gabrielli, Gabriele $u Interventional Cardiology Unit, Azienda Ospedaliero Universitaria "Ospedali Riuniti", Ancona, Italy
- 700 1_
- $a Rios, Xacobe Flores $u Complexo Hospetaliero Universitario La Coruna, La Coruna, Spain
- 700 1_
- $a Bakraceski, Nikola $u Center for Cardiovascular Diseases, Ohrid, Macedonia
- 700 1_
- $a Levesque, Sébastien $u Center Hospitalier Universitaire de Poitiers, Poitiers, University Hospital, Poitiers, France
- 700 1_
- $a Cirrincione, Giuseppe $u Division of Cardiology, Ospedale Civico Arnas, Palermo, Italy
- 700 1_
- $a Guiducci, Vincenzo $u AUSL-IRCCS Reggio Emilia, Italy
- 700 1_
- $a Kidawa, Michał $u Central Hospital of Medical University of Lodz, Poland
- 700 1_
- $a Spedicato, Leonardo $u Division of Cardiology, Ospedale "Santa Maria della Misericordia", Udine, Italy
- 700 1_
- $a Marinucci, Lucia $u Division of Cardiology, Azienda Ospedaliera "Ospedali Riuniti Marche Nord", Pesaro, Italy
- 700 1_
- $a Ludman, Peter $u University Hospital Birmingham, Birmingham, UK
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- $a Zilio, Filippo $u Ospedale Santa Chiara di Trento, Italy
- 700 1_
- $a Galasso, Gennaro $u Division of Cardiology, Ospedale San Giovanni di Dio e Ruggid'Aragona, Salerno, Italy
- 700 1_
- $a Fabris, Enrico $u Azienda Ospedaliero - Universitaria Ospedali Riuniti Trieste, Italy
- 700 1_
- $a Menichelli, Maurizio $u Division of Cardiology, Medical University of Silezia, Katowice, Poland; Division of Cardiology, Ospedale "F. Spaziani", Frosinone, Italy
- 700 1_
- $a Garcia-Touchard, Arturo $u Division of Cardiology, Hospital Puerta de Hierro Majadahonda, Spain
- 700 1_
- $a Manzo, Stephane $u Division of Cardiology, CHU Lariboisière, AP-HP, Paris VII University, INSERM UMRS 942, France
- 700 1_
- $a Caiazzo, Gianluca $u Division of Cardiology, Ospedale "G Moscati", Aversa, Italy
- 700 1_
- $a Moreu, Jose $u Division of Cardiology, Complejo Hospitalario de Toledo, Toledo, Spain
- 700 1_
- $a Forés, Juan Sanchis $u Division of Cardiology, Hospital Clinico Universitario de Valencia, Spain
- 700 1_
- $a Donazzan, Luca $u Division of Cardiology, Ospedale "S. Maurizio", Bolzano, Italy
- 700 1_
- $a Vignali, Luigi $u Interventional Cardiology Unit, Azienda Ospedaliera Sanitaria, Parma, Italy
- 700 1_
- $a Teles, Rui $u Division of Cardiology, Hospital de Santa Cruz, CHLO, Carnaxide, Portugal
- 700 1_
- $a Benit, Edouard $u Division of Cardiology, Jessa Ziekenhuis, Hasselt, Belgium
- 700 1_
- $a Agostoni, Pierfrancesco $u Division of Cardiology, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim, Antwerp, Belgium
- 700 1_
- $a Ojeda, Francisco Bosa $u Division of Cardiology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain
- 700 1_
- $a Lehtola, Heidi $u Division of Cardiology, Oulu University Hospital, Finland
- 700 1_
- $a Camacho-Freiere, Santiago $u Division of Cardiology, Juan Ramon Jimenez Hospital, Huelva, Spain
- 700 1_
- $a Kraaijeveld, Adriaan $u Division of Cardiology, UMC Utrecht, the Netherlands
- 700 1_
- $a Antti, Ylitalo $u Division of Cardiology, Heart Centre Turku, Finland
- 700 1_
- $a Boccalatte, Marco $u Division of Cardiology, Ospedale Santa Maria delle Grazie, Pozzuoli, Italy
- 700 1_
- $a Deharo, Pierre $u Division of Cardiology, CHU Timone, Marseille, France; Faculté de Médecine, Aix-Marseille Université, Marseille, France
- 700 1_
- $a Martínez-Luengas, Iñigo Lozano $u Division of Cardiology, Hospital Cabueñes, Gijon, Spain
- 700 1_
- $a Scheller, Bruno $u Division of Cardiology, Clinical and Experimental Interventional Cardiology, University of Saarland, Germany
- 700 1_
- $a Varytimiadi, Efthymia $u 2(nd)Division of Cardiology, Attikon University Hospital, Athens, Greece
- 700 1_
- $a Moreno, Raul $u Division of Cardiology, Hospital la Paz, Madrid, Spain
- 700 1_
- $a Uccello, Giuseppe $u Division of Cardiology, Ospedale "A. Manzoni", Lecco, Italy
- 700 1_
- $a Faurie, Benjamin $u Division of Cardiology, Groupe Hospitalier Mutualiste de Grenoble, France
- 700 1_
- $a Gutierrez Barrios, Alejandro $u Division of Cardiology, Hospital Puerta del Mar, Cadiz, Spain
- 700 1_
- $a Milewski, Marek $u Division of Cardiology, Ospedale "F. Spaziani", Frosinone, Italy
- 700 1_
- $a Bruwiere, Ewout $u Division of Cardiology, Jessa Ziekenhuis, Hasselt, Belgium
- 700 1_
- $a Smits, Pieter $u Division of Cardiology, Maasstad Ziekenhuis, Rotterdam, the Netherlands
- 700 1_
- $a Wilbert, Bor $u Division of Cardiology, St Antonius Hospital, Nieuwegein, the Netherlands
- 700 1_
- $a Di Uccio, Fortunato Scotto $u Division of Cardiology, Ospedale del Mare, Napoli, Italy
- 700 1_
- $a Parodi, Guido $u Azienda Ospedaliero-Universitaria Sassari, Italy
- 700 1_
- $a Kedhi, Elvin $u Division of Cardiology, Hopital Erasme, Universitè Libre de Bruxelles, Belgium
- 700 1_
- $a Verdoia, Monica $u Division of Cardiology, Ospedale degli Infermi, ASL, Biella, Italy
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