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Impact of chronic obstructive pulmonary disease on short-term outcome in patients with ST-elevation myocardial infarction during COVID-19 pandemic: insights from the international multicenter ISACS-STEMI registry

G. De Luca, M. Nardin, M. Algowhary, B. Uguz, DC. Oliveira, V. Ganyukov, Z. Zimbakov, M. Cercek, L. Okkels Jensen, PH. Loh, L. Calmac, G. Roura Ferrer, A. Quadros, M. Milewski, F. Scotto di Uccio, C. von Birgelen, F. Versaci, J. Ten Berg, G....

. 2022 ; 23 (1) : 207. [pub] 20220815

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc22024836

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is projected to become the third cause of mortality worldwide. COPD shares several pathophysiological mechanisms with cardiovascular disease, especially atherosclerosis. However, no definite answers are available on the prognostic role of COPD in the setting of ST elevation myocardial infarction (STEMI), especially during COVID-19 pandemic, among patients undergoing primary angioplasty, that is therefore the aim of the current study. METHODS: In the ISACS-STEMI COVID-19 registry we included retrospectively patients with STEMI treated with primary percutaneous coronary intervention (PCI) between March and June of 2019 and 2020 from 109 high-volume primary PCI centers in 4 continents. RESULTS: A total of 15,686 patients were included in this analysis. Of them, 810 (5.2%) subjects had a COPD diagnosis. They were more often elderly and with a more pronounced cardiovascular risk profile. No preminent procedural dissimilarities were noticed except for a lower proportion of dual antiplatelet therapy at discharge among COPD patients (98.9% vs. 98.1%, P = 0.038). With regards to short-term fatal outcomes, both in-hospital and 30-days mortality occurred more frequently among COPD patients, similarly in pre-COVID-19 and COVID-19 era. However, after adjustment for main baseline differences, COPD did not result as independent predictor for in-hospital death (adjusted OR [95% CI] = 0.913[0.658-1.266], P = 0.585) nor for 30-days mortality (adjusted OR [95% CI] = 0.850 [0.620-1.164], P = 0.310). No significant differences were detected in terms of SARS-CoV-2 positivity between the two groups. CONCLUSION: This is one of the largest studies investigating characteristics and outcome of COPD patients with STEMI undergoing primary angioplasty, especially during COVID pandemic. COPD was associated with significantly higher rates of in-hospital and 30-days mortality. However, this association disappeared after adjustment for baseline characteristics. Furthermore, COPD did not significantly affect SARS-CoV-2 positivity. TRIAL REGISTRATION NUMBER: NCT04412655 (2nd June 2020).

3rd Medicine Division ASST Spedali Civili Brescia Italy

Azienda Ospedaliero Universitaria Ospedali Riuniti Trieste Trieste Italy

Cardiology Department Hospital Garcia de Orta Pragal Almada Portugal

Cardiology Division Department of Internal Medicine National Taiwan University Hospital Tapei Taiwan

Cardiology Institute Istanbul University Istanbul Turkey

Cardiovascular Department Pelita Harapan University Heart Center Siloam Lippo Village Hospital Tangerang Banten Indonesia

Center for Cardiovascular Diseases Ohrid North Macedonia

Center Hospitalier d'Antibes Juan Les Pins Antibes France

Central Hospital of Medical University of Lodz Lodz Poland

Centre for Intensive Internal Medicine University Medical Centre Ljubljana Slovenia

Clinic Emergency Hospital of Bucharest Bucharest Romania

Complexo Hospetaliero Universitario La Coruna La Coruna Spain

Department of Cardiology and Cardiovascular Interventions Instituto Nacional de Cirugía Cardíaca Montevideo Uruguay

Department of Cardiology and Vascular Medicine University of Indonesia National Cardiovascular Center Harapan Kita Jakarta Indonesia

Department of Cardiology ASL 4 Liguria Lavagna Italy

Department of Cardiology Hospital Bezmialem Vakıf University İstanbul Turkey

Department of Cardiology Medisch Spectrum Twente Thoraxcentrum Twente Enschede The Netherlands

Department of Cardiology National Heart Center Singapore Singapore

Department of Cardiology National University Hospital Singapore Singapore

Department of Cardiology Queen Elizabeth Hospital University of Hong Kong Yau Ma Tei Hong Kong

Department of Cardiology Queen Mary Hospital University of Hong Kong Pok Fu Lam Hong Kong

Department of Cardiology University Hospital Centre University of Zagreb Zagreb Croatia

Department of Heart and Vascular Surgery State Research Institute for Complex Issues of Cardiovascular Diseases Kemerovo Russia

Department of Statistical Sciences University of Padova Padua Italy

Department of Teaching and Research Instituto de Cardiología de Corrientes Juana F Cabral Corrientes Argentina

Division of Cardiology Alexandra Hospital Athens Greece

Division of Cardiology Assiut University Heart Hospital Assiut University Asyut Egypt

Division of Cardiology Attikon University Hospital Athens Greece

Division of Cardiology AUSL IRCCS Reggio Emilia Reggio Emilia Italy

Division of Cardiology Azienda Ospedaliera Ospedali Riuniti Marche Nord Pesaro Italy

Division of Cardiology Blida University Hospital Blida Algeria

Division of Cardiology Bursa City Hospital Bursa Turkey

Division of Cardiology Center Hospitalier Universitaire de Lille Lille France

Division of Cardiology CHU Lariboisière AP HP Paris 7 University INSERM UMRS 942 Paris France

Division of Cardiology Clinica Villa dei Fiori Acerra Italy

Division of Cardiology Clinical and Experimental Interventional Cardiology University of Saarland Saarbrücken Germany

Division of Cardiology Complejo Hospitalario de Toledo Toledo Spain

Division of Cardiology Faculty of Medicine Eskisehir Osmangazi University Eskisehir Turkey

Division of Cardiology Groupe Hospitalier Mutualiste de Grenoble Grenoble France

Division of Cardiology Heart Centre Turku Turku Finland

Division of Cardiology Hopital Erasmus Universitè Libre de Bruxelles Brussels Belgium

Division of Cardiology Hospiatl Cordoba Cordoba Argentina

Division of Cardiology Hospital Cabueñes Gijon Spain

Division of Cardiology Hospital Clinico Universitario de Valencia Valencia Spain

Division of Cardiology Hospital de Santa Cruz CHLO Nova Medical School CEDOC Lisbon Portugal

Division of Cardiology Hospital de Santo António Porto Portugal

Division of Cardiology Hospital Puerta de Hierro Majadahonda Madrid 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 Kontantopoulion Hospital Athens Greece

Division of Cardiology Medical University of Silezia Katowice Poland

Division of Cardiology Northwest Clinics Alkmaar The Netherlands

Division of Cardiology Odense Universitets Hospital Odense Danemark

Division of Cardiology Ospedale A Manzoni Lecco Italy

Division of Cardiology Ospedale Civico Arnas Palermo Italy

Division of Cardiology Ospedale degli Infermi ASL Biella Ponderano Italy

Division of Cardiology Ospedale del Mare Naples Italy

Division of Cardiology Ospedale F Spaziani Frosinone Italy

Division of Cardiology Ospedale G Moscati Aversa Italy

Division of Cardiology Ospedale Maggiore Bologna Bologna Italy

Division of Cardiology Ospedale S Maurizio Bolzano Bolzano Italy

Division of Cardiology Ospedale San Giovanni di Dio e Ruggi d'Aragona Salerno Italy

Division of Cardiology Ospedale Sant'Anna Ferrara Italy

Division of Cardiology Ospedale Santa Chiara di Trento Trento Italy

Division of Cardiology Ospedale Santa Maria delle Grazie Pozzuoli Italy

Division of Cardiology Ospedale Santa Maria Goretti Latina Latina Italy

Division of Cardiology Otamendi Hospital Buenos Aires Argentina

Division of Cardiology Oulu University Hospital Oulu Finland

Division of Cardiology Radboud University Medical Center Nijmegen The Netherlands

Division of Cardiology St Antonius Hospital Nieuwegein The Netherlands

Division of Cardiology UMC Utrecht Utrecht The Netherlands

Division of Cardiology Universidad UPB Universidad CES Medellin Colombia

Division of Clinical and Experimental Cardiology AOU Sassari Sassari Italy

H Universitario y Politécnico La Fe Valencia Spain

Hospital Clínico Universitario Virgen de la Victoria Málaga Spain

Hospital Germans Triasi Pujol Badalona Spain

Instituto Cardiovascular de Buenos Aires Buenos Aires Argentina

Instituto de Cardiologia de Santa Catarina Praia Comprida São José Brasil

Instituto de Cardiologia do Rio Grande do Sul Porto Alegre Brazil

Instituto de Cardiologia Integral Montevideo Uruguay

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 Barcelona Spain

Invasive Cardiology and Congenital Heart Disease Patras University Hospital Patras Greece

Iraklion University Hospital Crete Greece

Maastricht University Medical Center Maastricht The Netherlands

Medical Faculty University Clinic for Cardiology Ss' Cyril and Methodius University Skopje North Macedonia

Pronto de Socorro Cardiologico Prof Luis Tavares Centro PROCAPE Federal University of Pernambuco Recife Brazil

Tyumen Cardiology Research Center Tyumen Russia

University Hospital Brno Medical Faculty of Masaryk University Brno Czech Republic

University Hospital Prague Prague Czech Republic

University of Sassari Sassari Italy

Citace poskytuje Crossref.org

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$a Nardin, Matteo $u Third Medicine Division, ASST Spedali Civili, Brescia, Italy
700    1_
$a Algowhary, Magdy $u Division of Cardiology, Assiut University Heart Hospital, Assiut University, Asyut, Egypt
700    1_
$a Uguz, Berat $u Division of Cardiology, Bursa City Hospital, Bursa, Turkey
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$a Oliveira, Dinaldo C $u Pronto de Socorro Cardiologico Prof. Luis Tavares, Centro PROCAPE, Federal University of Pernambuco, Recife, Brazil
700    1_
$a Ganyukov, Vladimir $u Department of Heart and Vascular Surgery, State Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia
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$a Zimbakov, Zan $u Medical Faculty, University Clinic for Cardiology, Ss' Cyril and Methodius University, Skopje, North Macedonia
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$a Cercek, Miha $u Centre for Intensive Internal Medicine, University Medical Centre, Ljubljana, Slovenia
700    1_
$a Okkels Jensen, Lisette $u Division of Cardiology, Odense Universitets Hospital, Odense, Danemark
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$a Loh, Poay Huan $u Department of Cardiology, National University Hospital, Singapore, Singapore
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$a Calmac, Lucian $u Clinic Emergency Hospital of Bucharest, Bucharest, Romania
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$a Roura Ferrer, Gerard $u Interventional Cardiology Unit, Heart Disease Institute, Hospital Universitari de Bellvitge, Barcelona, Spain
700    1_
$a Quadros, Alexandre $u Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil
700    1_
$a Milewski, Marek $u Division of Cardiology, Medical University of Silezia, Katowice, Poland
700    1_
$a Scotto di Uccio, Fortunato $u Division of Cardiology, Ospedale del Mare, Naples, Italy
700    1_
$a von Birgelen, Clemens $u Department of Cardiology, Medisch Spectrum Twente, Thoraxcentrum Twente, Enschede, The Netherlands
700    1_
$a Versaci, Francesco $u Division of Cardiology, Ospedale Santa Maria Goretti Latina, Latina, Italy
700    1_
$a Ten Berg, Jurrien $u Division of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands
700    1_
$a Casella, Gianni $u Division of Cardiology, Ospedale Maggiore Bologna, Bologna, Italy
700    1_
$a Wong Sung Lung, Aaron $u Department of Cardiology, National Heart Center, Singapore, Singapore
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 Carrillo, Xavier $u Hospital Germans Triasi Pujol, Badalona, Spain
700    1_
$a Dirksen, Maurits $u Division of Cardiology, Northwest Clinics, Alkmaar, The Netherlands
700    1_
$a Becerra-Munoz, Victor M $u Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain
700    1_
$a Lee, Michael Kang-Yin $u Department of Cardiology, Queen Elizabeth Hospital, University of Hong Kong, Yau Ma Tei, Hong Kong
700    1_
$a Arifa Juzar, Dafsah $u Department of Cardiology and Vascular Medicine, University of Indonesia National Cardiovascular Center "Harapan Kita", Jakarta, Indonesia
700    1_
$a de Moura Joaquim, Rodrigo $u Instituto de Cardiologia de Santa Catarina Praia Comprida, São José, Brasil
700    1_
$a Paladino, Roberto $u Division of Cardiology, Clinica Villa dei Fiori, Acerra, Italy
700    1_
$a Milicic, Davor $u Department of Cardiology, University Hospital Centre, University of Zagreb, Zagreb, Croatia
700    1_
$a Davlouros, Periklis $u Invasive Cardiology and Congenital Heart Disease, Patras University Hospital, Patras, Greece
700    1_
$a Bakraceski, Nikola $u Center for Cardiovascular Diseases, Ohrid, North Macedonia
700    1_
$a Zilio, Filippo $u Division of Cardiology, Ospedale Santa Chiara di Trento, Trento, Italy
700    1_
$a Donazzan, Luca $u Division of Cardiology, Ospedale "S. Maurizio" Bolzano, Bolzano, Italy
700    1_
$a Kraaijeveld, Adriaan $u Division of Cardiology, UMC Utrecht, Utrecht, The Netherlands
700    1_
$a Galasso, Gennaro $u Division of Cardiology, Ospedale San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
700    1_
$a Lux, Arpad $u Maastricht University Medical Center, Maastricht, The Netherlands
700    1_
$a Marinucci, Lucia $u Division of Cardiology, Azienda Ospedaliera "Ospedali Riuniti Marche Nord", Pesaro, Italy
700    1_
$a Guiducci, Vincenzo $u Division of Cardiology, AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy
700    1_
$a Menichelli, Maurizio $u Division of Cardiology, Ospedale "F. Spaziani", Frosinone, Italy
700    1_
$a Scoccia, Alessandra $u Division of Cardiology, Ospedale "Sant'Anna", Ferrara, Italy
700    1_
$a Yamac, Aylin Hatice $u Department of Cardiology, Hospital Bezmialem Vakıf University, İstanbul, Turkey
700    1_
$a Ugur Mert, Kadir $u Division of Cardiology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey
700    1_
$a Flores Rios, Xacobe $u Complexo Hospetaliero Universitario La Coruna, La Coruna, Spain
700    1_
$a Kovarnik, Tomas $u University Hospital Prague, Prague, Czech Republic
700    1_
$a Kidawa, Michal $u Central Hospital of Medical University of Lodz, Lodz, Poland
700    1_
$a Moreu, Josè $u Division of Cardiology, Complejo Hospitalario de Toledo, Toledo, Spain
700    1_
$a Flavien, Vincent $u Division of Cardiology, Center Hospitalier Universitaire de Lille, Lille, France
700    1_
$a Fabris, Enrico $u Azienda Ospedaliero-Universitaria Ospedali Riuniti Trieste, Trieste, Italy
700    1_
$a Martínez-Luengas, Iñigo Lozano $u Division of Cardiology, Hospital Cabueñes, Gijon, Spain
700    1_
$a Boccalatte, Marco $u Division of Cardiology, Ospedale Santa Maria delle Grazie, Pozzuoli, Italy
700    1_
$a Bosa Ojeda, Francisco $u Division of Cardiology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain
700    1_
$a Arellano-Serrano, Carlos $u Division of Cardiology, Hospital Puerta de Hierro Majadahonda, Madrid, Spain
700    1_
$a Caiazzo, Gianluca $u Division of Cardiology, Ospedale "G Moscati", Aversa, Italy
700    1_
$a Cirrincione, Giuseppe $u Division of Cardiology, Ospedale Civico Arnas, Palermo, Italy
700    1_
$a Kao, Hsien-Li $u Cardiology Division, Department of Internal Medicine, National Taiwan University Hospital, Tapei, Taiwan
700    1_
$a Sanchis Forés, Juan $u Division of Cardiology, Hospital Clinico Universitario de Valencia, Valencia, Spain
700    1_
$a Vignali, Luigi $u Interventional Cardiology Unit, Azienda Ospedaliera Sanitaria, Parma, Italy
700    1_
$a Pereira, Helder $u Cardiology Department, Hospital Garcia de Orta, Pragal, Almada, Portugal
700    1_
$a Manzo, Stephane $u Division of Cardiology, CHU Lariboisière, AP-HP, Paris VII University, INSERM UMRS 942, Paris, France
700    1_
$a Ordoñez, Santiago $u Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina
700    1_
$a Özkan, Alev Arat $u Cardiology Institute, Istanbul University, Istanbul, Turkey
700    1_
$a Scheller, Bruno $u Division of Cardiology Clinical and Experimental Interventional Cardiology, University of Saarland, Saarbrücken, Germany
700    1_
$a Lehtola, Heidi $u Division of Cardiology, Oulu University Hospital, Oulu, Finland
700    1_
$a Teles, Rui $u Division of Cardiology, Hospital de Santa Cruz, CHLO-Nova Medical School, CEDOC, Lisbon, Portugal
700    1_
$a Mantis, Christos $u Division of Cardiology, Kontantopoulion Hospital, Athens, Greece
700    1_
$a Antti, Ylitalo $u Division of Cardiology, Heart Centre Turku, Turku, Finland
700    1_
$a Brum Silveira, João A $u Division of Cardiology, Hospital de Santo António, Porto, Portugal
700    1_
$a Zoni, Rodrigo $u Department of Teaching and Research, Instituto de Cardiología de Corrientes "Juana F. Cabral", Corrientes, Argentina
700    1_
$a Bessonov, Ivan $u Tyumen Cardiology Research Center, Tyumen, Russia
700    1_
$a Savonitto, Stefano $u Division of Cardiology, Ospedale "A. Manzoni", Lecco, Italy
700    1_
$a Kochiadakis, George $u Iraklion University Hospital, Crete, Greece
700    1_
$a Alexopoulos, Dimitrios $u Division of Cardiology, Attikon University Hospital, Athens, Greece
700    1_
$a Uribe, Carlos E $u Division of Cardiology, Universidad UPB, Universidad CES, Medellin, Colombia
700    1_
$a Kanakakis, John $u Division of Cardiology, Alexandra Hospital, Athens, Greece
700    1_
$a Faurie, Benjamin $u Division of Cardiology, Groupe Hospitalier Mutualiste de Grenoble, Grenoble, France
700    1_
$a Gabrielli, Gabriele $u Interventional Cardiology Unit, Azienda Ospedaliero Universitaria"Ospedali Riuniti", Ancona, Italy
700    1_
$a Gutierrez Barrios, Alejandro $u Division of Cardiology, Hospital Puerta del Mar, Cadiz, Spain
700    1_
$a Bachini, Juan Pablo $u Instituto de Cardiologia Integral, Montevideo, Uruguay
700    1_
$a Rocha, Alex $u Department of Cardiology and Cardiovascular Interventions, Instituto Nacional de Cirugía Cardíaca, Montevideo, Uruguay
700    1_
$a Tam, Frankie Chor-Cheung $u Department of Cardiology, Queen Mary Hospital, University of Hong Kong, Pok Fu Lam, Hong Kong
700    1_
$a Rodriguez, Alfredo $u Division of Cardiology, Otamendi Hospital, Buenos Aires, Argentina
700    1_
$a Lukito, Antonia Anna $u Cardiovascular Department Pelita, Harapan University/Heart Center Siloam Lippo Village Hospital, Tangerang, Banten, Indonesia
700    1_
$a Saint-Joy, Veauthyelau $u Center Hospitalier d'Antibes Juan Les Pins, Antibes, France
700    1_
$a Pessah, Gustavo $u Division of Cardiology, Hospiatl Cordoba, Cordoba, Argentina
700    1_
$a Tuccillo, Andrea $u Division of Cardiology, Ospedale del Mare, Naples, Italy
700    1_
$a Cortese, Giuliana $u Department of Statistical Sciences, University of Padova, Padua, Italy
700    1_
$a Parodi, Guido $u Department of Cardiology, ASL 4 Liguria, Lavagna, Italy
700    1_
$a Bouraghda, Mohamed Abed $u Division of Cardiology, Blida University Hospital, Blida, Algeria
700    1_
$a Kedhi, Elvin $u Division of Cardiology, Hopital Erasmus, Universitè Libre de Bruxelles, Brussels, Belgium
700    1_
$a Lamelas, Pablo $u Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina
700    1_
$a Suryapranata, Harry $u Division of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands
700    1_
$a Verdoia, Monica $u Division of Cardiology, Ospedale degli Infermi, ASL Biella, Ponderano, Italy
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