Portal de investigación
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
Fecha de publicación:
Fecha Ahead of Print:
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- De Luca, Giuseppe
- Nardin, Matteo
- Algowhary, Magdy
- Uguz, Berat
- Oliveira, Dinaldo C.
- Ganyukov, Vladimir
- Zimbakov, Zan
- Cercek, Miha
- Okkels Jensen, Lisette
- Loh, Poay Huan
- Calmac, Lucian
- Roura Ferrer, Gerard
- Quadros, Alexandre
- Milewski, Marek
- Scotto di Uccio, Fortunato
- von Birgelen, Clemens
- Versaci, Francesco
- Ten Berg, Jurrien
- Casella, Gianni
- Wong Sung Lung, Aaron
- Kala, Petr
- Carrillo, Xavier
- Dirksen, Maurits
- Becerra-Munoz, Victor M.
- Lee, Michael Kang-yin
- Arifa Juzar, Dafsah
- de Moura Joaquim, Rodrigo
- Paladino, Roberto
- Milicic, Davor
- Davlouros, Periklis
- Bakraceski, Nikola
- Zilio, Filippo
- Donazzan, Luca
- Kraaijeveld, Adriaan
- Galasso, Gennaro
- Lux, Arpad
- Marinucci, Lucia
- Guiducci, Vincenzo
- Menichelli, Maurizio
- Scoccia, Alessandra
- Yamac, Aylin Hatice
- Ugur Mert, Kadir
- Flores Rios, Xacobe
- Kovarnik, Tomas
- Kidawa, Michal
- Moreu, Jose
- Flavien, Vincent
- Fabris, Enrico
- Martinez-Luengas, Inigo Lozano
- Boccalatte, Marco
- Bosa Ojeda, Francisco
- Arellano-Serrano, Carlos
- Caiazzo, Gianluca
- Cirrincione, Giuseppe
- Kao, Hsien-Li
- Sanchis Fores, Juan
- Vignali, Luigi
- Pereira, Helder
- Manzo, Stephane
- Ordonez, Santiago
- Ozkan, Alev Arat
- Scheller, Bruno
- Lehtola, Heidi
- Teles, Rui
- Mantis, Christos
- Antti, Ylitalo
- Brum Silveira, Joao A.
- Zoni, Rodrigo
- Bessonov, Ivan
- Savonitto, Stefano
- Kochiadakis, George
- Alexopoulos, Dimitrios
- Uribe, Carlos E.
- Kanakakis, John
- Faurie, Benjamin
- Gabrielli, Gabriele
- Gutierrez Barrios, Alejandro
- Bachini, Juan Pablo
- Rocha, Alex
- Tam, Frankie Chor-Cheung
- Rodriguez, Alfredo
- Lukito, Antonia Anna
- Saint-Joy, Veauthyelau
- Pessah, Gustavo
- Tuccillo, Andrea
- Cortese, Giuliana
- Parodi, Guido
- Bouraghda, Mohamed Abed
- Kedhi, Elvin
- Lamelas, Pablo
- Suryapranata, Harry
- Verdoia, Monica
Grupos
Abstract
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: NCT 04412655 (2nd June 2020).
© 2022. The Author(s).
Datos de la publicación
- ISSN/ISSNe:
- 1465-9921, 1465-993X
- Tipo:
- Article
- Páginas:
- 207-207
- PubMed:
- 35971173
- Factor de Impacto:
- 1,813 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
RESPIRATORY RESEARCH BIOMED CENTRAL LTD
Citas Recibidas en Web of Science: 3
Documentos
- No hay documentos
Filiaciones
Keywords
- STEMI; COPD; Mortality
Campos de Estudio
Cita
De Luca G,Nardin M,Algowhary M,Uguz B,Oliveira DC,Ganyukov V,Zimbakov Z,Cercek M,Okkels L,Loh PH,Calmac L,Roura G,Quadros A,Milewski M,Scotto di Uccio F,von C,Versaci F,Ten J,Casella G,Wong Sung Lung A,Kala P,DIEZ JL,Carrillo X,Dirksen M,Becerra VM,Lee MK,Arifa D,de Moura R,Paladino R,Milicic D,Davlouros P,Bakraceski N,Zilio F,Donazzan L,Kraaijeveld A,Galasso G,Lux A,Marinucci L,Guiducci V,Menichelli M,Scoccia A,Yamac AH,Ugur K,Flores X,Kovarnik T,Kidawa M,Moreu J,Flavien V,Fabris E,Martinez IL,Boccalatte M,Bosa F,Arellano C,Caiazzo G,Cirrincione G,Kao H,Sanchis J,Vignali L,Pereira H,Manzo S,Ordonez S,Ozkan AA,Scheller B,Lehtola H,Teles R,Mantis C,Antti Y,Brum JA,Zoni R,Bessonov I,Savonitto S,Kochiadakis G,Alexopoulos D,Uribe CE,Kanakakis J,Faurie B,Gabrielli G,Gutierrez A,Bachini JP,Rocha A,Tam FC,Rodriguez A,Lukito AA,Saint V,Pessah G,Tuccillo A,Cortese G,Parodi G,Bouraghda MA,Kedhi E,Lamelas P,Suryapranata H,Verdoia M. 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. Respir. Res. 2022. 23. (1):p. 207-207. IF:5,800. (1).