Outcomes of acute myocardial infarction in the pandemic period in 2020 and before it in 2019

Prokhorov K. V., Koriagin V. S.

Relevance. There is limited information available on the outcome of SARS-CoV-2 (COVID-19) patients with acute myocardial infarction (AMI). Materials and methods. In a single-center retrospective study, we evaluated the outcomes of patients admitted with ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction during the COVID-19 pandemic (01.10. the same period a year earlier. Results. In 2020, 147 patients and 225 in 2019 with AMI turned to the regional vascular center. During a pandemic, the GRACE scores were 144.9 ± 39.4 compared to the pre-pandemic period in 2019 130.6 ± 34.4 (p=0.027). Hospital mortality from MI during the pandemic in 2020 and before it in 2019 was 9.5% and 4%, respectively (p=0.031). Conclusion. We analyzed the largest series of COVID-19 infections to date in patients with MI. They found a high mortality rate and a negative prognosis in the analysis of survival compared to the period before the pandemic of the new coronavirus infection.

Keywords:myocardial infarction, COVID 19, mortality, survival