Journal article
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
Respiratory research, Vol.23(1), pp.1-207
08/15/2022
DOI: 10.1186/s12931-022-02128-0
PMCID: PMC9376902
PMID: 35971173
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).
Details
- Title: Subtitle
- 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
- Creators
- Giuseppe De Luca - University of SassariMatteo Nardin - Azienda Socio Sanitaria Territoriale degli Spedali Civili di BresciaMagdy Algowhary - Assiut UniversityBerat Uguz - Bursa Technical UniversityDinaldo C. Oliveira - Univ Fed Pernambuco, Ctr PROCAPE, Pronto Socorro Cardiol Prof Luis Tavares, Recife, BrazilVladimir Ganyukov - Kemerovo State UniversityZan Zimbakov - Saints Cyril and Methodius University of SkopjeMiha Cercek - Ljubljana University Medical CentreLisette Okkels Jensen - Odense University HospitalPoay Huan Loh - National University HospitalLucian Calmac - Clinical Emergency Hospital BucharestGerard Roura Ferrer - Hosp Univ Bellvitge, Heart Dis Inst, Intervent Cardiol Unit, Barcelona, SpainAlexandre Quadros - Inst Cardiol Rio Grande Do Sul, Porto Alegre, BrazilMarek Milewski - Medical University of SilesiaFortunato Scotto di Uccio - Osped Mare, Div Cardiol, Naples, ItalyClemens von Birgelen - Medisch Spectrum TwenteFrancesco Versaci - Ospedale Santa Maria GorettiJurrien Ten Berg - St Antonius Hosp, Div Cardiol, Nieuwegein, NetherlandsGianni Casella - Ospedale Maggiore Carlo Alberto PizzardiAaron Wong Sung Lung - Natl Heart Ctr, Dept Cardiol, Singapore, SingaporePetr Kala - Masaryk UniversityJose Luis Diez Gil - H Univ & Politecn La Fe, Valencia, SpainXavier Carrillo - Hospital Universitari Germans Trias i PujolMaurits Dirksen - Northwest HospitalVictor M. Becerra-Munoz - Hosp Clin Univ Virgen de la Victoria, Malaga, SpainMichael Kang-yin Lee - University of Hong KongDafsah Arifa Juzar - University of IndonesiaRodrigo de Moura Joaquim - Instituto de Cardiologia de Santa CatarinaRoberto Paladino - Clin Villa dei Fiori, Div Cardiol, Acerra, ItalyDavor Milicic - University Hospital Centre ZagrebPeriklis Davlouros - General University Hospital of PatrasNikola Bakraceski - Ctr Cardiovasc Dis, Ohrid, North MacedoniaFilippo Zilio - Ospedale Santa ChiaraLuca Donazzan - Ospedale di BolzanoAdriaan Kraaijeveld - University Medical Center UtrechtGennaro Galasso - Ospedali Riuniti San Giovanni di Dio e Ruggi d'AragonaArpad Lux - Maastricht UniversityLucia Marinucci - Ospedali Riuniti Marche NordVincenzo Guiducci - Azienda Sanitaria Unità Locale di Reggio EmiliaMaurizio Menichelli - Osped F Spaziani, Div Cardiol, Frosinone, ItalyAlessandra Scoccia - Ospedale Sant'AnnaAylin Hatice Yamac - Bezmiâlem Vakıf ÜniversitesiKadir Ugur Mert - Eskişehir Osmangazi UniversityXacobe Flores Rios - Complexo Hosp Univ La Coruna, La Coruna, SpainTomas Kovarnik - General University Hospital in PragueMichal Kidawa - Med Univ Lodz, Cent Hosp, Lodz, PolandJose Moreu - Complejo Hospitalario Universitario de ToledoVincent Flavien - Ctr Hosp Univ Lille, Div Cardiol, Lille, FranceEnrico Fabris - Azienda Sanitaria Universitaria Integrata di TriesteInigo Lozano Martinez-Luengas - Hospital de CabueñesMarco Boccalatte - Ospedale Santa MariaFrancisco Bosa Ojeda - Hosp Univ Canarias, Div Cardiol, Santa Cruz de Tenerife, SpainCarlos Arellano-Serrano - Hospital Universitario Puerta de Hierro MajadahondaGianluca Caiazzo - Azienda Ospedaliera S.Giuseppe MoscatiGiuseppe Cirrincione - Azienda di Rilievo Nazionale ed Alta SpecializzazioneHsien-Li Kao - Natl Taiwan Univ Hosp, Dept Internal Med, Cardiol Div, Taipei, TaiwanJuan Sanchis Fores - Hosp Clin Univ Valencia, Div Cardiol, Valencia, SpainLuigi Vignali - Azienda Osped Sanitaria, Intervent Cardiol Unit, Parma, ItalyHelder Pereira - Hospital Garcia de OrtaStephane Manzo - InsermSantiago Ordonez - Instituto Cardiovascular de Buenos AiresAlev Arat Ozkan - Istanbul UniversityBruno Scheller - Saarland UniversityHeidi Lehtola - Oulu University HospitalRui Teles - Hospital de Santa CruzChristos Mantis - Agia Olga HospitalYlitalo Antti - Turku PET CentreJoao A. Brum Silveira - Hosp Santo Antonio, Div Cardiol, Porto, PortugalRodrigo Zoni - Inst Cardiol Corrientes Juana F Cabral, Dept Teaching & Res, Corrientes, ArgentinaIvan Bessonov - Tyumen Cardiol Res Ctr, Tyumen, RussiaStefano Savonitto - Alessandro Manzoni HospitalGeorge Kochiadakis - University Hospital of HeraklionDimitrios Alexopoulos - University General Hospital AttikonCarlos E. Uribe - Clínica CESJohn Kanakakis - Alexandra HospitalBenjamin Faurie - Groupe Hospitalier Mutualiste de GrenobleGabriele Gabrielli - Azienda Ospedaliero Universitaria Ospedali RiunitiAlejandro Gutierrez Barrios - Hosp Puerta del Mar, Div Cardiol, Cadiz, SpainJuan Pablo Bachini - Inst Cardiol Integral, Montevideo, UruguayAlex Rocha - Instituto Nacional de Investigación AgropecuariaFrankie Chor-Cheung Tam - Queen Mary HospitalAlfredo Rodriguez - Sanatorio Otamendi y MiroliAntonia Anna Lukito - Pelita Harapan UniversityVeauthyelau Saint-Joy - Ctr Hosp Antibes Juan Les Pins, Antibes, FranceGustavo Pessah - Servicio Diabetología Hospital CórdobaAndrea Tuccillo - Osped Mare, Div Cardiol, Naples, ItalyGiuliana Cortese - University of PaduaGuido Parodi - Azienda Unità Sanitaria Locale Della RomagnaMohamed Abed Bouraghda - University of BlidaElvin Kedhi - Université Libre de BruxellesPablo Lamelas - Instituto Cardiovascular de Buenos AiresHarry Suryapranata - Radboud University NijmegenMonica Verdoia - Ospedale degli Infermi
- Resource Type
- Journal article
- Publication Details
- Respiratory research, Vol.23(1), pp.1-207
- Publisher
- Springer Nature
- DOI
- 10.1186/s12931-022-02128-0
- PMID
- 35971173
- PMCID
- PMC9376902
- ISSN
- 1465-9921
- eISSN
- 1465-993X
- Number of pages
- 9
- Language
- English
- Date published
- 08/15/2022
- Academic Unit
- Electrical and Computer Engineering
- Record Identifier
- 9984627183702771
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