Stent-Save a Life international survey on the practice of primary percutaneous coronary intervention during the COVID-19 pandemic

Hélder Pereira; Christoph Naber; Sandrine Wallace; Tóth Gabor; Sayfollah Abdi; Bagrat Alekyan; Thomas Alexander; Carolina Artucio; Ignacio Batista; Alfonsina Candiello; Rhena Delport; Leonardo De Luca; Andrejs Erglis; Pedro Farto-Abreu; Wei-Chung Huang; John Kanakakis; Michael Lee; Awad Mohamed; Dejan Orlić; Patricio Orti; Mohamed Sobh; Khaled Shokry; Ibrahim Terzic; Kyaw Win; Jan Piek

doi:10.1016/j.repc.2021.04.006

Stent-Save a Life international survey on the practice of primary percutaneous coronary intervention during the COVID-19 pandemic

Rev Port Cardiol. 2022 Mar;41(3):221-227. doi: 10.1016/j.repc.2021.04.006. Epub 2021 Dec 25.

Authors

Hélder Pereira¹, Christoph Naber², Sandrine Wallace³, Tóth Gabor⁴, Sayfollah Abdi⁵, Bagrat Alekyan⁶, Thomas Alexander⁷, Carolina Artucio⁸, Ignacio Batista⁹, Alfonsina Candiello¹⁰, Rhena Delport¹¹, Leonardo De Luca¹², Andrejs Erglis¹³, Pedro Farto-Abreu¹⁴, Wei-Chung Huang¹⁵, John Kanakakis¹⁶, Michael Lee¹⁷, Awad Mohamed¹⁸, Dejan Orlić¹⁹, Patricio Orti²⁰, Mohamed Sobh²¹, Khaled Shokry²², Ibrahim Terzic²³, Kyaw Win²⁴, Jan Piek²⁵

Affiliations

¹ SSL Europe, Hospital Garcia Orta, Almada, Portugal and Lisbon School of Medicine of the University Lisbon, Portugal. Electronic address: hhpereira@gmail.com.
² SSL Chairman, Klinikum Wilhelmshaven GmbH, Wilhelmshaven, Germany.
³ SSL Global Project Manager.
⁴ SSL Europe, University Heart Center Graz, Medical University of Graz, Austria.
⁵ SSL Iran, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
⁶ SSL Russia, Academician of the Russian Academy of Science, A.V. Vishnevsky Institute of Surgery, Moscow, Russia.
⁷ SSL India, Kovai Medical Centre and Hospital, Coimbatore, India.
⁸ SSL Uruguay, Instituto de Cardiología Intervencionista de Casa de Galicia, Montevideo, Uruguay.
⁹ SSL Uruguay, Centro Cardiológico Americano, Montevideo, Uruguay, Hemodinamia del Litoral, Salto, Uruguay.
¹⁰ SSL Argentina, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.
¹¹ SSL South Africa, Department of Family Medicine, Steve Bico Academic Hospital, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa.
¹² SSL Italy, Dept of Cardiosciences, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.
¹³ SSL Latvia, University of Latvia, Pauls Stradins Clinical University Hospital, Riga, Latvia.
¹⁴ SSL Portugal, Cardiology Department, Amadora, Portugal.
¹⁵ SSL Taiwan, Department of Critical Care Medicine, Kaohsiung Veterans General Hospital and Department of Physical Therapy, Fooyin University, Kaohsiung, and School of Medicine, National Yang-Ming University, Taipei, Taiwan.
¹⁶ SSL Greece, Department of Clinical Therapeutics, University of Athens, Alexandra Hospital, Athens, Greece.
¹⁷ SSL Asia, Division of Cardiology, Department of Medicine, Queen Elizabeth Hospital, Hong Kong SAR, China.
¹⁸ SSL Sudan, University of Khartoum, Sudan.
¹⁹ SSL Serbia, Cardiology Clinic, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Serbia.
²⁰ SSL Mexico, Instituto Nacional de Cardiología "Ignacio Chávez", Cardiosur, Instituto Cardiovascular Cuernavaca, Medica Sur, Mexico.
²¹ SSL Egypt; Faculty of Medicine, Alexandria University, Alexandria, Egypt.
²² SSL Egypt, Dean of Military Faculty of Medicine, Cairo, Egypt.
²³ SSL Bosnia and Herzegovina, President of WG of Interventional Cardiology, Bosnia and Herzegovina, Cardiocenter Terzic, Tuzla, Bosnia and Herzegovina.
²⁴ SSL Maynmar, Upper Myanmar Heart Centre, Mandalay, Myanmar.
²⁵ SSL Co-chairman, Academisch Medisch Centrum Universiteit van Amsterdam - AMC Heart Center, Amsterdam, Netherlands.

Abstract
in English, Portuguese

Aim: To assess the impact of the COVID-19 pandemic on admissions of patients with acute coronary syndromes (ACS) and primary percutaneous coronary intervention (PPCI) in countries participating in the Stent-Save a Life (SSL) global initiative.

Methods and results: We conducted a multicenter observational survey to collect data on patient admissions for ACS, ST-elevation myocardial infarction (STEMI) and PPCI in participating SSL member countries through a period during the COVID-19 outbreak (March and April 2020) compared with the equivalent period in 2019. Of the 32 member countries of the SSL global initiative, 17 agreed to participate in the survey (three in Africa, five in Asia, six in Europe and three in Latin America). Overall reductions of 27.5% and 20.0% were observed in admissions for ACS and STEMI, respectively. The decrease in PPCI was 26.7%. This trend was observed in all except two countries. In these two, the pandemic peaked later than in the other countries.

Conclusions: This survey shows that the COVID-19 outbreak was associated with a significant reduction in hospital admissions for ACS and STEMI as well as a reduction in PPCI, which can be explained by both patient- and system-related factors.

Objetivos: Avaliar o impacto da pandemia COVID-19 nas admissões de doentes com síndromes coronárias agudas (SCA) e angioplastia coronária primária (PPCI) em países que participam da iniciativa global Stent-Save a Life (SSL).

Métodos e resultados: Realizámos estudo observacional multicêntrico para coletar dados sobre admissões de doentes por ACS, STEMI e PPCI nos países participantes no SSL durante um período do surto COVID-19 (março e abril de 2020) em comparação com o período homólogo de 2019. Dos 32 países membros da iniciativa global SSL, 17 aceitaram participar no estudo (3 de África, 5 da Ásia, 6 da Europa e 3 da América Latina (LATAM)). Observámos uma redução global de 27,5% e 20,0% nos internamentos com SCA e STEMI, respetivamente. A diminuição do PPCI foi de 26,7%. Essa tendência foi observada em todos os países, exceto dois. Nestes dois países, a pandemia atingiu o pico mais tarde do que nos restantes.

Conclusões: Este estudo mostra que o surto de COVID-19 foi associado a uma redução significativa de admissões hospitalares por SCA e STEMI, bem como uma redução de PPCI, o que pode ser explicado por fatores relacionados com o doente e com o sistema.

Keywords: COVID-19; Myocardial infarction; Stent Save a Life.

Abstract in English, Portuguese

Abstract
in English, Portuguese