Impact of SARS-CoV-2 positivity on clinical outcome among STEMI
patients undergoing mechanical reperfusion: Insights from the
ISACS STEMI COVID 19 registry

J 2021

Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry

DE LUCA, G., N. DEBEL, M. CERCEK, L. O. JENSEN, M. VAVLUKIS et. al.

Basic information

Original name

Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry

Authors

DE LUCA, G., N. DEBEL, M. CERCEK, L. O. JENSEN, M. VAVLUKIS, L. CALMAC, T. JOHNSON, G. R. FERRER, V. GANYUKOV, W. WOJAKOWSKI, T . KINNAIRD, C. VON BIRGELEN, Y. COTTIN, A. IJSSELMUIDEN, B. TUCCILLO, F. VERSACI, K. J . ROYAARDS, J. TEN BERG, M. LAINE, M. DIRKSEN, M. SIVIGLIA, G. CASELLA, Petr KALA (203 Czech Republic, belonging to the institution), J. L. D. GIL, A. BANNING, V . BECERRA, C. DE SIMONE, A. SANTUCCI, X. CARRILLO, A. SCOCCIA, G. AMOROSO, A. W. VAN'T HOF, T. KOVARNIK, G. TSIGKAS, J. MEHILLI, G. GABRIELLI, X. F. RIOS, N. BAKRACESKI, S. LEVESQUE, G. CIRRINCIONE, V. GUIDUCCI, M. KIDAWA, L. SPEDICATO, L. MARINUCCI, P. LUDMAN, F. ZILIO, G. GALASSO, E. FABRIS, M. MENICHELLI, A. GARCIA-TOUCHARD, S. MANZO, G. CAIAZZO, J. MOREU, J. S. FORES, L. DONAZZAN, L. VIGNALI, R. TELES, E. BENIT, P. AGOSTONI, F. B. OJEDA, H. LEHTOLA, S. CAMACHO-FREIERE, A. KRAAIJEVELD, Y. ANTTI, M. BOCCALATTE, P. DEHARO, I. L. MARTINEZ-LUENGAS, B. SCHELLER, E. VARYTIMIADI, R. MORENO, G. UCCELLO, B. FAURIE, A. G. BARRIOS, M. MILEWSKI, E. BRUWIERE, P. SMITS, B. WILBERT, F. S. DI UCCIO, G. PARODI, E. KEDHI and M. VERDOIA

Edition

Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2021, 0021-9150

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 6.847

RIV identification code

RIV/00216224:14110/21:00123842

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.atherosclerosis.2021.06.926

UT WoS

000693328700006

Keywords in English

SARS-CoV-2; ST segment elevation myocardial infarction; Thrombosis(please add them)

Abstract

V originále

Background and aims: SARS-Cov-2 predisposes patients to thrombotic complications, due to excessive inflam-mation, endothelial dysfunction, platelet activation, and coagulation/fibrinolysis disturbances. The aim of the present study was to evaluate clinical characteristics and prognostic impact of SARS-CoV-2 positivity among STEMI patients undergoing primary percutaneous coronary intervention (PPCI). Methods: We selected SARS-CoV-2 positive patients included in the ISACS-STEMI COVID-19, a retrospective multicenter European registry including 6609 STEMI patients treated with PPCI from March 1st until April 30th, in 2019 and 2020. As a reference group, we randomly sampled 5 SARS-Cov-2 negative patients per each SARS-CoV-2 positive patient, individually matched for age, sex, and hospital/geographic area. Study endpoints were in-hospital mortality, definite stent thrombosis, heart failure. Results: Our population is represented by 62 positive SARS-CoV-2 positive patients who were compared with a matched population of 310 STEMI patients. No significant difference was observed in baseline characteristics or the modality of access to the PCI center. In the SARS-CoV-2 positive patients, the culprit lesion was more often located in the RCA (p < 0.001). Despite similar pre and postprocedural TIMI flow, we observed a trend in higher use of GP IIb-IIIa inhibitors and a significantly higher use of thrombectomy in the SARS-CoV-2 positive patients. SARS-CoV-2 positivity was associated with a remarkably higher in hospital mortality (29% vs 5.5%, p < 0.001), definite in-stent thrombosis (8.1% vs 1.6%, p symbolscript 0.004) and heart failure (22.6% vs 10.6%, p symbolscript 0.001) that was confirmed after adjustment for confounding factors. Conclusions: Our study showed that among STEMI patients, SARS-CoV-2 positivity is associated with larger thrombus burden, a remarkably higher mortality but also higher rates of in-stent thrombosis and heart failure.

Citovat

DE LUCA, G., N. DEBEL, M. CERCEK, L. O. JENSEN, M. VAVLUKIS, L. CALMAC, T. JOHNSON, G. R. FERRER, V. GANYUKOV, W. WOJAKOWSKI, T . KINNAIRD, C. VON BIRGELEN, Y. COTTIN, A. IJSSELMUIDEN, B. TUCCILLO, F. VERSACI, K. J . ROYAARDS, J. TEN BERG, M. LAINE, M. DIRKSEN, M. SIVIGLIA, G. CASELLA, Petr KALA, J. L. D. GIL, A. BANNING, V . BECERRA, C. DE SIMONE, A. SANTUCCI, X. CARRILLO, A. SCOCCIA, G. AMOROSO, A. W. VAN'T HOF, T. KOVARNIK, G. TSIGKAS, J. MEHILLI, G. GABRIELLI, X. F. RIOS, N. BAKRACESKI, S. LEVESQUE, G. CIRRINCIONE, V. GUIDUCCI, M. KIDAWA, L. SPEDICATO, L. MARINUCCI, P. LUDMAN, F. ZILIO, G. GALASSO, E. FABRIS, M. MENICHELLI, A. GARCIA-TOUCHARD, S. MANZO, G. CAIAZZO, J. MOREU, J. S. FORES, L. DONAZZAN, L. VIGNALI, R. TELES, E. BENIT, P. AGOSTONI, F. B. OJEDA, H. LEHTOLA, S. CAMACHO-FREIERE, A. KRAAIJEVELD, Y. ANTTI, M. BOCCALATTE, P. DEHARO, I. L. MARTINEZ-LUENGAS, B. SCHELLER, E. VARYTIMIADI, R. MORENO, G. UCCELLO, B. FAURIE, A. G. BARRIOS, M. MILEWSKI, E. BRUWIERE, P. SMITS, B. WILBERT, F. S. DI UCCIO, G. PARODI, E. KEDHI and M. VERDOIA. Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry. Atherosclerosis. Clare: ELSEVIER SCI IRELAND LTD, 2021, vol. 332, September 2021, p. 48-54. ISSN 0021-9150. Available from: https://dx.doi.org/10.1016/j.atherosclerosis.2021.06.926.

@article{1824020,
   author = {De Luca, G. and Debel, N. and Cercek, M. and Jensen, L. O. and Vavlukis, M. and Calmac, L. and Johnson, T. and Ferrer, G. R. and Ganyukov, V. and Wojakowski, W. and Kinnaird, T . and von Birgelen, C. and Cottin, Y. and IJsselmuiden, A. and Tuccillo, B. and Versaci, F. and Royaards, K. J . and ten Berg, J. and Laine, M. and Dirksen, M. and Siviglia, M. and Casella, G. and Kala, Petr and Gil, J. L. D. and Banning, A. and Becerra, V . and De Simone, C. and Santucci, A. and Carrillo, X. and Scoccia, A. and Amoroso, G. and van't Hof, A. W. and Kovarnik, T. and Tsigkas, G. and Mehilli, J. and Gabrielli, G. and Rios, X. F. and Bakraceski, N. and Levesque, S. and Cirrincione, G. and Guiducci, V. and Kidawa, M. and Spedicato, L. and Marinucci, L. and Ludman, P. and Zilio, F. and Galasso, G. and Fabris, E. and Menichelli, M. and GarciaandTouchard, A. and Manzo, S. and Caiazzo, G. and Moreu, J. and Fores, J. S. and Donazzan, L. and Vignali, L. and Teles, R. and Benit, E. and Agostoni, P. and Ojeda, F. B. and Lehtola, H. and CamachoandFreiere, S. and Kraaijeveld, A. and Antti, Y. and Boccalatte, M. and Deharo, P. and MartinezandLuengas, I. L. and Scheller, B. and Varytimiadi, E. and Moreno, R. and Uccello, G. and Faurie, B. and Barrios, A. G. and Milewski, M. and Bruwiere, E. and Smits, P. and Wilbert, B. and Di Uccio, F. S. and Parodi, G. and Kedhi, E. and Verdoia, M.},
   article_location = {Clare},
   article_number = {September 2021},
   doi = {http://dx.doi.org/10.1016/j.atherosclerosis.2021.06.926},
   keywords = {SARS-CoV-2; ST segment elevation myocardial infarction; Thrombosis(please add them)},
   language = {eng},
   issn = {0021-9150},
   journal = {Atherosclerosis},
   title = {Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry},
   url = {https://www.sciencedirect.com/science/article/pii/S0021915021012156?via%3Dihub},
   volume = {332},
   year = {2021}
}

TY  - JOUR
ID  - 1824020
AU  - De Luca, G. - Debel, N. - Cercek, M. - Jensen, L. O. - Vavlukis, M. - Calmac, L. - Johnson, T. - Ferrer, G. R. - Ganyukov, V. - Wojakowski, W. - Kinnaird, T . - von Birgelen, C. - Cottin, Y. - IJsselmuiden, A. - Tuccillo, B. - Versaci, F. - Royaards, K. J . - ten Berg, J. - Laine, M. - Dirksen, M. - Siviglia, M. - Casella, G. - Kala, Petr - Gil, J. L. D. - Banning, A. - Becerra, V . - De Simone, C. - Santucci, A. - Carrillo, X. - Scoccia, A. - Amoroso, G. - van't Hof, A. W. - Kovarnik, T. - Tsigkas, G. - Mehilli, J. - Gabrielli, G. - Rios, X. F. - Bakraceski, N. - Levesque, S. - Cirrincione, G. - Guiducci, V. - Kidawa, M. - Spedicato, L. - Marinucci, L. - Ludman, P. - Zilio, F. - Galasso, G. - Fabris, E. - Menichelli, M. - Garcia-Touchard, A. - Manzo, S. - Caiazzo, G. - Moreu, J. - Fores, J. S. - Donazzan, L. - Vignali, L. - Teles, R. - Benit, E. - Agostoni, P. - Ojeda, F. B. - Lehtola, H. - Camacho-Freiere, S. - Kraaijeveld, A. - Antti, Y. - Boccalatte, M. - Deharo, P. - Martinez-Luengas, I. L. - Scheller, B. - Varytimiadi, E. - Moreno, R. - Uccello, G. - Faurie, B. - Barrios, A. G. - Milewski, M. - Bruwiere, E. - Smits, P. - Wilbert, B. - Di Uccio, F. S. - Parodi, G. - Kedhi, E. - Verdoia, M.
PY  - 2021
TI  - Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry
JF  - Atherosclerosis
VL  - 332
IS  - September 2021
SP  - 48-54
EP  - 48-54
PB  - ELSEVIER SCI IRELAND LTD
SN  - 00219150
KW  - SARS-CoV-2
KW  - ST segment elevation myocardial infarction
KW  - Thrombosis(please add them)
UR  - https://www.sciencedirect.com/science/article/pii/S0021915021012156?via%3Dihub
N2  - Background and aims: SARS-Cov-2 predisposes patients to thrombotic complications, due to excessive inflam-mation, endothelial dysfunction, platelet activation, and coagulation/fibrinolysis disturbances. The aim of the present study was to evaluate clinical characteristics and prognostic impact of SARS-CoV-2 positivity among STEMI patients undergoing primary percutaneous coronary intervention (PPCI). Methods: We selected SARS-CoV-2 positive patients included in the ISACS-STEMI COVID-19, a retrospective multicenter European registry including 6609 STEMI patients treated with PPCI from March 1st until April 30th, in 2019 and 2020. As a reference group, we randomly sampled 5 SARS-Cov-2 negative patients per each SARS-CoV-2 positive patient, individually matched for age, sex, and hospital/geographic area. Study endpoints were in-hospital mortality, definite stent thrombosis, heart failure. Results: Our population is represented by 62 positive SARS-CoV-2 positive patients who were compared with a matched population of 310 STEMI patients. No significant difference was observed in baseline characteristics or the modality of access to the PCI center. In the SARS-CoV-2 positive patients, the culprit lesion was more often located in the RCA (p < 0.001). Despite similar pre and postprocedural TIMI flow, we observed a trend in higher use of GP IIb-IIIa inhibitors and a significantly higher use of thrombectomy in the SARS-CoV-2 positive patients. SARS-CoV-2 positivity was associated with a remarkably higher in hospital mortality (29% vs 5.5%, p < 0.001), definite in-stent thrombosis (8.1% vs 1.6%, p symbolscript 0.004) and heart failure (22.6% vs 10.6%, p symbolscript 0.001) that was confirmed after adjustment for confounding factors. Conclusions: Our study showed that among STEMI patients, SARS-CoV-2 positivity is associated with larger thrombus burden, a remarkably higher mortality but also higher rates of in-stent thrombosis and heart failure.
ER  -

DE LUCA, G., N. DEBEL, M. CERCEK, L. O. JENSEN, M. VAVLUKIS, L. CALMAC, T. JOHNSON, G. R. FERRER, V. GANYUKOV, W. WOJAKOWSKI, T . KINNAIRD, C. VON BIRGELEN, Y. COTTIN, A. IJSSELMUIDEN, B. TUCCILLO, F. VERSACI, K. J . ROYAARDS, J. TEN BERG, M. LAINE, M. DIRKSEN, M. SIVIGLIA, G. CASELLA, Petr KALA, J. L. D. GIL, A. BANNING, V . BECERRA, C. DE SIMONE, A. SANTUCCI, X. CARRILLO, A. SCOCCIA, G. AMOROSO, A. W. VAN'T HOF, T. KOVARNIK, G. TSIGKAS, J. MEHILLI, G. GABRIELLI, X. F. RIOS, N. BAKRACESKI, S. LEVESQUE, G. CIRRINCIONE, V. GUIDUCCI, M. KIDAWA, L. SPEDICATO, L. MARINUCCI, P. LUDMAN, F. ZILIO, G. GALASSO, E. FABRIS, M. MENICHELLI, A. GARCIA-TOUCHARD, S. MANZO, G. CAIAZZO, J. MOREU, J. S. FORES, L. DONAZZAN, L. VIGNALI, R. TELES, E. BENIT, P. AGOSTONI, F. B. OJEDA, H. LEHTOLA, S. CAMACHO-FREIERE, A. KRAAIJEVELD, Y. ANTTI, M. BOCCALATTE, P. DEHARO, I. L. MARTINEZ-LUENGAS, B. SCHELLER, E. VARYTIMIADI, R. MORENO, G. UCCELLO, B. FAURIE, A. G. BARRIOS, M. MILEWSKI, E. BRUWIERE, P. SMITS, B. WILBERT, F. S. DI UCCIO, G. PARODI, E. KEDHI and M. VERDOIA. Impact of SARS-CoV-2 positivity on clinical outcome among STEMI patients undergoing mechanical reperfusion: Insights from the ISACS STEMI COVID 19 registry. \textit{Atherosclerosis}. Clare: ELSEVIER SCI IRELAND LTD, 2021, vol.~332, September 2021, p.~48-54. ISSN~0021-9150. Available from: https://dx.doi.org/10.1016/j.atherosclerosis.2021.06.926.

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