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Survey of coronary catheterization laboratory activity in Iran during the coronavirus disease-2019 pandemic

Mohammad Kermani-Alghoraishi1, Ehsan Shirvani2, Alireza Khosravi3

  • 1Assistant Professor, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

ARYA Atherosclerosis
|November 7, 2022
PubMed

Insights

COVID-19 significantly reduced coronary catheterization procedures in Iran. This decline in cardiac interventions may increase the risk of cardiovascular mortality and morbidity.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic led to a global decrease in non-COVID patient hospitalizations and treatments.
  • Evaluating the impact on coronary artery disease (CAD) patient care is crucial.

Purpose of the Study:

  • To assess changes in the admission and treatment of CAD patients.
  • To analyze coronary catheterization laboratory (Cath lab) activity in Iran during the COVID-19 pandemic.

Main Methods:

  • A retrospective, multi-center study in Iran using data from the National Persian Registry Of CardioVascular diseasE (N-PROVE).
  • Comparison of two COVID-19 peak periods with the same dates in 2019.
  • Data collected on diagnostic and therapeutic coronary catheterizations for stable ischemic heart diseases (SIHDs) and acute coronary syndrome (ACS).

Main Results:

  • Coronary angiography and angioplasty decreased by 37% and 38% during the first COVID-19 peak.
  • ACS, particularly STEMI, was the primary indication initially, shifting to SIHDs during peak decreases.
  • The second peak saw a 34% and 27% reduction in diagnostic and therapeutic procedures, respectively.
  • Elective admissions rose but remained below 2019 levels; rescue PCI increased.

Conclusions:

  • A significant reduction in coronary Cath lab activity occurred during the COVID-19 pandemic.
  • This decrease may correlate with an elevated risk of cardiovascular mortality and morbidity.
Abstract

Keywords:
Coronary AngiographyCoronary AngioplastyCoronavirus Disease-2019ST-Segment Elevation Myocardial InfarctionSurvey

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