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The changing spectrum of cardiovascular emergencies during the COVID-19 pandemic

Holger Thiele1, Uwe Zeymer2

  • 1Heart Center Leipzig, Department of Internal Medicine/Cardiology, University of Leipzig, Strümpellstraße 39, 04289, Leipzig, Germany. holger.thiele@medizin.uni-leipzig.de.

Herz
|April 25, 2023
PubMed

Insights

The COVID-19 pandemic altered cardiovascular emergency care, potentially causing collateral damage. This review examines changes in acute coronary syndrome rates and cardiovascular outcomes, highlighting the pandemic's impact.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic, beginning March 2020, significantly impacted healthcare delivery and patient behaviors.
  • Cardiovascular emergencies represent a critical area affected by these pandemic-related changes.
  • Potential for cardiovascular collateral damage due to altered treatment strategies and access to care.

Purpose of the Study:

  • To review the evolving landscape of cardiac emergencies during the COVID-19 pandemic.
  • To specifically analyze trends in acute coronary syndrome (ACS) rates.
  • To assess the impact on cardiovascular mortality and morbidity.

Main Methods:

  • Literature review focusing on the period following the March 2020 pandemic outbreak.
  • Inclusion of recent and comprehensive meta-analyses on cardiovascular emergencies.
  • Analysis of studies examining changes in ACS incidence and cardiovascular outcomes.

Main Results:

  • The pandemic influenced the presentation and management of cardiovascular emergencies.
  • Observed changes in the rates of acute coronary syndrome.
  • Impact on overall cardiovascular mortality and morbidity documented.

Conclusions:

  • The COVID-19 pandemic necessitated adaptations in cardiovascular emergency care.
  • Understanding these changes is crucial for mitigating long-term cardiovascular consequences.
  • Further research is needed to fully comprehend the pandemic's lasting effects on cardiovascular health.

Keywords:
Acute coronary syndromeCardiovascular emergencyMorbidityMortalitySARS-CoV‑2

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