Association Between History of Polymerase Chain Reaction-verified COVID-19 Infection and Outcomes of Subsequent ST-Elevation Myocardial Infarction

dc.contributor.authorDogan, Zeki
dc.contributor.authorErden, Ismail
dc.contributor.authorBektasoglu, Gokhan
dc.contributor.authorKarabulut, Ahmet
dc.date.accessioned2023-02-21T12:34:10Z
dc.date.available2023-02-21T12:34:10Z
dc.date.issued2023-01-01
dc.description.abstractWhile the acute phase of coronavirus disease 2019 (COVID-19) is associated with worsening cardiac outcomes, it is unclear whether it affects the outcome of patients with ST-segment elevation myocardial infarction (STEMI) after the acute phase. In addition, while many studies compared the course of STEMI during the COVID-19 pandemic with the years before the outbreak, we evaluated the course of STEMI during the pandemic according to whether or not patients had history of COVID-19. Patients diagnosed with STEMI during the ongoing COVID-19 pandemic were included in the study. The Ministry of Health database was analyzed retrospectively, and patients with (n = 191) and without (n = 127) a history of polymerase chain reaction (PCR) confirmed COVID-19 infection were divided into groups. Clinical and angiographic characteristics were assessed. The rates of in-hospital major adverse cardiac events (MACE) were higher in those who had a history of PCR-verified COVID-19 infection. Angiographic and procedural findings indicating successful reperfusion were better in patients without a history of COVID-19. A history of COVID-19 infection (odds ratio 1.40, 95\% confidence interval 1.25-1.60, P < .01) independently predicted MACE. A history of COVID-19 infection is a predictor of worse outcomes following coronary intervention and in-hospital MACE among patients with STEMI.
dc.identifier.doi10.1177/00033197221139918
dc.identifier.urihttps://hdl.handle.net/11443/1679
dc.identifier.urihttp://dx.doi.org/10.1177/00033197221139918
dc.identifier.wosWOS:000890531200001
dc.publisherSAGE PUBLICATIONS INC
dc.relation.ispartofANGIOLOGY
dc.subjectCOVID-19
dc.subjectST-elevation myocardial infarction
dc.subjectprimary percutaneous coronary intervention
dc.titleAssociation Between History of Polymerase Chain Reaction-verified COVID-19 Infection and Outcomes of Subsequent ST-Elevation Myocardial Infarction
dc.typeArticle

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