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Revista Uruguaya de Cardiología

versão impressa ISSN 0797-0048versão On-line ISSN 1688-0420

Resumo

BATISTA, Ignacio et al. Latin American survey on the degree of variation in healthcare activity in Interventional Cardiology Services due to the COVID-19 pandemic. Sub-analysis of the situation in Uruguay. Rev.Urug.Cardiol. [online]. 2020, vol.35, n.3, pp.87-106.  Epub 01-Dez-2020. ISSN 0797-0048.  https://doi.org/10.29277/cardio.35.3.8.

Introduction and objectives:

because of the COVID-19 pandemic, a reduction in activity has been verified in interventional cardiology. The objective of this survey was to quantify this decrease and the impact on the management of ST-elevation myocardial infarction in Uruguay.

Methods:

a telematic survey was carried out in Uruguay, in the context of a Latin American countries survey. Diagnostic catheterizations, coronary and structural interventions were recorded, as well as the perception of STEMI attendance and SARS-CoV-2 involvement of the health care staff. Two periods of 2020 were compared: 1st from February 24th to March 8th (pre COVID-19) and the 2nd from March 23rd to April 5th (COVID-19).

Results:

response was obtained from all centers (n=8) of the country. There was a significant decrease in the number of diagnostic procedures (36.1%), coronary interventions (20.3%), structural therapy (88.9%) and PCI in STEMI (37.3%). Less use of thrombolysis was indicated and a perception of respondents of longer delay to reperfusion. One center reported SARS-CoV-2 infection. Although there was a varied decrease in activity between the different centers, the behavior was homogeneous.

Conclusions:

a significant reduction in healthcare activity was observed during the COVID-19 epidemic and a great decrease in the number of patients treated with STEMI.

Palavras-chave : ST-elevation myocardial infarction; COVID-19; Primary coronary angioplasty; Pandemic.

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