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Sambola A, Avanzas P, Andrea R, Ariza A, Berga G, Cid B, López de Sa E, Martínez-Sellés M, Moreno R, Ojeda S, Sanchis J, Huelmos A, Jiménez Quevedo P, Juárez M, Asenjo RM, Pedreira M, Rodríguez Leor O, Roldán I, Romaguera R, Viana Tejedor A, Avanzas P, Berga Congost G, Boraita A, Bueno H, Calvo D, Campuzano R, Delgado V, Dos L, Ferreira-González I, Gómez Doblas JJ, Pascual Figal D, Sambola Ayala A, Viana Tejedor A, Ferreiro JL, Alfonso F. Comments on the 2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2021; 74:482-487. [PMID: 33775589 DOI: 10.1016/j.rec.2020.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 12/01/2020] [Indexed: 06/12/2023]
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Sagristà-Sauleda J, Barrabés JA. Typical angina, atypical angina, and atypical chest pain: is it time to change this terminology? REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2021; 74:118-119. [PMID: 33221179 DOI: 10.1016/j.rec.2020.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 09/22/2020] [Indexed: 06/11/2023]
Affiliation(s)
| | - José A Barrabés
- Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain; Departament de Medicina, Facultat de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain; Centro de Investigación en Red de Enfermedades Cardiovasculares (CIBERCV), Spain.
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Moreno R, Díez JL, Diarte JA, Macaya F, de la Torrre Hernández JM, Rodríguez-Leor O, Trillo R, Alonso-Briales J, Amat-Santos I, Romaguera R, Díaz JF, Vaquerizo B, Ojeda S, Cruz-González I, Morena-Salas D, Pérez de Prado A, Sarnago F, Portero P, Gutierrez-Barrios A, Alfonso F, Bosch E, Pinar E, Ruiz-Arroyo JR, Ruiz-Quevedo V, Jiménez-Mazuecos J, Lozano F, Rumoroso JR, Novo E, Irazusta FJ, García Del Blanco B, Moreu J, Ballesteros-Pradas SM, Frutos A, Villa M, Alegría-Barrero E, Lázaro R, Paredes E. Consequences of canceling elective invasive cardiac procedures during Covid-19 outbreak. Catheter Cardiovasc Interv 2020; 97:927-937. [PMID: 33336506 DOI: 10.1002/ccd.29433] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 11/16/2020] [Accepted: 11/29/2020] [Indexed: 01/05/2023]
Abstract
BACKGROUND During COVID-19 pandemic in Spain, elective procedures were canceled or postponed, mainly due to health care systems overwhelming. OBJECTIVE The objective of this study was to evaluate the consequences of interrupting invasive procedures in patients with chronic cardiac diseases due to the COVID-19 outbreak in Spain. METHODS The study population is comprised of 2,158 patients that were pending on elective cardiac invasive procedures in 37 hospitals in Spain on the 14th of March 2020, when a state of alarm and subsequent lockdown was declared in Spain due to the COVID-19 pandemic. These patients were followed-up until April 31th. RESULTS Out of the 2,158 patients, 36 (1.7%) died. Mortality was significantly higher in patients pending on structural procedures (4.5% vs. 0.8%, respectively; p < .001), in those >80 year-old (5.1% vs. 0.7%, p < .001), and in presence of diabetes (2.7% vs. 0.9%, p = .001), hypertension (2.0% vs. 0.6%, p = .014), hypercholesterolemia (2.0% vs. 0.9%, p = .026) [Correction added on December 23, 2020, after first online publication: as per Dr. Moreno's request changes in p-values were made after original publication in Abstract.], chronic renal failure (6.0% vs. 1.2%, p < .001), NYHA > II (3.8% vs. 1.2%, p = .001), and CCS > II (4.2% vs. 1.4%, p = .013), whereas was it was significantly lower in smokers (0.5% vs. 1.9%, p = .013). Multivariable analysis identified age > 80, diabetes, renal failure and CCS > II as independent predictors for mortality. CONCLUSION Mortality at 45 days during COVID-19 outbreak in patients with chronic cardiovascular diseases included in a waiting list due to cancellation of invasive elective procedures was 1.7%. Some clinical characteristics may be of help in patient selection for being promptly treated when similar situations happen in the future.
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Affiliation(s)
- Raúl Moreno
- Hospital Universitario La Paz, IdiPAZ, CIBER-CV, Madrid, Spain
| | | | | | | | | | | | - Ramiro Trillo
- Hospital Clínico Universitario, Santiago de Compostela, Spain
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- Corporació Sanitaria Parc Tauli, Sabadell, Spain
| | | | | | | | | | | | | | | | | | | | - José Moreu
- Hospital Virgen de la Salud, Toledo, Spain
| | | | | | | | - Eduardo Alegría-Barrero
- Hospital Universitario de Torrejón, Torrejón de Ardoz, Spain.,Hospital Ruber Internacional, Madrid, Spain
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