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Increased coronary artery disease severity in patients undergoing invasive diagnostics during the COVID-19 pandemic.
Wcislo, Tomasz; Kolodziej, Karolina; Ksiazczyk, Marcin; Kuna, Kasper; Mikulski, Damian; Borowiak, Ewa; Plewka, Michal.
Afiliación
  • Wcislo T; Medical University of Lodz, Lódz, Poland (Department of Interventional Cardiology and Cardiac Arrhythmias, Military Medical Academy, Memorial Teaching Hospital).
  • Kolodziej K; Medical University of Lodz, Lódz, Poland (Department of Interventional Cardiology and Cardiac Arrhythmias, Military Medical Academy, Memorial Teaching Hospital).
  • Ksiazczyk M; Medical University of Lodz, Lódz, Poland (Department of Conservative Nursing, Faculty of Health Sciences).
  • Kuna K; Medical University of Lodz, Lódz, Poland (Department of Interventional Cardiology and Cardiac Arrhythmias, Military Medical Academy, Memorial Teaching Hospital).
  • Mikulski D; Medical University of Lodz, Lódz, Poland (Department of Biostatistics and Translational Medicine).
  • Borowiak E; Medical University of Lodz, Lódz, Poland (Department of Biostatistics and Translational Medicine).
  • Plewka M; Medical University of Lodz, Lódz, Poland (Department of Conservative Nursing, Faculty of Health Sciences).
Med Pr ; 75(4): 333-342, 2024 Sep 17.
Article en En | MEDLINE | ID: mdl-39193803
ABSTRACT

BACKGROUND:

This study aimed to compare the stage of coronary heart disease in patients who underwent invasive cardiac diagnostics during the COVID-19 pandemic and before, based on the number of medical devices used and the number of complex coronary angioplasty procedures performed. MATERIAL AND

METHODS:

A retrospective, single-center study was conducted, which included 187 successive patients with diagnosed coronary heart disease, who were divided into 2 groups group I (N = 92, pre-COVID-19 pandemic) and group II (N = 95, during COVID-19 pandemic).

RESULTS:

Despite a comparable number of invasive procedures in both groups, stent length and contrast use per procedure were significantly higher during the COVID-19 pandemic. Similarly, a higher number of stents was used per patient in 2021, however, the difference was not statistically significant (p = 0.0817). Similarly, fluoroscopy time per procedure and procedure duration were significantly longer in the 2021 group. Among patients treated during the COVID-19 pandemic, higher glucose concentration, blood pressure parameters, low-density lipoprotein and total cholesterol were observed; however, these differences were not statistically significant.

CONCLUSIONS:

During the COVID-19 pandemic, coronary atherosclerosis progression were found, requiring a higher number of complex coronary angioplasty procedures, which contributed to a statistically significant increase in the number of medical devices used (angioplasty guidewires, angioplasty balloons) and procedures duration. Med Pr Work Health Saf. 2024;75(4)333-342.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / COVID-19 Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Med Pr Año: 2024 Tipo del documento: Article Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / COVID-19 Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Med Pr Año: 2024 Tipo del documento: Article Pais de publicación: Polonia