PMID- 36200545
OWN - NLM
STAT- MEDLINE
DCOM- 20230621
LR  - 20230701
IS  - 1898-018X (Electronic)
IS  - 1897-5593 (Print)
IS  - 1898-018X (Linking)
VI  - 30
IP  - 3
DP  - 2023
TI  - The impact of first wave of the SARS-CoV-2 2019 pandemic in Poland on 
      characteristics and outcomes of patients hospitalized due to stable coronary 
      artery disease.
PG  - 337-343
LID - 10.5603/CJ.a2022.0094 [doi]
AB  - BACKGROUND: An investigation of baseline characteristics, treatment, and outcomes 
      in patients with stable coronary disease after the first wave of the severe acute 
      respiratory syndrome coronavirus 2 (SARS- -CoV-2) pandemic may provide valuable 
      data and is beneficial for public health strategy in upcoming years. METHODS: A 
      multi-institutional registry, including 10 cardiology departments, was searched 
      for patients admitted from June 2020 to October 2020. The baseline 
      characteristics (age, gender, symptoms, comorbidities), treatment (non-invasive, 
      invasive, surgical), and hospitalization outcome (mortality, myocardial 
      infarction, stroke, composite endpoint - major adverse cardiac and 
      cerebrovascular events [MACCE]) were evaluated. The comparison was made to 
      parameters presented by patients from the same timeframe in 2019 (June-October). 
      Multivariable analysis was performed. RESULTS: Number of hospitalized stable 
      patients following lockdown was lower (2498 vs. 1903; p < 0.0001). They were 
      younger (68.0 vs. 69.0; p < 0.019), more likely to present with hypertension 
      (88.5% vs. 77.5%; p < 0.0001), diabetes (35.7% vs. 31.5%; p = 0.003), 
      hyperlipidemia (67.9% vs. 55.4%; p < 0.0001), obesity (35.8% vs. 31.3%; p = 
      0.002), and more pronounced symptoms (Canadian Cardiovascular Society [CCS] III 
      and CCS class IV angina: 30.4% vs. 26.5%; p = 0.005). They underwent percutaneous 
      treatment more often (35.0% vs. 25.9%; p < 0.0001) and were less likely to be 
      referred for surgery (3.7% vs. 4.9%; p = 0.0001). There were no significant 
      differences in hospitalization outcome. New York Heart Association (NYHA) class 
      IV for heart failure was a risk factor for both mortality and MACCE in 
      multivariate analysis. CONCLUSIONS: The SARS-CoV-2 2019 pandemic affected the 
      characteristics and hospitalization course of stable angina patients hospitalized 
      following the first wave. The hospitalization outcome was similar in the analyzed 
      time intervals. The higher prevalence of comorbidities raises concern regarding 
      upcoming years.
FAU - Jankowska-Sanetra, Justyna
AU  - Jankowska-Sanetra J
AD  - Department of Cardiology, American Heart of Poland, Bielsko-Biala, Poland.
FAU - Sanetra, Krzysztof
AU  - Sanetra K
AUID- ORCID: 0000-0002-0534-4983
AD  - Clinic of Cardiovascular Surgery, Andrzej Frycz Modrzewski Krakow University, 
      Krakow, Poland. krzyssan@poczta.onet.pl.
AD  - Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland. 
      krzyssan@poczta.onet.pl.
FAU - Konopko, Marta
AU  - Konopko M
AD  - Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Krakow, 
      Poland.
FAU - Kutowicz, Monika
AU  - Kutowicz M
AD  - Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Krakow, 
      Poland.
FAU - Synak, Magdalena
AU  - Synak M
AD  - Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Krakow, 
      Poland.
FAU - Milewski, Krzysztof
AU  - Milewski K
AD  - Department of Cardiology, American Heart of Poland, Bielsko-Biala, Poland.
AD  - Faculty of Medicine, University of Technology, Katowice, Poland.
AD  - Center for Cardiovascular Research and Development, American Heart of Poland, 
      Katowice, Poland.
FAU - Kazmierczak, Pawel
AU  - Kazmierczak P
AD  - American Heart of Poland, Katowice, Poland.
FAU - Koltowski, Lukasz
AU  - Koltowski L
AD  - First Chair and Department of Cardiology, Warsaw Medical University, Warsaw, 
      Poland.
FAU - Buszman, Piotr Pawel
AU  - Buszman PP
AD  - Department of Cardiology, American Heart of Poland, Bielsko-Biala, Poland.
AD  - Department of Cardiology, Andrzej Frycz Modrzewski Krakow University, Krakow, 
      Poland.
AD  - Center for Cardiovascular Research and Development, American Heart of Poland, 
      Katowice, Poland.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20221006
PL  - Poland
TA  - Cardiol J
JT  - Cardiology journal
JID - 101392712
SB  - IM
MH  - Humans
MH  - Canada
MH  - Communicable Disease Control
MH  - *Coronary Artery Disease/diagnosis/epidemiology/therapy
MH  - *COVID-19/epidemiology
MH  - Pandemics
MH  - Poland/epidemiology
MH  - SARS-CoV-2
PMC - PMC10287081
OTO - NOTNLM
OT  - COVID-19
OT  - coronary artery disease
OT  - coronavirus
OT  - lockdown
OT  - pandemic
COIS- Conflict of interest: None declared
EDAT- 2022/10/07 06:00
MHDA- 2023/06/20 06:41
PMCR- 2022/06/13
CRDT- 2022/10/06 06:03
PHST- 2022/05/11 00:00 [received]
PHST- 2022/08/24 00:00 [accepted]
PHST- 2022/07/25 00:00 [revised]
PHST- 2023/06/20 06:41 [medline]
PHST- 2022/10/07 06:00 [pubmed]
PHST- 2022/10/06 06:03 [entrez]
PHST- 2022/06/13 00:00 [pmc-release]
AID - VM/OJS/J/89975 [pii]
AID - cardj-30-3-337 [pii]
AID - 10.5603/CJ.a2022.0094 [doi]
PST - ppublish
SO  - Cardiol J. 2023;30(3):337-343. doi: 10.5603/CJ.a2022.0094. Epub 2022 Oct 6.