TCT CONNECT-215 Demographics and In-Hospital Outcomes of COVID-19 Patients Undergoing an Invasive Strategy for Acute Coronary Syndrome: The Global Multi-Centre Prospective COVID-ACS Registry

Cardiac involvement in the long-term implications of COVID-19

“…Hospitalizations temporarily decreased 83 , but, in the case of acute coronary syndromes, the pandemic often simply led to a delayed presentation to hospital 84 , which is associated with worse outcomes 85 . Indeed, a multicentre, international registry of patients with COVID-19 and suspected acute coronary syndrome who underwent invasive coronary angiography found that symptom-to-admission times were greatly increased and that in-hospital mortality was higher among patients with any type of acute coronary syndrome than in recent pre-pandemic times; cardiogenic shock was also much more common 86 . The North American COVID-19 and STEMI (NACMI) registry similarly found that patients with ST-segment elevation myocardial infarction and COVID-19 were at higher risk of a composite end point of in-hospital death, stroke, recurrent myocardial infarction or repeat revascularization than they were before the pandemic 87 .…”