key: cord-0800856-1szvow60
authors: D’Amario, Domenico; Rodolico, Daniele; Cappannoli, Luigi; Migliaro, Stefano; Crea, Filippo
title: Are We Missing Something in the Management of Acute Coronary Syndromes in COVID-19–Negative Patients?
date: 2020-11-24
journal: J Am Coll Cardiol
DOI: 10.1016/j.jacc.2020.08.082
sha: 3c5b40ea4b5166212b067f8822815a61c3007d71
doc_id: 800856
cord_uid: 1szvow60

nan

Are We Missing Something in the Management of Acute Coronary Syndromes in COVID-19-Negative Patients?

We read with great interest the paper by Bhatt et al. These data have prompted us to conduct a retrospective analysis to evaluate the impact of the COVID-19 pandemic on the management of patients presenting with ST-segment elevation myocardial infarction (STEMI) during the first month of the Italian lockdown. Clinical outcome in this class of patients is influenced by time delay to treatment. We have analyzed all the components of the ischemic time (patient delay þ system delay) to assess inhospital outcomes (major adverse cardiovascular events) ( Table 1) .

We confirm a mild decrease in the number of STsegment elevation-acute coronary syndrome hospitalizations in 2020 compared with the same period in 2019. Notably, in patients negative for COVID-19, we were not able to detect a remarkable "patient delay," The authors have reported that they have no relationships relevant to the contents of this paper to disclose. Bojan Cercek, MD, PhD, served as Guest Associate Editor for this paper. P.K. Shah, MD, served as Guest Editor-in-Chief for this paper. The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors' institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC author instructions page. 

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