31 days of COVID-19—cardiac events during restriction of public life—a comparative study

• DOI: 10.1007/s00392-020-01681-2
• Publication Date: 2020-06-03T15:31:10Z
• Authors: Manuel Rattka; Michael Baumhardt; Jens Dreyhaupt; Dietrich Rothenba...; Kevin Thiessen; Sinisa Markovic; Wolfgang Rottbauer; Armin Imhof
• Keywords: Pandemic

Abstract Aims The coronavirus SARS-CoV-2 outbreak led to the most recent pandemic of twenty-first century. To contain spread virus, many nations introduced a public lockdown. How itself and measures social restriction affect hospital admissions due acute cardiac events has rarely been evaluated yet. Methods Results German authorities announced between March 21st April 20th, 2020. During this period, all patients suffering from an event admitted our ( N = 94) were assessed incidence rate ratios (IRR) for estimated, compared with those during same period in previous three years (2017–2019, 361). Admissions reduced by 22% as n 94 vs. average 120 per year 2017–2019). Whereas IRR STEMI 1.20 (95% CI 0.67–2.14) out-of-hospital arrest 0.82 0.33–2.02) remained similar, overall 0.78 0.62–0.98) NSTEMI 0.46 0.27–0.78) significantly lower. In patients, plasma concentrations high-sensitivity troponin T at admission higher (644 ng/l, IQR 372–2388) 2017–2019 (195 84–1134; p 0.02). Conclusion concomitant restrictions are associated tertiary care center. From health perspective, strategies have be developed assure seeking getting medical treatment time pandemic.