Deferral of non-emergency cardiac procedures is associated with increased early emergency cardiovascular hospitalizations

• DOI: 10.1007/s00392-022-02032-z
• Publication Date: 2022-05-23T07:03:17Z
• Authors: Stefanie Andreß; Tilman Stephan; Dominik Felbel; Alex Mack; Michael Baumhardt; Johannes Kersten; Dominik Buckert; Alexander Pott; Tillman Dahme; Wolfgang Rottbauer; Armin Imhof; Manuel Rattka
• Keywords: Clinical endpoint; Pandemic

During the COVID-19 pandemic, in anticipation of a demand surge for high-care hospital beds, many hospitals postponed non-emergency interventions cardiac patients.The aim this study was to assess outcomes patients whose had been deferred during pandemic.Patients intervention cancelled between March 19th and April 30th, 2020 were included (study group). All considered as deferrable according current recommendations. Patients' after 12 months compared seasonal control group who underwent 2019 scheduled. The primary endpoint composite emergency cardiovascular hospitalization death. Secondary endpoints levels symptoms biomarkers.Outcomes 193 consecutive assessed 216 controls. occurred significantly more often (HR 2.42, 95%CI 1.63-3.61, p < 0.001). This driven by an increase hospitalizations. Subgroup analyses showed that especially with transcatheter heart valve experienced early 9.55, 3.70-24.62, These findings accompanied pronounced higher biomarker levels.Deferral meet beds crisis is associated Patients suffering from valvular disease constitute vulnerable group. Consequently, our results suggest recommendations on management pandemic need revision.