Clinical Edge

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As visits for AMI drop during pandemic, deaths rise

Key clinical point: While hospitalizations for acute MI declined sharply during the COVID-19 pandemic, deaths increased.

Major finding: Mortality for ST-segment elevation MI cases more than tripled to 14% during the outbreak, compared with 4% in 2019 (P < .001), and complication rates increased by 80% to 19% (P = .025).

Study details: A multicenter, observational, nationwide survey of 319 admissions for acute MI at Italian cardiac care units for March 12-19 during the COVID-19 outbreak with an equivalent week in 2019.

Disclosures: Salvatore De Rosa, MD, PhD, and colleagues have no relevant financial relationships to disclose.


De Rosa S et al. Euro Heart J. 2020 May 15. doi: 10.1093/eurheartj/ehaa409.