MEDIX, God. 27 Br. 150/151  •  Pregledni članak  •  Kardiologija HR ENG

Hrvatska mreža primarne perkutane koronarne intervencije u doba elementarnih nepogoda 2020/21. godineCroatian Primary Percutaneous Coronary Intervention Network During Natural Disasters 2020/21.

Zdravko Babić, Eduard Margetić, Davor Miličić

U stručnoj literaturi postoje jasni dokazi da COVID-19 povećava rizik od akutnog infarkta miokarda (AIM), najvjerojatnije destabilizacijom aterosklerotskog plaka uzrokovanom citokinima i hiperkoagulabilnošću. Nasuprot tome, višestruka istraživanja pokazuju da se stopa hospitalizacija zbog AIM-a smanjila za čak 40 do 50% tijekom COVID-19 pandemije što se objašnjava strahom bolesnika od dolaska u bolnice radi opasnosti od zaraze, težom dostupnošću zdravstvene skrbi i zamjenom simptoma AIM-a za spomenutu infekciju. Hrvatska mreža primarne perkutane koronarne intervencije (PCI), međunarodno prepoznati sustav liječenja AIM-a, pokazao je izrazitu prilagodljivost tijekom COVID-19 pandemije i dva katastrofalna potresa tijekom 2020. godine. Unatoč nešto manjem broju PCI-ja u AIM-u u odnosu na 2019. godinu, s padom manjim u odnosu na inozemna izvješća, optimalno liječenje AIM-a bilo je kontinuirano dostupno svim stanovnicima Hrvatske. Iskustva stečena u prvom valu dovela su do smanjenja pada broja PCI-ja u AIM-u u drugom i trećem valu COVID-19 pandemije.

Ključne riječi:
akutni infarkt miokarda; COVID-19 pandemija; potres

Članak u cijelosti pročitajte u tiskanom izdanju MEDIX, God. 27 Br. 150/151

There is clear evidence in the literature that COVID-19 increases the risk of acute myocardial infarction (AMI), most likely by cytokine-induced atherosclerotic plaque destabilization and hypercoagulability. In contrast, multiple studies show that the hospitalization rate due to AMI decreased by as much as 40 to 50% during the COVID 19 pandemic due to both patients' fear of hospitalization and the risk of infection, more difficult health care access and misunderstanding of AMI symptoms for this infection. The Croatian Primary Percutaneous Coronary Intervention Network (PCI), an internationally recognized AMI treatment system, has shown flexibility during the COVID-19 pandemic and two catastrophic earthquakes during 2020. Despite the slightly lower number of PCIs in AMI compared to 2019, with a smaller decrease compared to foreign reports, the optimal AMI treatment was continuously available to all residents of Croatia. Experiences gained in the first wave led to smaller decline of PCIs in AMI fall reduction in the second and third waves of the COVID-19 pandemic.

Key words:
acute myocardial infarction, COVID 19 pandemic, earthquake