Impacts of COVID-19 on patients who underwent percutaneous transluminal coronary angioplasty

Authors

DOI:

https://doi.org/10.26694/reufpi.v14i1.6455

Keywords:

COVID-19, Cardiovascular Diseases, Angioplasty

Abstract

Objective: To assess the impact of COVID-19 on patients diagnosed with acute coronary syndromes who underwent percutaneous transluminal coronary angioplasty. Methods: This is a cross-sectional study conducted in accordance with the STROBE guidelines in the city of Recife, Pernambuco, Brazil. Data were collected on sociodemographic characteristics, personal history, symptoms, complications, length of hospital stay and chest pain duration, anatomical and physiological aspects, pharmacological therapy, and occurrence of death, involving two groups of patients who underwent percutaneous transluminal coronary angioplasty. Group 1 consisted of 75 patients treated between March and June 2020, while Group 2 included 51 patients treated between May and August 2023. Variables were compared between groups using statistical tests with a 95% confidence level and a p-value < 0.05. Results: The study population showed a predominance of elderly male patients (54.6%), with hypertension (70.6%), and diabetes (41.3%). Statistically significant differences were found in smoking status (p=0.00), presence of dyspnea (p=0.00), nausea (p=0.00), perioperative complications (p=0.03), length of hospital stay (p=0.00), and the presence of single vessel versus multivessel coronary artery disease (p=0.001). Conclusion: The study revealed that, during the pandemic period, patients with acute coronary syndromes who underwent percutaneous transluminal coronary angioplasty were predominantly smokers, exhibited more [...]

Author Biographies

Emerson José de Souza Silva, Hospital Agamenon Magalhães

Nurse, Specialist in Cardiology through Residency Program. Agamenon Magalhães Hospital. Recife, Pernambuco, Brazil.

Wilma Tatiane Freire Vasconcelos, Universidade Federal da Paraíba

Nurse. Specialist in Intensive Care Nursing. Master's student in the Postgraduate Program in Nursing at the Federal University of Paraíba. João Pessoa, Paraíba, Brazil. 

Paulo César da Costa Galvão, Hospital Agamenon Magalhães

Graduated in Nursing from the Faculty of Nursing Nossa Senhora das Graças/University of Pernambuco, Specialist in Cardiology, in the residency modality, from the Cardiology Nursing Program at Hospital Agamenon Magalhães. Master in Health Promotion from the Associated Postgraduate and Nursing Program UPE/UEPB. Develops work in the areas of Health Promotion, Health and Spirituality and Health Education. Recife, Pernambuco, Brazil.

Mailson Marques de Sousa, Universidade Federal da Paraíba

Adjunct Professor at the Federal University of Paraíba (UFPB), in the Department of Clinical Nursing (DENC) of the Center of Health Sciences (CCS). PhD, Master and Specialist in Cardiovascular Health Care in Adults, in the residency modality. Professor of the Postgraduate Program in Nursing (PPGENF / CCS / UFPB). João Pessoa, Paraíba, Brazil.

Thaisa Remigio Figueiredo, Universidade de Pernambuco

Nurse, graduated from the Faculty of Nursing Nossa Senhora das Graças, University of Pernambuco; Specialist in Nephrology, postgraduate in IBPEX - GRUPO UNINTER; Specialist in Cardiology, postgraduate in the Cardiology Emergency Room of Pernambuco - University of Pernambuco (PROCAPE-UPE), in the Residency modality; Specialist in Public Health with Emphasis in Family Health, postgraduate in GRUPO UNINTER; Master in Nursing from the Associated Postgraduate Program of the University of Pernambuco and State University of Paraíba; PhD in Nursing from the Associated Postgraduate Program of the University of Pernambuco and State University of Paraíba. She is currently an employee of the University of Pernambuco, working as an Adjunct Professor at the Nossa Senhora das Graças School of Nursing (FENSG - UPE). Recife, Pernambuco, Brazil.

João Victor Batista Cabral, Federal University of Paraíba

Nurse, specialist in Intensive Care and Didactics for Nursing Teaching, Master in Health Sciences (UPE) and PhD in Therapeutic Innovation (UFPE). He is an adjunct professor at the Federal University of Paraíba (UFPB), in the area of ​​Nursing in Critical Patient Care (CCS / DENC) and in the Postgraduate Program in Nursing. He works as an Intensive Care Nurse at Hospital Correia Picanço. João Pessoa, Paraíba, Brazil.

Maria Mariana Barros Melo da Silveira, Universidade de Pernambuco

Adjunct Professor at the University of Pernambuco (UPE), Nurse, Specialist in Cardiology in residency, Specialist in Intensive Care and in Clinical Research. Master in Health Sciences, PhD in Therapeutic Innovation and is a Postdoctoral Intern in the Graduate Program in Therapeutic Innovation (UFPE). Recife, Pernambuco, Brazil.

References

Puentes OMO, Rolim ACS, Macêdo AMV, Macedo LM, Medeiros JHB, Cruz Neto LM, et al. Análise epidemiológica da mortalidade por doenças cardiovasculares no Brasil. Id Online Rev. Psychol. [Internet]. 2023;17(65):469-79. doi: https://doi.org/10.14295/idonline.v17i65.3639

Mesquita CT, Yahiro DS, Morbach L, Laranja MA, Mendes MF, Fischer MA, et al. Cintilografia de perfusão miocárdica: aplicações e avanços recentes. Arte Médica Científica. [Internet]. 2023;2(3):61-79. Available from: https://medicinacienciaearte.com.br/revista/article/view/69/64

Carmo CL, Caiado NBDBC, Silva SCM, Lima JG, Alves REM, Murta MGMB, et al. Síndrome coronariana aguda: uma abordagem ao seu impacto na cardiologia. Res. Soc. Dev. [Internet]. 2022;11(9):e8811931676. doi: http://dx.doi.org/10.33448/rsd-v11i9.31676

Malta DC, Andrade SSCA, Oliveira TP, de Moura L, do Prado RR, de Souza MFM. Probabilidade de morte prematura por doenças crônicas não transmissíveis, Brasil e regiões, projeções para 2025. Rev. Bras. Epidemiol. [Internet]. 2019;22:E190030. doi: https://doi.org/10.1590/1980-549720190030

Viana RAPP, Withaker IY, Zanei SSV. Enfermagem em Terapia Intensiva: Práticas e Experiências. São Paulo: Artmed; 2020.

Alhardi A. Impacto da pandemia de COVID-19 nos desfechos da síndrome coronariana aguda. Curr. Probl. Cardiol. [Internet]. 2023;48(4). doi: https://doi.org/10.1016/j.cpcardiol.2022.101575

Zeymer U, Ahmadli V, Schneider S, Werdan K, Weber M, Hohenstein S, et al. Efeitos da pandemia de COVID-19 nas síndromes coronárias agudas na Alemanha durante a primeira onda: o estudo de danos colaterais da COVID-19. Clin. Res. Cardiol. [Internet]. 2023;112:539–549. doi: https://doi.org/10.1007/s00392-022-02082-3

Santos ÉR, Carvalho BDP, Margarida MCA, Paulo GML, Ferreira APW, Melchior LMR. Perfil clínico e epidemiológico de pacientes com síndrome coronariana aguda. Rev. UFJF. [Internet]. 2020;6(1):1-13. doi: https://doi.org/10.34019/2446-5739.2020.v6.32382

Pelazza BB, Oliveira BES, Maia MR, Paula CR, Lentsck MH, Trincaus MR, et al. Care of infarcted patients undergoing angioplasty before and during COVID-19: a cross-sectional study. Online Braz. J. Nurs. 2023;22:e20236639. doi: https://doi.org/10.17665/1676-4285.20236639.

Kwok CS, Gale CP, Kinnaird T, Curzen N, Ludman P, Kontopantelis E, et al. Impact of COVID-19 on percutaneous coronary intervention for ST-elevation myocardial infarction. Heart 2020;106:1805-1811. doi: 10.1136/heartjnl-2020-317650.

Numasawa Y. Impact of Concomitant Novel Coronavirus Disease 2019 in Patients With ST-Elevation Acute Myocardial Infarction. Circul J. 2021;85:1708-09. doi: https://doi.org/10.1253/circj.CJ-21-0184.

Ahmed SH, Marjerrison N, Kjøllesdal MKR, Stigum H, Htet AS, Bjertness E, et al. Comparação de fatores de risco cardiovascular entre somalis residentes na Noruega e na Somalilândia. Int. J. Environ. Res. Saúde Pública. [Internet]. 2019;16(13):2353. doi: https://doi.org/10.3390/ijerph16132353

Rodrigues SE, Carvalho PBD, Araújo MMC, Paulo GML, Ferreira PWA, Melchior LMR. Perfil clínico e epidemiológico de pacientes com síndrome coronariana aguda. Rev. Enf. UFJF [Internet]. 2021;6(1). Available from: https://periodicos.ufjf.br/index.php/enfermagem/article/view/32382

Gonçalves RPF, Haikal DS, Freitas MIF, Machado IE, Malta DC. Diagnóstico médico autorrelatado de doença cardíaca e fatores de risco associados: Pesquisa Nacional de Saúde. Rev. Bras. Epidemiol. [Internet]. 2019;22(Supl 2). doi: https://doi.org/10.1590/1980-549720190016.supl.2

Martins JT, Galdino MJQ, Scholze AR, Ribas JJ, Silva LN, Karino ME. Perfil epidemiológico e clínico de pacientes com síndrome coronariana aguda. Rev. Enf. UFPE Online. [Internet]. 2018;12(2):379-85. Available from: https://periodicos.ufpe.br/revistas/index.php/revistaenfermagem/article/view/22563

Silva Júnior AA, Moro AB, Toregeani JF. Indications for carotid Doppler ultrasound in asymptomatic patients – are we ordering it correctly? J. Vasc. Bras. [Internet]. 2023;22:e20220084. doi: https://doi.org/10.1590/1677-5449.202200842

Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, et al. Estatísticas cardiovasculares – Brasil 2021. Arq. Bras. Cardiol. [Internet]. 2022;118(1):115-73. doi: https://doi.org/10.36660/abc.20211012

Fernández RM. Tabagismo e infarto agudo do miocárdio. Rev. Chil. Enferm. Respir. [Internet]. 2017;33(3):230-231. doi: http://dx.doi.org/10.4067/s0717-73482017000300230

Miura T, Kuno A, Tanaka M. Modulação do eixo infarto do miocárdio-lesão renal aguda por diabetes. Am. J. Physiol. Heart Circ. Physiol. [Internet]. 2022;322(3):H394-H405. doi: https://doi.org/10.1152/ajpheart.00639.2021

Saquipay H, Tipán E, Cali C, López J, Bravo V, Camacho Y, et al. Riesgo de infarto agudo ao miocárdio em pacientes com diabetes mellitus tipo 1. Arch. Venezol. Farmacol. Terapeut. [Internet]. 2024;43(1). doi: https://doi.org/10.5281/zenodo.12809679

Passinho RS, Primo CC, Sipolatti WGR, Fioresi M. Sinais, sintomas e complicações do infarto agudo do miocárdio. Rev. Enf. UFPE Online [Internet]. 2018;12(1):247-64. Available from: https://periodicos.ufpe.br/revistas/index.php/revistaenfermagem/article/view/22664

Fassbinder VR, Previato APS, Leite GR, Vendramini V, Nogueira BN, Ferreira RM. Covid-19 e o risco de morte súbita de origem cardíaca: evidências brasileiras de 2011 a 2022. Rev. Bras. Criminol. [Internet]. 2024;13(5):107-1. Available from: https://revista.rbc.org.br/index.php/rbc/article/view/831

Kumar N, Verma R, Lohana P, Lohana A, Ramphul K. Infarto agudo do miocárdio em pacientes com COVID-19: Uma revisão de casos na literatura. Arch. Med. Sci. Atheroscler. Dis. [Internet]. 2021;6:e169-e175. doi: https://doi.org/10.5114/amsad.2021.109287

Solano-López J, Zamorano JL, Sanz AP, Amat-Santos I, Sarnago F, Ibañes EG, et al. Fatores de risco para mortalidade hospitalar em pacientes com infarto agudo do miocárdio durante o surto de COVID-19. Rev. Española Cardiol. [Internet]. 2020;73(12):985-93. doi: https://doi.org/10.1016/j.recesp.2020.07.023

Kite TA, Ludman PF, Gale CP, Wu J, Caixeta A, Mansourati J, et al. Registro Prospectivo Internacional de Síndromes Coronarianas Agudas em Pacientes com COVID-19. J. Am. Coll. Cardiol. [Internet]. 2021;77(20):2466-76. doi: https://doi.org/10.1016/j.jacc.2021.03.309

Baytuğan NZ, Kandemir H, Bezgin T. Desfechos Hospitalares do Infarto do Miocárdio com Supradesnivelamento do Segmento ST em Pacientes Positivos para COVID-19 que Passaram por Intervenção Percutânea Primária. Arq. Bras. Cardiol. [Internet]. 2024;121(1):e20230258. doi: https://doi.org/10.36660/abc.20230258

Feres F, Costa RA, Siqueira D, Costa Jr JR, Chamié D, Staico R, et al. Diretrizes da Sociedade Brasileira de Cardiologia e da Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista sobre intervenção coronária percutânea. Arq. Bras. Cardiol. [Internet]. 2017;109(1 Supl. 1):1-81. doi: https://doi.org/10.5935/abc.20170111

Almeida ALC , Santo TME , Mello MSS , Cedro AV , Lopes NL , Ribeiro APMR , Mota JGC, et al. Repercussões da pandemia de COVID-19 nas práticas assistenciais de um hospital terciário. Arq. Bras. Cardiol. [Internet]. 2020;115(5):862-70. doi: https://doi.org/10.36660/abc.20200436

Santiago MB, Souza CW, Conceição MS, Costa RS. Perfil de indivíduos com síndrome coronariana aguda atendidos em um hospital de emergência no Acre. Rev. Soc. Bras. Clin. Méd. [Internet]. 2022;20(1):28-34. Available from: https://www.sbcm.org.br/ojs3/index.php/rsbcm/article/view/855/497

Dewi PEN, Youngkong S, Sunantiwat M, Nathisuwan S, Thavorncharoensap M. Impact of the COVID-19 pandemic on time to treatment, treatment patterns and outcomes among patients with acute coronary syndrome in Yogyakarta, Indonesia: a retrospective cohort study. BMJ Open. [Internet]. 2024;14:e079060. Available from: https://bmjopen.bmj.com/content/bmjopen/14/10/e079060.full.pdf

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Published

2025-09-01

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1.
Silva EJ de S, Vasconcelos WTF, Galvão PC da C, Sousa MM de, Figueiredo TR, Cabral JVB, et al. Impacts of COVID-19 on patients who underwent percutaneous transluminal coronary angioplasty. Rev Enferm UFPI [Internet]. 2025 Sep. 1 [cited 2025 Dec. 5];14(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/6455

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Vol. 14 No. 1 (2025): Rev Enferm UFPI

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