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Stratified analyses were performed by region, type of ACS and patient characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the first confirmed COVID\u201119 case and during lockdown, numbers declined by up to 41% (95% confidence interval (CI): 36\u201347%) compared to 2019. This reduction was more pronounced for non-ST-segment elevation myocardial infarction (NSTEMI) (48%; 95% CI: 39\u201355%) and unstable angina (UA; 50%; 95% CI: 40\u201359%) than for STEMI (34%; 95% CI: 23\u201343%). There was no association between ACS and COVID\u201119 incidence rate per region. After the steep decline, a\u00a0public campaign encouraged patients not to postpone hospital visits. Numbers then increased, without a\u00a0rebound effect. Trends were similar irrespective of sex, age or socio-economic status. During the outbreak, compared to coronary artery bypass graft procedures, relatively more (acute) percutaneous coronary interventions for NSTEMI and UA were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>New ACS presentations decreased by up to 41%. Lockdown measures and public campaigns, rather than COVID\u201119 incidence, were associated with significant changes in new ACS presentations. Even though causality cannot be established, this emphasises the role of the public media and healthcare organisations in informing patients to prevent underdiagnoses of ACS and associated health damage.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s12471-021-01603-5","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T18:28:16Z","timestamp":1627583296000},"page":"577-583","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association between public media and trends in new acute coronary syndrome presentations during the first COVID\u201119 wave in the Netherlands"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8435-6474","authenticated-orcid":false,"given":"L.","family":"Derks","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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Derks, H.N. Sturkenboom, M. Zaal, S. Houterman, P. Woudstra, R.A. Tio and H.P.A. van Veghel declare that they have no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}