{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T05:48:37Z","timestamp":1674712117930},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund W\u00e4hrend der COVID-19-Pandemie wurden \u00e4rztliche Behandlungen abgesagt und notfallm\u00e4\u00dfige Behandlungen aus Angst vor einer Ansteckung mit Sars-CoV-2 hinausgez\u00f6gert. Letzteres betraf auch Patienten mit akutem Koronarsyndrom. Eine detaillierte Beschreibung dieser Patienten in Bezug auf das Management im Herzkatheterlabor ist bislang aber noch nicht erfolgt.<\/jats:p><jats:p>\n          Methoden Retrospektive Querschnittsstudie mit Erfassung aller Patienten, die wegen eines akuten Koronarsyndroms (STEMI, NSTEMI, instabile Angina) einer Herzkatheteruntersuchung vom 01.03.2019\u201330.06.2019 (Gruppe A) sowie vom 01.03.2020\u201330.06.2020 (Gruppe B) unterzogen wurden. Demografische Faktoren, kardiovaskul\u00e4re Risikofaktoren sowie prozedurale Daten (z.B. Ausma\u00df der KHK, klinische Diagnose, Revaskularisationsstrategie und -ergebnis, Einsatz eines Herzunterst\u00fctzungssystems, Door-to-Needle-Time, In-hospital-Mortalit\u00e4t) wurden verglichen.<\/jats:p><jats:p>\n          Ergebnisse 469 Patienten wurden in die Studie eingeschlossen (Gruppe A 239, Gruppe B 230 Patienten, mittleres Alter 69 Jahre, 71% m\u00e4nnlich). Verglichen mit Gruppe A zeigten sich bei Gruppe B weniger Patienten mit STEMI und instabiler Angina pectoris (p=0,033), daf\u00fcr mehr Patienten mit NSTEMI (p=0,047). Patienten in der Gruppe B hatten seltener eine koronare Eingef\u00e4\u00dferkrankung (p=0,001), daf\u00fcr wiesen diese h\u00e4ufiger eine koronare Dreigef\u00e4\u00dferkrankung als in der Gruppe A auf (p=0,052).<\/jats:p><jats:p>\n          Schlussfolgerung Trotz vergleichbarer Gesamtzahlen wurden Patienten mit akutem Koronarsyndrom w\u00e4hrend der COVID-19-Pandemie im Vergleich zu einer Kontrollgruppe h\u00e4ufiger mit NSTEMI aufgenommen und hatten ein gr\u00f6\u00dferes Ausma\u00df der KHK.<\/jats:p>","DOI":"10.1055\/a-1964-1739","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T23:57:31Z","timestamp":1670284651000},"page":"e8-e13","source":"Crossref","is-referenced-by-count":0,"title":["Klinische und prozedurale Charakteristika von Patienten mit akutem Koronarsyndrom w\u00e4hrend der COVID-19-Pandemie 2020 im Vergleich zu einer Kontrollgruppe aus 2019"],"prefix":"10.1055","volume":"148","author":[{"given":"Peter","family":"Ong","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louisa","family":"Karag\u00fclle-D\u00f6rrenhaus","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Rau","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Fr\u00f6bel","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Spaich","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffi","family":"Bekeredjian","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kardiologie und Angiologie, Zentrum f\u00fcr Innere Medizin III, Robert-Bosch-Krankenhaus Gmbh, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1268","DOI":"10.1056\/NEJMe2002387","article-title":"COVID-19 \u2013 Navigating the Uncharted","volume":"382","author":"AS Fauci","year":"2020","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1007\/s11739-021-02919-1","article-title":"AKTIN Emergency Department Registry; German Forum of University Emergency Departments (FUN) in the Society of University Clinics of Germany E.V. 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