Trends and Outcomes of Type 2 Myocardial Infarction During the COVID-19 Pandemic in the United States
Author Type(s)
Resident/Fellow
Document Type
Article
Publication Date
12-2023
DOI
10.4070/kcj.2023.0063
Journal Title
Korean Circulation Journal
Department
Medicine
Abstract
BACKGROUND AND OBJECTIVES: There is limited data on the impact of type 2 myocardial infarction (T2MI) during the coronavirus disease 2019 (COVID-19) pandemic.
METHODS: The National Inpatient Sample (NIS) database from January 2019 to December 2020 was queried to identify T2MI hospitalizations based on the appropriate International Classification of Disease, Tenth Revision-Clinical Modification codes. Monthly trends of COVID-19 and T2MI hospitalizations were evaluated using Joinpoint regression analysis. In addition, the multivariate logistic and linear regression analysis was used to compare in-hospital mortality, coronary angiography use, and resource utilization between 2019 and 2020.
RESULTS: A total of 743,535 patients hospitalized with a diagnosis of T2MI were identified in the years 2019 (n=331,180) and 2020 (n=412,355). There was an increasing trend in T2MI hospitalizations throughout the study period corresponding to the increase in COVID-19 hospitalizations in 2020. The adjusted odds of in-hospital mortality associated with T2MI hospitalizations were significantly higher in 2020 compared with 2019 (11.1% vs. 8.1%: adjusted odds ratio, 1.19 [1.13-1.26]; p
CONCLUSIONS: We found a significant increase in T2MI hospitalizations with higher in-hospital mortality, total hospitalization costs, and lower coronary angiography use during the early COVID-19 pandemic corresponding to the trends in the rise of COVID-19 hospitalizations. Further research into the factors associated with increased mortality can increase our preparedness for future pandemics.
Recommended Citation
Thyagaturu, H., Roma, N., Angirekula, A., Thangjui, S., Bolton, A., Gonuguntla, K., Sattar, Y., Chobufo, M., Challa, A., Patel, N., Bondi, G., & Raina, S. (2023). Trends and Outcomes of Type 2 Myocardial Infarction During the COVID-19 Pandemic in the United States. Korean Circulation Journal, 53 (12), 829-839. https://doi.org/10.4070/kcj.2023.0063