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Article

Continuous Decline in Myocardial Infarction and Heart Failure Hospitalizations during the First 12 Months of the COVID-19 Pandemic in Israel

1
Branch of Planning and Strategy, Clalit Health Services, Tel Aviv 6209804, Israel
2
Ruth and Bruce Rappaport Faculty of Medicine, Technion—Israel Institute of Technology, Haifa 31096, Israel
3
Department of Community Medicine and Epidemiology, Lady Davis Carmel Medical Center, Haifa 3436212, Israel
4
Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, Haifa 3436212, Israel
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Jose Medina-Inojosa
J. Clin. Med. 2022, 11(6), 1577; https://doi.org/10.3390/jcm11061577
Received: 8 February 2022 / Revised: 8 March 2022 / Accepted: 11 March 2022 / Published: 13 March 2022
Background: A decline in cardiovascular hospitalizations was observed during the initial phases of the COVID-19 pandemic. We examine the continuous effect of the COVID-19 pandemic in reducing cardiovascular hospitalization and associated mortality rates during the first year of the pandemic in Israel. Methods: We conduct a retrospective cohort study using the data of Clalit Health Services, the largest healthcare organization in Israel. We divide the Corona year into six periods (three lockdowns and three post-lockdowns) and compare the incidence rates of cardiovascular hospitalizations and 30-day all-cause mortality during each period to the previous three years. Results: The number of non-STEMI hospitalizations during the first year of the pandemic was 13.7% lower than the average of the previous three years (95% CI 11–17%); STEMI hospitalizations were 15.7% lower (95% CI 13–19%); CHF (Congestive heart failure) hospitalizations were 23.9% lower (95%, CI 21–27%). No significant differences in 30-day all-cause mortality rates were observed among AMI (acute myocardial infarction) patients during most of the periods, whereas the annual 30-day all-cause mortality rate among CHF patients was 23% higher. Conclusions: AMI and CHF hospitalizations were significantly lower during the first year of the pandemic relative to 2017–9. Mortality rates were higher in the case of CHF patients but not in the case of AMI patients, possibly due to a change in the clinical acuity of patients arriving at the hospitals. We conclude that targeted public health messaging should be implemented together with proactive monitoring, in order to identify residual disability in patients who may have received non-optimal treatment during the pandemic. View Full-Text
Keywords: COVID-19 pandemic; acute myocardial infarction; congestive heart failure; cardiovascular hospitalizations COVID-19 pandemic; acute myocardial infarction; congestive heart failure; cardiovascular hospitalizations
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MDPI and ACS Style

Lavie, G.; Wolff Sagy, Y.; Hoshen, M.; Saliba, W.; Flugelman, M.Y. Continuous Decline in Myocardial Infarction and Heart Failure Hospitalizations during the First 12 Months of the COVID-19 Pandemic in Israel. J. Clin. Med. 2022, 11, 1577. https://doi.org/10.3390/jcm11061577

AMA Style

Lavie G, Wolff Sagy Y, Hoshen M, Saliba W, Flugelman MY. Continuous Decline in Myocardial Infarction and Heart Failure Hospitalizations during the First 12 Months of the COVID-19 Pandemic in Israel. Journal of Clinical Medicine. 2022; 11(6):1577. https://doi.org/10.3390/jcm11061577

Chicago/Turabian Style

Lavie, Gil, Yael Wolff Sagy, Moshe Hoshen, Walid Saliba, and Moshe Y. Flugelman. 2022. "Continuous Decline in Myocardial Infarction and Heart Failure Hospitalizations during the First 12 Months of the COVID-19 Pandemic in Israel" Journal of Clinical Medicine 11, no. 6: 1577. https://doi.org/10.3390/jcm11061577

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