IMPACT OF COVID-19 ON PATIENTS WITH ACUTE CORONARY SYNDROME

The Covid-19 pandemic significantly affected the quality of life and life expectancy. This study aims to determine the impacto of Covid-19 in Acute Coronary Syndromes (ACS) patients. Data were collected from the medical records of patients with ACS admitted to the hospital in Xanxere - SC Brazil, from 10/01/2018 to 30/09/2019, and compared with data collected from 10/01/2019 to 01/10/2020 from medical records of patients with ACS infected with Covid-19, in the same hospital. It was found that highest percentage of patients admitted to the hospital with ACS were male and aged 60 years or over, both in the pre-and in the pandemic period. SAH was the main comorbididy found in the pre-pandemic (65,6%) and pandemic (73,5%) period in patients with ACS, followed by DM2with a percentage of 30,5% and 47,1% respectively. In the Delta T assessment, with as found that during the pandemic period, a higher percentag of patients (42,2%) sought care more than 12 hours after the onset of symptons. The percentage of deaths in patients with ACS was higher in the pandemic period (14,7%) compared to the pre-pandemic period (8,1%). Covid-19 has a significant impact on hospitalizations of patients with ACS, increasing the risk of complications and worse outcomes among male, older patients and patients with comorbidities. There was an increase in hospital demand and hospitalizations were longer with greater severity of ACS and mortality in patients with Covid-19.