myocardial infarction in patients with and without covid-19: comparisons of characteristics, clinical courses, and outcomes

Background: covid-19 has rapidly become a global health emergency. this infection can cause damage to various organs. injury to myocardial cells is one of the salient manifestations of covid-19. the clinical course and outcome of acute coronary syndrome (acs) are influenced by various factors, including comorbidities and concomitant diseases. one of these acute concomitant diseases is covid-19, which can affect the clinical course and outcome of acute myocardial infarction (mi). methods: the present cross-sectional study compared the clinical course and outcome of mi and some of its practical factors between patients with and without covid-19. the study population consisted of 180 patients (129 males and 51 females) diagnosed with acute mi. eighty patients had covid-19 infection concurrently. results: the mean age of the patients was 65.62 years. the frequencies of non–st-elevation mi (vs st-elevation mi), lower ejection fractions (<30), and arrhythmias were significantly higher in the covid-19 group than in the non–covid-19 group (p=0.006, 0.003, and p<0.001, respectively). the single-vessel disease was the most frequent angiographic result in the covid-19 group, while the double-vessel disease was the most frequent angiographic result in the non–covid-19 group (p<0.001). conclusion: it appears that patients with acs who are co-infected with covid-19 infection need essential care.