Impact of COVID-19-related public containment measures on the ST elevation myocardial infarction epidemic in Belgium: a nationwide, serial, cross-sectional study.
Identifieur interne : 001A24 ( Main/Exploration ); précédent : 001A23; suivant : 001A25Impact of COVID-19-related public containment measures on the ST elevation myocardial infarction epidemic in Belgium: a nationwide, serial, cross-sectional study.
Auteurs : Marc J. Claeys [Belgique] ; Jean-François Argacha [Belgique] ; Philippe Collart [Belgique] ; Marc Carlier [Belgique] ; Olivier Van Caenegem [Belgique] ; Peter R. Sinnaeve [Belgique] ; Walter Desmet [Belgique] ; Philippe Dubois [Belgique] ; Francis Stammen [Belgique] ; Sofie Gevaert [Belgique] ; Suzanne Pourbaix [Belgique] ; Patrick Coussement [Belgique] ; Christophe Beauloye [Belgique] ; Patrick Evrard [Belgique] ; Olivier Brasseur [Belgique] ; Frans Fierens [Belgique] ; Patrick Marechal [Belgique] ; Dan Schelfaut [Belgique] ; Vincent Floré [Belgique] ; Claude Hanet [Belgique]Source :
- Acta cardiologica [ 1784-973X ] ; 2020.
Abstract
AIMS
The current study assessed the impact of COVID-19-related public containment measures (i.e. lockdown) on the ST elevation myocardial infarction (STEMI) epidemic in Belgium.
METHODS AND RESULTS
Clinical characteristics, reperfusion therapy modalities, COVID-19 status and in-hospital mortality of consecutive STEMI patients who were admitted to Belgian hospitals for percutaneous coronary intervention (PCI) were recorded during a three-week period starting at the beginning of the lockdown period on 13 March 2020. Similar data were collected for the same time period for 2017-2019. An evaluation of air quality revealed a 32% decrease in ambient NO
CONCLUSION
The present study revealed a 26% reduction in STEMI admissions and a delay in treatment of STEMI patients. Less exposure to external STEMI triggers (such as ambient air pollution) and/or reluctance to seek medical care are possible explanations of this observation.
DOI: 10.1080/00015385.2020.1796035
PubMed: 32727305
Affiliations:
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wicri:level="1"><nlm:affiliation>Department of Cardiology, CHU, Charleroi, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, CHU, Charleroi</wicri:regionArea><wicri:noRegion>Charleroi</wicri:noRegion></affiliation></author><author><name sortKey="Stammen, Francis" sort="Stammen, Francis" uniqKey="Stammen F" first="Francis" last="Stammen">Francis Stammen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Roeselare, Roeselare, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Hospital Roeselare, Roeselare</wicri:regionArea><wicri:noRegion>Roeselare</wicri:noRegion></affiliation></author><author><name sortKey="Gevaert, Sofie" sort="Gevaert, Sofie" uniqKey="Gevaert S" first="Sofie" last="Gevaert">Sofie Gevaert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Pourbaix, Suzanne" sort="Pourbaix, Suzanne" uniqKey="Pourbaix S" first="Suzanne" last="Pourbaix">Suzanne Pourbaix</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, CHR Citadelle Liège, Liège, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, CHR Citadelle Liège, Liège</wicri:regionArea><wicri:noRegion>Liège</wicri:noRegion></affiliation></author><author><name sortKey="Coussement, Patrick" sort="Coussement, Patrick" uniqKey="Coussement P" first="Patrick" last="Coussement">Patrick Coussement</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Sint-Jan Brugge, Brugge, Belgium.</nlm:affiliation><country 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sort="Evrard, Patrick" uniqKey="Evrard P" first="Patrick" last="Evrard">Patrick Evrard</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care, Belgium Catholic University Hospital Mont-Godinne, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Belgium Catholic University Hospital Mont-Godinne, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Brasseur, Olivier" sort="Brasseur, Olivier" uniqKey="Brasseur O" first="Olivier" last="Brasseur">Olivier Brasseur</name><affiliation wicri:level="3"><nlm:affiliation>Laboratory of Environmental Research, Brussels Environment, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Laboratory of Environmental Research, Brussels Environment, 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xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University hospital of Liege, Liège</wicri:regionArea><wicri:noRegion>Liège</wicri:noRegion></affiliation></author><author><name sortKey="Schelfaut, Dan" sort="Schelfaut, Dan" uniqKey="Schelfaut D" first="Dan" last="Schelfaut">Dan Schelfaut</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, OLV Aalst, Aalst, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, OLV Aalst, Aalst</wicri:regionArea><wicri:noRegion>Aalst</wicri:noRegion></affiliation></author><author><name sortKey="Flore, Vincent" sort="Flore, Vincent" uniqKey="Flore V" first="Vincent" last="Floré">Vincent Floré</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Maria Middelares, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Hospital Maria Middelares, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Hanet, Claude" sort="Hanet, Claude" uniqKey="Hanet C" first="Claude" last="Hanet">Claude Hanet</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, Catholic University Hospital Mont-Godinne, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Catholic University Hospital Mont-Godinne, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32727305</idno><idno type="pmid">32727305</idno><idno type="doi">10.1080/00015385.2020.1796035</idno><idno type="wicri:Area/Main/Corpus">001E97</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001E97</idno><idno type="wicri:Area/Main/Curation">001E97</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001E97</idno><idno type="wicri:Area/Main/Exploration">001E97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of COVID-19-related public containment measures on the ST elevation myocardial infarction epidemic in Belgium: a nationwide, serial, cross-sectional study.</title><author><name sortKey="Claeys, Marc J" sort="Claeys, Marc J" uniqKey="Claeys M" first="Marc J" last="Claeys">Marc J. Claeys</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, University Hospital Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University Hospital Antwerp, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author><author><name sortKey="Argacha, Jean Francois" sort="Argacha, Jean Francois" uniqKey="Argacha J" first="Jean-François" last="Argacha">Jean-François Argacha</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, University Hospital Brussels, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University Hospital Brussels, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Collart, Philippe" sort="Collart, Philippe" uniqKey="Collart P" first="Philippe" last="Collart">Philippe Collart</name><affiliation wicri:level="4"><nlm:affiliation>Centre de recherche en Epidémiologie, Biostatistiques et Recherche Clinique, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Centre de recherche en Epidémiologie, Biostatistiques et Recherche Clinique, School of Public Health, Université Libre de Bruxelles, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Carlier, Marc" sort="Carlier, Marc" uniqKey="Carlier M" first="Marc" last="Carlier">Marc Carlier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, GHDC, Charleroi, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, GHDC, Charleroi</wicri:regionArea><wicri:noRegion>Charleroi</wicri:noRegion></affiliation></author><author><name sortKey="Van Caenegem, Olivier" sort="Van Caenegem, Olivier" uniqKey="Van Caenegem O" first="Olivier" last="Van Caenegem">Olivier Van Caenegem</name><affiliation wicri:level="3"><nlm:affiliation>Division of Cardiovascular Intensive Care, Cliniques universitaires Saint Luc, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Division of Cardiovascular Intensive Care, Cliniques universitaires Saint Luc, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Sinnaeve, Peter R" sort="Sinnaeve, Peter R" uniqKey="Sinnaeve P" first="Peter R" last="Sinnaeve">Peter R. Sinnaeve</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, University Hospital Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Desmet, Walter" sort="Desmet, Walter" uniqKey="Desmet W" first="Walter" last="Desmet">Walter Desmet</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, University Hospital Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Dubois, Philippe" sort="Dubois, Philippe" uniqKey="Dubois P" first="Philippe" last="Dubois">Philippe Dubois</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, CHU, Charleroi, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, CHU, Charleroi</wicri:regionArea><wicri:noRegion>Charleroi</wicri:noRegion></affiliation></author><author><name sortKey="Stammen, Francis" sort="Stammen, Francis" uniqKey="Stammen F" first="Francis" last="Stammen">Francis Stammen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Roeselare, Roeselare, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Hospital Roeselare, Roeselare</wicri:regionArea><wicri:noRegion>Roeselare</wicri:noRegion></affiliation></author><author><name sortKey="Gevaert, Sofie" sort="Gevaert, Sofie" uniqKey="Gevaert S" first="Sofie" last="Gevaert">Sofie Gevaert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Pourbaix, Suzanne" sort="Pourbaix, Suzanne" uniqKey="Pourbaix S" first="Suzanne" last="Pourbaix">Suzanne Pourbaix</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, CHR Citadelle Liège, Liège, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, CHR Citadelle Liège, Liège</wicri:regionArea><wicri:noRegion>Liège</wicri:noRegion></affiliation></author><author><name sortKey="Coussement, Patrick" sort="Coussement, Patrick" uniqKey="Coussement P" first="Patrick" last="Coussement">Patrick Coussement</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Sint-Jan Brugge, Brugge, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Hospital Sint-Jan Brugge, Brugge</wicri:regionArea><wicri:noRegion>Brugge</wicri:noRegion></affiliation></author><author><name sortKey="Beauloye, Christophe" sort="Beauloye, Christophe" uniqKey="Beauloye C" first="Christophe" last="Beauloye">Christophe Beauloye</name><affiliation wicri:level="3"><nlm:affiliation>Division of Cardiology and Pole of Cardiovascular Research, Institut de Recherche Experimentale et Clinique, Cliniques universitaires Saint Luc, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Division of Cardiology and Pole of Cardiovascular Research, Institut de Recherche Experimentale et Clinique, Cliniques universitaires Saint Luc, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Evrard, Patrick" sort="Evrard, Patrick" uniqKey="Evrard P" first="Patrick" last="Evrard">Patrick Evrard</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care, Belgium Catholic University Hospital Mont-Godinne, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Belgium Catholic University Hospital Mont-Godinne, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Brasseur, Olivier" sort="Brasseur, Olivier" uniqKey="Brasseur O" first="Olivier" last="Brasseur">Olivier Brasseur</name><affiliation wicri:level="3"><nlm:affiliation>Laboratory of Environmental Research, Brussels Environment, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Laboratory of Environmental Research, Brussels Environment, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Fierens, Frans" sort="Fierens, Frans" uniqKey="Fierens F" first="Frans" last="Fierens">Frans Fierens</name><affiliation wicri:level="3"><nlm:affiliation>Belgian Interregional Environment Agency, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Belgian Interregional Environment Agency, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Marechal, Patrick" sort="Marechal, Patrick" uniqKey="Marechal P" first="Patrick" last="Marechal">Patrick Marechal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, University hospital of Liege, Liège, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, University hospital of Liege, Liège</wicri:regionArea><wicri:noRegion>Liège</wicri:noRegion></affiliation></author><author><name sortKey="Schelfaut, Dan" sort="Schelfaut, Dan" uniqKey="Schelfaut D" first="Dan" last="Schelfaut">Dan Schelfaut</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, OLV Aalst, Aalst, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, OLV Aalst, Aalst</wicri:regionArea><wicri:noRegion>Aalst</wicri:noRegion></affiliation></author><author><name sortKey="Flore, Vincent" sort="Flore, Vincent" uniqKey="Flore V" first="Vincent" last="Floré">Vincent Floré</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Hospital Maria Middelares, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Hospital Maria Middelares, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Hanet, Claude" sort="Hanet, Claude" uniqKey="Hanet C" first="Claude" last="Hanet">Claude Hanet</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, Catholic University Hospital Mont-Godinne, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Cardiology, Catholic University Hospital Mont-Godinne, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author></analytic><series><title level="j">Acta cardiologica</title><idno type="eISSN">1784-973X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>The current study assessed the impact of COVID-19-related public containment measures (i.e. lockdown) on the ST elevation myocardial infarction (STEMI) epidemic in Belgium.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS AND RESULTS</b></p><p>Clinical characteristics, reperfusion therapy modalities, COVID-19 status and in-hospital mortality of consecutive STEMI patients who were admitted to Belgian hospitals for percutaneous coronary intervention (PCI) were recorded during a three-week period starting at the beginning of the lockdown period on 13 March 2020. Similar data were collected for the same time period for 2017-2019. An evaluation of air quality revealed a 32% decrease in ambient NO</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The present study revealed a 26% reduction in STEMI admissions and a delay in treatment of STEMI patients. Less exposure to external STEMI triggers (such as ambient air pollution) and/or reluctance to seek medical care are possible explanations of this observation.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32727305</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1784-973X</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>30</Day></PubDate></JournalIssue><Title>Acta cardiologica</Title><ISOAbbreviation>Acta Cardiol</ISOAbbreviation></Journal><ArticleTitle>Impact of COVID-19-related public containment measures on the ST elevation myocardial infarction epidemic in Belgium: a nationwide, serial, cross-sectional study.</ArticleTitle><Pagination><MedlinePgn>1-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/00015385.2020.1796035</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The current study assessed the impact of COVID-19-related public containment measures (i.e. lockdown) on the ST elevation myocardial infarction (STEMI) epidemic in Belgium.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Clinical characteristics, reperfusion therapy modalities, COVID-19 status and in-hospital mortality of consecutive STEMI patients who were admitted to Belgian hospitals for percutaneous coronary intervention (PCI) were recorded during a three-week period starting at the beginning of the lockdown period on 13 March 2020. Similar data were collected for the same time period for 2017-2019. An evaluation of air quality revealed a 32% decrease in ambient NO<sub>2</sub> concentrations during lockdown (19.5 µg/m³ versus 13.2 µg/m³, <i>p</i> < .001). During the three-week period, there were 188 STEMI patients admitted for PCI during the lockdown versus an average 254 STEMI patients before the lockdown period (incidence rate ratio = 0.74, <i>p</i> = .001). Reperfusion strategy was predominantly primary PCI in both time periods (96% versus 95%). However, there was a significant delay in treatment during the lockdown period, with more late presentations (>12 h after onset of pain) (14% versus 7.6%, <i>p</i> = .04) and with longer door-to-balloon times (median of 45 versus 39 min, <i>p</i> = .02). Although the in-hospital mortality between the two periods was comparable (5.9% versus 6.7%), 5 of the 7 (71%) COVID-19-positive STEMI patients died.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The present study revealed a 26% reduction in STEMI admissions and a delay in treatment of STEMI patients. Less exposure to external STEMI triggers (such as ambient air pollution) and/or reluctance to seek medical care are possible explanations of this observation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Claeys</LastName><ForeName>Marc J</ForeName><Initials>MJ</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-6628-9543</Identifier><AffiliationInfo><Affiliation>Department of Cardiology, University Hospital Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Argacha</LastName><ForeName>Jean-François</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Department of Cardiology, University Hospital Brussels, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Collart</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Centre de recherche en Epidémiologie, Biostatistiques et Recherche Clinique, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carlier</LastName><ForeName>Marc</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiology, GHDC, Charleroi, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Caenegem</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Division of Cardiovascular Intensive Care, Cliniques universitaires Saint Luc, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sinnaeve</LastName><ForeName>Peter R</ForeName><Initials>PR</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4716-5892</Identifier><AffiliationInfo><Affiliation>Department of Cardiology, University Hospital Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Desmet</LastName><ForeName>Walter</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Cardiology, University Hospital Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dubois</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiology, CHU, Charleroi, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stammen</LastName><ForeName>Francis</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hospital Roeselare, Roeselare, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gevaert</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pourbaix</LastName><ForeName>Suzanne</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiology, CHR Citadelle Liège, Liège, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coussement</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hospital Sint-Jan Brugge, Brugge, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beauloye</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Cardiology and Pole of Cardiovascular Research, Institut de Recherche Experimentale et Clinique, Cliniques universitaires Saint Luc, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Evrard</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, Belgium Catholic University Hospital Mont-Godinne, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brasseur</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Laboratory of Environmental Research, Brussels Environment, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fierens</LastName><ForeName>Frans</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Belgian Interregional Environment Agency, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marechal</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiology, University hospital of Liege, Liège, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schelfaut</LastName><ForeName>Dan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Cardiology, OLV Aalst, Aalst, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Floré</LastName><ForeName>Vincent</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hospital Maria Middelares, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanet</LastName><ForeName>Claude</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Catholic University Hospital Mont-Godinne, Brussels, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Cardiol</MedlineTA><NlmUniqueID>0370570</NlmUniqueID><ISSNLinking>0001-5385</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">PCI</Keyword><Keyword MajorTopicYN="N">STEMI</Keyword><Keyword MajorTopicYN="N">containment</Keyword><Keyword MajorTopicYN="N">mortality</Keyword><Keyword MajorTopicYN="N">pollution</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32727305</ArticleId><ArticleId IdType="doi">10.1080/00015385.2020.1796035</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement><orgName><li>Université libre de Bruxelles</li></orgName></list><tree><country name="Belgique"><noRegion><name sortKey="Claeys, Marc J" sort="Claeys, Marc J" uniqKey="Claeys M" first="Marc J" last="Claeys">Marc J. Claeys</name></noRegion><name sortKey="Argacha, Jean Francois" sort="Argacha, Jean Francois" uniqKey="Argacha J" first="Jean-François" last="Argacha">Jean-François Argacha</name><name sortKey="Beauloye, Christophe" sort="Beauloye, Christophe" uniqKey="Beauloye C" first="Christophe" last="Beauloye">Christophe Beauloye</name><name sortKey="Brasseur, Olivier" sort="Brasseur, Olivier" uniqKey="Brasseur O" first="Olivier" last="Brasseur">Olivier Brasseur</name><name sortKey="Carlier, Marc" sort="Carlier, Marc" uniqKey="Carlier M" first="Marc" last="Carlier">Marc Carlier</name><name sortKey="Collart, Philippe" sort="Collart, Philippe" uniqKey="Collart P" first="Philippe" last="Collart">Philippe Collart</name><name sortKey="Coussement, Patrick" sort="Coussement, Patrick" uniqKey="Coussement P" first="Patrick" last="Coussement">Patrick Coussement</name><name sortKey="Desmet, Walter" sort="Desmet, Walter" uniqKey="Desmet W" first="Walter" last="Desmet">Walter Desmet</name><name sortKey="Dubois, Philippe" sort="Dubois, Philippe" uniqKey="Dubois P" first="Philippe" last="Dubois">Philippe Dubois</name><name sortKey="Evrard, Patrick" sort="Evrard, Patrick" uniqKey="Evrard P" first="Patrick" last="Evrard">Patrick Evrard</name><name sortKey="Fierens, Frans" sort="Fierens, Frans" uniqKey="Fierens F" first="Frans" last="Fierens">Frans Fierens</name><name sortKey="Flore, Vincent" sort="Flore, Vincent" uniqKey="Flore V" first="Vincent" last="Floré">Vincent Floré</name><name sortKey="Gevaert, Sofie" sort="Gevaert, Sofie" uniqKey="Gevaert S" first="Sofie" last="Gevaert">Sofie Gevaert</name><name sortKey="Hanet, Claude" sort="Hanet, Claude" uniqKey="Hanet C" first="Claude" last="Hanet">Claude Hanet</name><name sortKey="Marechal, Patrick" sort="Marechal, Patrick" uniqKey="Marechal P" first="Patrick" last="Marechal">Patrick Marechal</name><name sortKey="Pourbaix, Suzanne" sort="Pourbaix, Suzanne" uniqKey="Pourbaix S" first="Suzanne" last="Pourbaix">Suzanne Pourbaix</name><name sortKey="Schelfaut, Dan" sort="Schelfaut, Dan" uniqKey="Schelfaut D" first="Dan" last="Schelfaut">Dan Schelfaut</name><name sortKey="Sinnaeve, Peter R" sort="Sinnaeve, Peter R" uniqKey="Sinnaeve P" first="Peter R" last="Sinnaeve">Peter R. Sinnaeve</name><name sortKey="Stammen, Francis" sort="Stammen, Francis" uniqKey="Stammen F" first="Francis" last="Stammen">Francis Stammen</name><name sortKey="Van Caenegem, Olivier" sort="Van Caenegem, Olivier" uniqKey="Van Caenegem O" first="Olivier" last="Van Caenegem">Olivier Van Caenegem</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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