Last year more than 120,000 people died from cardiovascular disease in Spain, so it continues to be the first cause of death In our country. “Even in this terrible situation, with 35,298 deaths so far from Covid-19, for every person who dies from Covid, 3 or 4 die of cardiovascular diseases,” warned Dr. Héctor Bueno, vice president of the Spanish Society of Cardiology (SEC ) and president of the SEC 2020 e-Congress on Cardiovascular Health, which was presented this Thursday. “It is important do not neglect cardiovascular patients during the pandemic. It is equally important to define well the care processes of patients with Covid as well as those who do not have it, who should not be made invisible in any case, “said Dr. Bueno.
The SEC vice president does not predict a reduction in deaths from cardiovascular disease, quite the opposite. «One of the papers that will be presented during the e-Congress, and whose main conclusions were already advanced a few weeks ago, is a study by the SEC’s Association of Interventional Cardiology, which has confirmed what we already suspected: Covid-19 has had a tremendous impact on fatality from acute myocardial infarction, multiplying by two the in-hospital deaths during the pandemic compared to the previous period ”.
During the presentation of the Congress, cardiologists have expressed their concern that cardiovascular patients are treated properly and do not hesitate to ask for health care in times of Covid-19. «Mortality in patients with acute myocardial infarction in the two most intense months of the pandemic has been found to be double that of the previous year and this may be for fear of going to health centers and by the relativization of its symptoms. It took almost 35 more minutes to contact with the assistance devices since the symptoms began. The longer the treatment is applied, the higher the mortality, ”explains Dr. Ángel Cequier, president of the SEC.
In addition, it has been found that cardiovascular patients are more vulnerable to the virus. A study that will be presented during the scientific meeting that evaluated 378,043 patients with a confirmed diagnosis of coronavirus infection shows that people with cardiovascular disease have a five times higher risk of death. Classic cardiovascular risk factors, such as diabetes and high blood pressure, were also associated with twice the mortality.
«We do not know if they are more contagious but we do when a person with cardiovascular problems is infected, they have a worse prognosis. When a person has fibro and respiratory problems, they oxygenate poorly, and in the case of the patient with a weakened heart, they will have to work much more. In addition, the cytokine storm also occurs more in cardiac patients, “said Dr. Julián Pérez Villacastín, president-elect of the SEC.
In addition, Covid-19 can also trigger cardiovascular problems such as myocarditis, vasculitis, thrombosis and malignant arrhythmias in a population that previously did not have them.