A significant decline in the admission to intensive cardiac care unit (ICCU) has been noted in Italy during the COVID-19 outbreak . Previous studies have provided data on clinical features and outcome of these patients, but information is still incomplete . In this multicenter study conducted in six ICCUs, we enrolled consecutive adult patients admitted to ICCU in three specific time intervals: from February 8 to March 9, 2020 [before national lockdown (pre-LD) ], from March 10 to April 9, 2020 [during the first period of national lockdown (in-LD) ] and from May 18 to June 17, 2020 [soon after the end of all containment measures (after-LD) ]. Compared to pre-LD, in-LD was associated with a significant drop in the admission to ICCU for all causes (- 35 %) and acute coronary syndrome (ACS; - 49 %), with a rebound soon after-LD . The in-LD reduction was greater for women (- 49 %) and NSTEMI (- 61 %) compared to men (- 28 %) and STEMI (- 33 %). Length-of-stay, and in-hospital mortality did not show any significant change from to pre-LD to in-LD in the whole population as well as in the ACS group . This study confirms a notable reduction in the admissions to ICCUs from pre-LD to in-LD followed by an increment in the admission rates after-LD . These data strongly suggest that people, particularly women and patients with NSTEMI, are reluctant to seek medical care during lockdown, possibly due to the fear of viral infection . Such a phenomenon, however, was not associated with a rise in mortality among patients who get hospitalization.
Index: COVID-19, Intensive cardiac care unit