ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Coronavirus disease 2019 (COVID-19) pandemic and the “paradox” of acute coronary syndrome hospitalizations


Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, a disease affecting mainly the respiratory system, has become the major cause of a worldwide crisis, imposing a real challenge for the healthcare systems. The underlying pathological mechanisms of coronavirus disease 19 (COVID-19), such as increased inflammatory and immune responses, endothelial damage, prothrombotic status, were expected to increase the incidence of acute coronary syndromes (ACS), but observational studies so far indicate an important reduction in ACS admissions and treatment, possibly because of the fear of contagion, reorganization of medical structures and reduction of physical activity. Further work is needed to identify the factors responsible for this situation.
Keywords: COVID-19 pandemic, acute coronary syndrome, hospitalization, coronary intervention.

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Correspondence address:
Leonard SIMONI
Department of Cardiology, University Hospital Center “Mother Teresa”, Tirana, Albania
Address: Rr. Dibres 372, 1015, Tirana, Albania
E-mail address:; Phone: +35 568 227 0765


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Simoni L, Ceka A, Tafaj E, Gina M, Dibra A, Goda A. Coronavirus disease 2019 (COVID-19) pandemic and the “paradox” of acute coronary syndrome hospitalizations. Arch Balk Med Union. 2021;56(1):88-93.