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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Acute coronary syndromes &#40;ACS&#41;&#44; and in particular acute ST-segment elevation myocardial infarction&#44; have a high rate of complications and associated mortality&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a> Early access to percutaneous coronary intervention &#40;PCI&#41; has significant prognostic implications and is currently recommended in society guidelines worldwide&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In response to the SARS-CoV-2&#47;COVID-19 pandemic&#44; healthcare institutions have organized their facilities to guarantee timely access to coronary angiography and PCI for ACS patients&#46; However&#44; the number of reported ACS admissions during the lockdown decreased&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> This is of particular interest&#44; given the positive association between ACS and viral disease seasonality&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> and also due to recent evidence showing increased thrombogenicity in COVID-19 patients&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">A recent report from 71 Spanish centers showed reductions in interventional cardiology activity&#44; including a 40&#37; reduction in PCI in ST elevation myocardial infarction&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> Importantly&#44; Portuguese nationwide data analysis has systematically shown relative excess in mortality given the number of positive COVID-19 cases&#46; A possible explanation could be related to an increase in the number of untreated ACS patients who did not seek medical care or call the emergency hotline during the lockdown&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">We performed descriptive ACS-related data analysis at Hospital Professor Doutor Fernando Fonseca&#44; which has an area of influence including approximately 600 000 patients&#46; In the first 30 days after the lockdown in Portugal&#44; the number of ACS admitted to our hospital&#44; and who underwent a coronary angiography &#40;n&#61;30&#41;&#44; was reduced by 49&#46;7&#37; compared with the mean between 2016-2018 over the same time period &#40;n&#61;60&#46;3&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Given the global nature of the current situation&#44; we hypothesize that similar findings will be found at other Portuguese centers&#46; Going forward&#44; the Portuguese Society of Cardiology&#44; the Portuguese Association of Cardiovascular Interventions and the Stent - Save a Life Initiative&#44; alongside health authorities and media should publicly promote that patients with ACS-compatible symptoms should avoid confinement and seek urgent medical attention&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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