BackgroundNorthern Italy is one of the epicenters of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV 2) pandemic in Europe. The impact of the pandemic and the consequent lockdown on medical emergencies other than those SARS‐CoV 2 pandemic related is largely unknown. The aim of this study was to analyze the epidemiologic impact of coronavirus disease 2019 pandemic on hospital admission for severe emergent cardiovascular diseases (SECDs) in a single Northern Italy large tertiary referral center.Methods and ResultsWe quantified SECDs admissions to the Cardiology Division of Udine University Hospital between March 1, 2020 and March 31, 2020 and compared them with those of the same time frame during 2019. Compared with March 2019, we observed a significant reduction in all SECDs admissions: −30% for ST‐segment–elevation acute coronary syndromes, −66% for non‐ST‐segment–elevation acute coronary syndromes and −50% for severe bradyarrhythmia.ConclusionsA significant decrease in all SECDs admissions has been observed during the SARS‐CoV 2. pandemic and was unlikely caused by a reduction in the incidence of cardiovascular diseases. Fear of contagion may have contributed to the unpredictable drop of SECDs. Social education about early recognition of symptoms of life‐threatening cardiac conditions requiring appropriate care in a timely fashion may help to reduce this counterproductive phenomenon.

中文翻译：

---

COVID-19大流行期间严重突发性心血管疾病医院入院人数的意外下降：意大利北部一个大型中心的经历。

背景意大利北部是欧洲严重急性呼吸系统综合症冠状病毒2（SARS-CoV 2）大流行的震中之一。除了与SARS-CoV 2大流行相关的大流行之外，大流行以及随之而来的封锁对医疗紧急情况的影响在很大程度上尚不清楚。这项研究的目的是分析2019年冠状病毒病大流行对严重紧急心血管疾病的住院治疗的流行病学影响（SECDs）在意大利北部的一个大型三级转诊中心。方法和结果我们进行了量化 SECD于2020年3月1日至2020年3月31日期间进入乌迪内大学医院心脏病科，并将其与2019年同期的入院率进行比较。与2019年3月相比，我们发现 SECDs录取：−30％ ST段抬高急性冠脉综合征，非ST节段抬高的急性冠状动脉综合征和-50％的严重缓慢性心律失常。 SECD在SARS-CoV 2.大流行期间已观察到入院，这不太可能是由于心血管疾病的发病率降低所致。对传染病的恐惧可能导致了不可预测的SECDs。关于及早发现威胁生命的心脏病症状的社会教育，需要及时的适当护理，可能有助于减少这种适得其反的现象。