Acute coronary syndromes did not decrease during COVID-19 pandemic in an isolated Greek population.

There are worldwide reports that hospital admissions for acute coronary syndrome (ACS) have declined during the COVID-19 pandemic. Chios is a Greek island with only one confirmed coronavirus case during the lockdown. This study aimed to compare admissions for ACS in Chios General Hospital, Greece, between the COVID-19 lockdown period and the same period in the previous year. Retrospective record analysis of an isolated insular population referring to the only district hospital on the island. ACS incidence, type, and complications were recorded and compared between 26/02/2020-04/05/2020 and between 26/02/2019-04/05/2019. ACS hospital admissions in 2020 were 1.72/10,000 inhabitants 1.03/10,000 inhabitants in 2019 ( = 0.317). No differences in ACS type, duration from symptom onset to first medical contact, hemodynamic status, left ventricular function at discharge, or complications were recorded. The incidence of ACS did not decrease and the prognosis was not worse during the COVID-19 pandemic in a strictly isolated Greek insular population not overwhelmed by coronavirus cases.