All clinical and echocardiographic findings showed a trend toward higher severity of the myocardial injury and related hemodynamic consequences in patients admitted during the COVID-19 pandemic and, in particular, in those admitted during the second wave, as reported in Table 2 .
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Outcomes and mechanical complications of acute myocardial infarction during the second wave pandemic in a Milan HUB center for cardiac emergencies.
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Previous reports described an increasing trend in the cases of MC during the COVID-19 pandemic compared to a parallel time frame before the pandemic.
There was no significant difference in MC rate between the two study periods, despite a clear trend toward more MC in the pandemic period (13 cases vs. 3 cases, respectively).