*Article* **Fear of COVID-19 in Patients with Acute Myocardial Infarction**

**Marco Marotta 1, Francesca Gorini 2, Alessandra Parlanti 1, Kyriazoula Chatzianagnostou 1, Annamaria Mazzone 1, Sergio Berti <sup>1</sup> and Cristina Vassalle 3,\***


**Abstract:** A marked decline in myocardial infarction (AMI) hospitalizations was observed worldwide during the COVID-19 outbreak. The pandemic may have generated fear and adverse psychological consequences in these patients, delaying hospital access. The main objective of the study was to assess COVID fear through the FCV-19S questionnaire (a self-report measure of seven items) in 69 AMI patients (65 ± 11 years, mean ± SD; 59 males). Females presented higher values of each FCV-19S item than males. Older subjects (>57 years, 25th percentile) showed a higher total score with respect to those in the first quartile. The percentage of patients who responded "agree" and "strongly agree" in item 4 ("I am afraid of losing my life because of the coronavirus") and 3 ("My hands become clammy when I think about the coronavirus") was significantly greater in the elderly than in younger patients. When cardiovascular (CV) patients were compared to a previously published general Italian population, patients with CV disease exhibited higher values for items 3 and 4. Measures should be put in place to assist vulnerable and high CV risk patients, possibly adding psychologists to the cardiology team.

**Keywords:** COVID-19; fear; acute myocardial infarction; distress questionnaires
