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BMJ Case Rep ; 13(8)2020 Aug 25.
Article in English | MEDLINE | ID: covidwho-742208

ABSTRACT

The current COVID-19 crisis has significantly impacted healthcare systems worldwide. There has been a palpable increase in public avoidance of hospitals, which has interfered in timely care of critical cardiovascular conditions. Complications from late presentation of myocardial infarction, which had become a rarity, resurfaced during the pandemic. We present two such encounters that occurred due to delay in seeking medical care following myocardial infarction due to the fear of contracting COVID-19 in the hospital. Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). We emphasise that clinicians should remain vigilant of encountering rare and catastrophic complications of STEMI during this current era of COVID-19 pandemic.


Subject(s)
Coronavirus Infections/epidemiology , Emergency Service, Hospital , Fear , Patient Acceptance of Health Care/psychology , Pneumonia, Viral/epidemiology , ST Elevation Myocardial Infarction/diagnosis , Time-to-Treatment , Aged, 80 and over , Betacoronavirus , COVID-19 , Female , Humans , Middle Aged , Pandemics , SARS-CoV-2 , ST Elevation Myocardial Infarction/complications , ST Elevation Myocardial Infarction/therapy
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