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Decreased door-to-balloon time in patients with ST-segment elevation myocardial infarction during the early COVID-19 pandemic in South Korea: An observational study.
Ryu, Sukhyun; Kim, Dasom; Jung, Lae Young; Kim, Baekjin; Lee, Chang-Seop.
  • Ryu S; Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, South Korea.
  • Kim D; Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, South Korea.
  • Jung LY; Department of Internal Medicine, Jeonbuk National University Medical School, Jeonju, South Korea.
  • Kim B; Research Institute of Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.
  • Lee CS; Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, South Korea.
Medicine (Baltimore) ; 101(30): e29596, 2022 Jul 29.
Article in English | MEDLINE | ID: covidwho-1967937
ABSTRACT
The coronavirus disease 2019 (COVID-19) resulted in a marked decrease in the number of patient visits for acute myocardial infarction and delayed patient response and intervention in several countries. This study evaluated the effect of the COVID-19 pandemic on the number of patients, patient response time (pain-to-door), and intervention time (door-to-balloon) for patients with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI). Patients with STEMI or NSTEMI visiting a hospital in South Korea who underwent primary coronary intervention during the COVID-19 pandemic (January 29, 2020, to December 31, 2020) were compared with those in the equivalent period from 2018 to 2019. Patient response and intervention times were compared for the COVID-19 pandemic window (2020) and the equivalent period from 2018 to 2019. We observed no decrease in the number of patients with STEMI (P = .88) and NSTEMI (P = 1.00) during the COVID-19 pandemic compared to that in the previous years. Patient response times (STEMI P = .39; NSTEMI P = .59) during the overall COVID-19 pandemic period did not differ significantly. However, we identified a significant decrease in door-to-balloon time among patients with STEMI (14%; P < .01) during the early COVID-19 pandemic. We found that the number of patients with STEMI and NSTEMI was consistent during the COVID-19 pandemic and that no time delays in patient response and intervention occurred. However, the door-to-balloon time among patients with STEMI significantly reduced during the early COVID-19 pandemic, which could be attributed to decreased emergency care utilization during the early pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Percutaneous Coronary Intervention / Non-ST Elevated Myocardial Infarction / ST Elevation Myocardial Infarction / COVID-19 / Myocardial Infarction Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Medicine (Baltimore) Year: 2022 Document Type: Article Affiliation country: MD.0000000000029596

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Percutaneous Coronary Intervention / Non-ST Elevated Myocardial Infarction / ST Elevation Myocardial Infarction / COVID-19 / Myocardial Infarction Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Medicine (Baltimore) Year: 2022 Document Type: Article Affiliation country: MD.0000000000029596