Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York.
Am Heart J
; 226: 147-151, 2020 08.
Article
in English
| MEDLINE | ID: covidwho-614584
ABSTRACT
The COVID-19 virus is a devastating pandemic that has impacted the US healthcare system significantly. More than one study reported a significant decrease in acute coronary syndrome admissions during that pandemic which is still due to unknown reasons. METHODS:
This is a retrospective non-controlled multi-centered study of 180 patients (117 males and 63 females) with acute coronary syndrome (STEMI and NSTEMI) admitted during March/April of 2019 and March/April 2020 in Upstate New York.RESULTS:
A total of 113 patients (61.9% males, 38.1% females) with a mean age of 72.3⯱â¯14.2 presented during March/April 2019 with ACS (STEMI + NSTEMI) while only 67 (70.1% males, 29.9% females) COVID-19 negative patients with a mean age of 65.1⯱â¯14.5 presented during the same period (March/April) in 2020. This is a drop by 40.7% (Pâ¯<â¯.05) of total ACS cases during the COVID-19 pandemic. In NSTEMI patients, 36.4% presented late (>24 hours of symptoms) during the COVID-19 pandemic in comparison with 2019 (27.1%, Pâ¯=â¯.033).CONCLUSION:
The COVID-19 pandemic led to a substantial drop by 40.7% (Pâ¯<â¯.05) of total ACS admissions in our area. This decrease in hospital admissions and late presentations can be a worrisome sign for an increase in future complications of myocardial infarctions.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Non-ST Elevated Myocardial Infarction
/
ST Elevation Myocardial Infarction
/
Betacoronavirus
/
Hospitalization
Type of study:
Experimental Studies
/
Observational study
Topics:
Long Covid
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
North America
Language:
English
Journal:
Am Heart J
Year:
2020
Document Type:
Article
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