Acute coronary syndrome in the time of the COVID-19 pandemic

Ashraf, Said; Ilyas, Suleman; Alraies, M. Chadi

doi:10.1093/eurheartj/ehaa454

Cited by 31 publications

(25 citation statements)

References 8 publications

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“…Several hypotheses have been postulated to explain this decline in admissions for cardiac emergencies. 14 Iatrophobia, which is not very uncommon, cannot be ruled out as a major contributing factor for the decline in admissions for ACS. The fear of getting in contact with COVID-19 infected patients and the risk of infection keeps symptomatic patients from seeking acute medical care or delaying the visit to hospital.…”

Section: Discussionmentioning

confidence: 99%

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Showkathali¹,

Yalamanchi²,

Sankeerthana³

et al. 2020

Indian Heart Journal

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Few studies from various countries have reported decline in Acute Coronary Syndrome (ACS) admissions to hospital during COVID-19 pandemic. We studied the impact of COVID-19 strict lockdown on ACS admission in a tertiary referral hospital in India. This showed 43% decline in admissions (n=104 vs mean n=183) and even in those who got admitted, there was a delay in presentation compared to previous year, which was reflected in the outcome of patients. Government and health organizations should educate the public early-on during the pandemic about the consequences of ignoring other acute medical problems such as ACS.

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Section: Discussionmentioning

confidence: 99%

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Showkathali¹,

Yalamanchi²,

Sankeerthana³

et al. 2020

Indian Heart Journal

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“…There were several hypotheses been postulated to explain the decline in admissions for cardiac emergencies during this pandemic. 15 The main factor is due to the fear of exposure and contracting the virus from an already infected patient in the hospital setup where most COVID-19 patients (symptomatic and asymptomatic) were treated in the initial pandemic period. Apart from these factors discussed earlier, in India, there are other unique factors that would have led to the reduction in emergency cardiac care unit admissions.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic—A Single Center Experience

Yalamanchi

Dasari

Narra

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Aim The impact of coronavirus disease 2019 (COVID-19) lockdown on cardiac emergency admissions to hospitals has been reported previously. We aimed to study the emergency room (ER) admissions to cardiac intensive care unit (CICU) at a tertiary care center during that period and compare this with admissions during the same time frame in the previous years. Materials and methods This is a retrospective observational study of patients admitted to the CICU during the pandemic period from March 22 to August 1 (inclusive) of 2020 and compared this with CICU admissions in the same time frame in the previous 2 years (2018 and 2019). Results During the study period in 2020, a total of 216 patients (age 59 ± 14 years) were admitted via ER, which is a 33% and 30% decline in admissions compared to 2019 ( n = 322, age 63 ± 12 years) and 2018 ( n = 307, age 62 ± 13), respectively. The decline in admissions with the primary diagnosis of acute coronary syndrome (ACS), acute decompensated heart failure, arrhythmia, and other diagnoses during the study period in 2020 were 27%, 38%, 62%, and 59%, respectively, while there was a 50% increase in acute pulmonary embolism admission compared to the mean admission in 2018 and 2019. Weekly admission rates gradually increased from less than 10 per week in the first 3 weeks to >15 by eighth week of the study period in 2020, while the trend was same throughout the study period in the previous 2 years. The CICU mortality rate in 2020 study period was 4.6% compared to 3.9% in 2018 ( p = 0.83) and 5.6% in 2019 ( p = 0.70). The in-hospital mortality of these patients was also similar in all 3 years (6.5%, 7.8%, and 7.9% in 2018, 2019, and 2020, respectively; p = 0.61). Conclusion Our study showed that CICU admissions during COVID-19 lockdown had declined compared to the previous years in a large tertiary center in India. Government and health organizations should educate the public early on during the pandemic about the consequences of ignoring other acute medical problems such as ACS, provide various measures for them to reach hospital early, and give reassurance with the best practices adopted in hospitals to avoid contracting the virus from the hospital environment. How to cite this article Yalamanchi R, Dasari BC, Narra L, Oomman A, Kumar P, Nayak R, et al. Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic—A Single Center Experience. Indian J Crit Care Med 2020;24(11):1103–1105.

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“…This trend is not unique to Singapore EDs, but was also seen in many other countries across the globe. [ 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ] For example, in the USA, ED attendances for AMI and the acute coronary syndrome were noted to be reduced. [ 11 12 13 17 ] Suspected AMI numbers were halved in early March 20 across many European EDs.…”

Section: T He E Mergency D Epartment @S Ingapore G mentioning

confidence: 99%

“…[ 11 12 13 17 ] Suspected AMI numbers were halved in early March 20 across many European EDs. [ 14 15 18 19 20 21 22 ] Of those numbers presenting, some 48% were noted to present late and out of the recommended timeline for interventions by the British Heart Foundation. In the British Heart Foundation survey of 167 cardiologists across UK, 84% said the number of patients with ST-elevation myocardial infarction (STEMI) coming to hospitals between March and April 2020 decreased by some 61%.…”

Section: T He E Mergency D Epartment @S Ingapore G mentioning

confidence: 99%

The impact of the COVID 19 pandemic on emergency department attendance: What seems to be keeping the patients away?

Lateef

2020

J Emerg Trauma Shock

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Acute coronary syndrome in the time of the COVID-19 pandemic

Cited by 31 publications

References 8 publications

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic—A Single Center Experience

The impact of the COVID 19 pandemic on emergency department attendance: What seems to be keeping the patients away?

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Acute coronary syndrome in the time of the COVID-19 pandemic

Cited by 31 publications

References 8 publications

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Acute Coronary Syndrome admissions and outcome during COVID-19 Pandemic–Report from large tertiary centre in India

Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic&mdash;A Single Center Experience

The impact of the COVID 19 pandemic on emergency department attendance: What seems to be keeping the patients away?

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Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic—A Single Center Experience