Delayed Presentation of Acute ST Segment Elevation Myocardial Infarction Complicated with Heart Failure in the Period of COVID-19 Pandemic - Case Report

Mitevska, Irena; Bushljetikj, Oliver; Grueva, E; Kotlar, Irina

doi:10.46527/2582-5038.147

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Global Health Problem Analysis1

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2020

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“… 16 17 19 Misinterpretation of STEMI being relatively benign compared with COVID-19 disease along with the fear of infection spread via hospitalised patients and healthcare workers is a common perception among community dwellers. 22 …”

Section: Global Health Problem Analysismentioning

confidence: 99%

Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis

et al. 2020

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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.

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Section: Global Health Problem Analysismentioning

confidence: 99%