Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York.
Acute Coronary Syndrome
/ epidemiology
Aged
Aged, 80 and over
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Female
Hospitalization
/ statistics & numerical data
Humans
Male
Middle Aged
New York
/ epidemiology
Non-ST Elevated Myocardial Infarction
/ epidemiology
Pandemics
Pneumonia, Viral
/ epidemiology
Retrospective Studies
SARS-CoV-2
ST Elevation Myocardial Infarction
/ epidemiology
Journal
American heart journal
ISSN: 1097-6744
Titre abrégé: Am Heart J
Pays: United States
ID NLM: 0370465
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
04
05
2020
accepted:
13
05
2020
pubmed:
23
6
2020
medline:
28
8
2020
entrez:
23
6
2020
Statut:
ppublish
Résumé
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. 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. A total of 113 patients (61.9% males, 38.1% females) with a mean age of 72.3 ± 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 ± 14.5 presented during the same period (March/April) in 2020. This is a drop by 40.7% (P < .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%, P = .033). The COVID-19 pandemic led to a substantial drop by 40.7% (P < .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.
Identifiants
pubmed: 32569892
pii: S0002-8703(20)30146-0
doi: 10.1016/j.ahj.2020.05.009
pmc: PMC7244433
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
147-151Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Références
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