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Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology

Pessoa-Amorim G, Camm CF, Gajendragadkar P, De Maria GL, Arsac C, Laroche C, Zamorano JL, Weidinger F, Achenbach S, Maggioni AP, Gale CP, Poppas A, Casadei B (2020)

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Publication Type: Journal article

Publication year: 2020

Journal

Book Volume: 6

Pages Range: 210-216

Journal Issue: 3

DOI: 10.1093/ehjqcco/qcaa046

Abstract

AIMS: The COVID-19 pandemic required a significant redeployment of worldwide healthcare resources. Fear of infection, national lockdowns and altered healthcare priorities have the potential to impact utilisation of healthcare resources for non-communicable diseases. To survey health professionals' views of the impact of the COVID-19 pandemic on the rate and timing of admission of patients with ST-elevation myocardial infarction (STEMI), the European Society of Cardiology (ESC) administered an internet-based questionnaire to cardiologists and cardiovascular nurses across 6 continents. METHODS AND RESULTS: 3101 responses were received from 141 countries across 6 continents. 88.3% responded that their country was in "total lockdown" and 7.1% in partial lockdown. 78.8% responded that the number of patients presenting with STEMI was reduced since the coronavirus outbreak and 65.2% indicated that the reduction in STEMI presentations was >40%. Approximately 60% of all respondents reported that STEMI patients presented later than usual and 58.5% that >40% of STEMI patients admitted to hospital presented beyond the optimal window for primary percutaneous intervention (PCI) or thrombolysis. Independent predictors of the reported higher rate of delayed STEMI presentation were a country in total lockdown, >100 COVID-19 cases admitted locally, and the complete restructuring of the local cardiology service. CONCLUSION: The survey indicates that the impact of COVID-19 on STEMI presentations is likely to be substantial, with both lower presentations and a higher rate of delayed presentations occurring. This has potentially important ramifications for future healthcare and policy planning in the event of further waves of this pandemic.

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How to cite

APA:

Pessoa-Amorim, G., Camm, C.F., Gajendragadkar, P., De Maria, G.L., Arsac, C., Laroche, C.,... Casadei, B. (2020). Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology. European Heart Journal - Quality of Care and Clinical Outcomes, 6(3), 210-216. https://dx.doi.org/10.1093/ehjqcco/qcaa046

MLA:

Pessoa-Amorim, Guilherme, et al. "Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology." European Heart Journal - Quality of Care and Clinical Outcomes 6.3 (2020): 210-216.

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