Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis
Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis
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DOI：
10.1136/bcr-2020-237817
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发表时间：
2020-08-01
期刊：
影响因子：
0.9
通讯作者：
Shah, Gautam V.
中科院分区：
文献类型：
--
作者：
Ahmed, Taha;Lodhi, Samra Haroon;Shah, Gautam V.
当前的 COVID-19 危机对全球医疗保健系统产生了重大影响。公众回避医院的情况明显增加，这影响了危重心血管疾病的及时护理。心肌梗死晚期出现的并发症在大流行期间重新出现，这种情况已经很少见。我们介绍了两起此类遭遇，都是由于担心在医院感染 COVID-19 而导致心肌梗塞后延迟就医。此外，对文献进行了全面回顾，以说明延迟和减少对 ST 段抬高型心肌梗死 (STEMI) 等时间依赖性医疗紧急情况的及时就诊和干预的潜在因素。我们强调，在当前 COVID-19 大流行期间，临床医生应保持警惕，防止 STEMI 的罕见和灾难性并发症。
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.