Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
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DOI：
10.1016/j.ahj.2020.05.009
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发表时间：
2020-08-01
影响因子：
4.8
通讯作者：
Rehman, Afzal
中科院分区：
文献类型：
--
作者：
Braiteh, Nabil;Rehman, Wajeeh Ur;Rehman, Afzal
简介 COVID-19 病毒是一种毁灭性的流行病，对美国的医疗保健系统产生了重大影响。不止一项研究报告说，大流行期间急性冠状动脉综合征入院人数显着减少，但原因仍不明。方法这是一项回顾性非对照多中心研究，纳入了 2019 年 3 月/4 月和 2020 年 3 月/4 月在纽约州北部入院的 180 名急性冠状动脉综合征（STEMI 和 NSTEMI）患者（117 名男性和 63 名女性）。结果 共有 113 名患者2019 年 3 月/4 月期间出现 ACS（STEMI + NSTEMI）的患者（61.9% 男性，38.1% 女性）平均年龄为 72.3 +/- 14.2 岁，而 2019 年同期（3 月/4 月）仅有 67 名（70.1% 男性，29.9% 女性）平均年龄为 65.1 +/- 14.5 岁的 COVID-19 阴性患者就诊。 2020 年。在 COVID-19 大流行期间，ACS 病例总数下降了 40.7% (P < .05)。与 2019 年相比，在 COVID-19 大流行期间，有 36.4% 的 NSTEMI 患者就诊较晚（出现症状 >24 小时）（27.1%，P= .033）。结论 COVID-19 大流行导致我们地区 ACS 总入院人数大幅下降 40.7% (P < .05)。入院率和延迟就诊的减少可能是未来心肌梗塞并发症增加的令人担忧的迹象。
Introduction 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.Methods 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.Results 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).Conclusion 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.