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Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York

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...

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Autores principales: Braiteh, Nabil, Rehman, Wajeeh ur, Alom, Md, Skovira, Vincent, Breiteh, Nour, Rehman, Ibraheem, Yarkoni, Alon, Kahsou, Hisham, Rehman, Afzal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244433/
https://www.ncbi.nlm.nih.gov/pubmed/32569892
http://dx.doi.org/10.1016/j.ahj.2020.05.009
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author Braiteh, Nabil
Rehman, Wajeeh ur
Alom, Md
Skovira, Vincent
Breiteh, Nour
Rehman, Ibraheem
Yarkoni, Alon
Kahsou, Hisham
Rehman, Afzal
author_facet Braiteh, Nabil
Rehman, Wajeeh ur
Alom, Md
Skovira, Vincent
Breiteh, Nour
Rehman, Ibraheem
Yarkoni, Alon
Kahsou, Hisham
Rehman, Afzal
author_sort Braiteh, Nabil
collection PubMed
description 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.
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spelling pubmed-72444332020-05-26 Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York Braiteh, Nabil Rehman, Wajeeh ur Alom, Md Skovira, Vincent Breiteh, Nour Rehman, Ibraheem Yarkoni, Alon Kahsou, Hisham Rehman, Afzal Am Heart J Article 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. Elsevier Inc. 2020-08 2020-05-23 /pmc/articles/PMC7244433/ /pubmed/32569892 http://dx.doi.org/10.1016/j.ahj.2020.05.009 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Braiteh, Nabil
Rehman, Wajeeh ur
Alom, Md
Skovira, Vincent
Breiteh, Nour
Rehman, Ibraheem
Yarkoni, Alon
Kahsou, Hisham
Rehman, Afzal
Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title_full Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title_fullStr Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title_full_unstemmed Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title_short Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York
title_sort decrease in acute coronary syndrome presentations during the covid-19 pandemic in upstate new york
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244433/
https://www.ncbi.nlm.nih.gov/pubmed/32569892
http://dx.doi.org/10.1016/j.ahj.2020.05.009
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