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Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has greatly affected healthcare delivery across the world. In this report, we aim to further characterize the changes in cardiac catheterization at our institution, specifically in the setting of acute coronary syndrome (ACS). METHODS: We...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295564/ https://www.ncbi.nlm.nih.gov/pubmed/32595811 http://dx.doi.org/10.14740/cr1096 |
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author | Tan, Weiyi Parikh, Rushi V. Chester, Rebecca Harrell, Jeffrey Franco, Vanessa Aksoy, Olcay Dave, Ravi Rafique, Asim Press, Marcella |
author_facet | Tan, Weiyi Parikh, Rushi V. Chester, Rebecca Harrell, Jeffrey Franco, Vanessa Aksoy, Olcay Dave, Ravi Rafique, Asim Press, Marcella |
author_sort | Tan, Weiyi |
collection | PubMed |
description | BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has greatly affected healthcare delivery across the world. In this report, we aim to further characterize the changes in cardiac catheterization at our institution, specifically in the setting of acute coronary syndrome (ACS). METHODS: We performed a retrospective analysis of patients undergoing cardiac catheterization between December 23, 2019 and April 12, 2020 at our institution. All patients with cardiac catheterizations for ACS, ST-elevation myocardial infarction (STEMI) activation, and out-of-hospital cardiac arrest (OHCA) were analyzed. Cardiac catheterization volume, as well as clinical and procedural characteristics of patients undergoing cardiac catheterization, was compared before and during the COVID-19 pandemic. RESULTS: Patients presenting with ACS and OHCA were similar in terms of demographics and comorbidities during both time periods. The mean monthly volume for ACS cases dropped by 26% during the pandemic, which was consistent among both unstable angina/non-ST-elevation myocardial infarction (UA/NSTEMI) and STEMI cases. OHCA volume decreased significantly as well (five cases per month before to zero cases during the pandemic, P = 0.01). Among patients with STEMI, initial markers of cardiac injury, door-to-balloon time, and all-cause mortality were similar in both time periods. CONCLUSIONS: With the start of the COVID-19 pandemic, there was a reduction in cardiac catheterization volume across the spectrum of ACS at our institution, which was consistent with reports from other centers across the globe. Patients with STEMI during the initial phase of the COVID-19 pandemic did not seem to have delays in presentation or significant differences in all-cause mortality at our institution. |
format | Online Article Text |
id | pubmed-7295564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-72955642020-06-26 Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic Tan, Weiyi Parikh, Rushi V. Chester, Rebecca Harrell, Jeffrey Franco, Vanessa Aksoy, Olcay Dave, Ravi Rafique, Asim Press, Marcella Cardiol Res Short Communication BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has greatly affected healthcare delivery across the world. In this report, we aim to further characterize the changes in cardiac catheterization at our institution, specifically in the setting of acute coronary syndrome (ACS). METHODS: We performed a retrospective analysis of patients undergoing cardiac catheterization between December 23, 2019 and April 12, 2020 at our institution. All patients with cardiac catheterizations for ACS, ST-elevation myocardial infarction (STEMI) activation, and out-of-hospital cardiac arrest (OHCA) were analyzed. Cardiac catheterization volume, as well as clinical and procedural characteristics of patients undergoing cardiac catheterization, was compared before and during the COVID-19 pandemic. RESULTS: Patients presenting with ACS and OHCA were similar in terms of demographics and comorbidities during both time periods. The mean monthly volume for ACS cases dropped by 26% during the pandemic, which was consistent among both unstable angina/non-ST-elevation myocardial infarction (UA/NSTEMI) and STEMI cases. OHCA volume decreased significantly as well (five cases per month before to zero cases during the pandemic, P = 0.01). Among patients with STEMI, initial markers of cardiac injury, door-to-balloon time, and all-cause mortality were similar in both time periods. CONCLUSIONS: With the start of the COVID-19 pandemic, there was a reduction in cardiac catheterization volume across the spectrum of ACS at our institution, which was consistent with reports from other centers across the globe. Patients with STEMI during the initial phase of the COVID-19 pandemic did not seem to have delays in presentation or significant differences in all-cause mortality at our institution. Elmer Press 2020-08 2020-06-03 /pmc/articles/PMC7295564/ /pubmed/32595811 http://dx.doi.org/10.14740/cr1096 Text en Copyright 2020, Tan et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Communication Tan, Weiyi Parikh, Rushi V. Chester, Rebecca Harrell, Jeffrey Franco, Vanessa Aksoy, Olcay Dave, Ravi Rafique, Asim Press, Marcella Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title | Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title_full | Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title_fullStr | Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title_full_unstemmed | Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title_short | Single Center Trends in Acute Coronary Syndrome Volume and Outcomes During the COVID-19 Pandemic |
title_sort | single center trends in acute coronary syndrome volume and outcomes during the covid-19 pandemic |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295564/ https://www.ncbi.nlm.nih.gov/pubmed/32595811 http://dx.doi.org/10.14740/cr1096 |
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