Cargando…

Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction

OBJECTIVE: To explore the effect of COVID-19 outbreak on the treatment time of patients with ST-segment elevation myocardial infarction (STEMI) in Hangzhou, China. METHODS: We retrospectively reviewed the data of STEMI patients admitted to the Hangzhou Chest Pain Center (CPC) during a COVID-19 epide...

Descripción completa

Detalles Bibliográficos
Autores principales: Fu, Xin-yan, Shen, Xiang-feng, Cheng, Yong-ran, Zhou, Meng-Yun, Ye, Lan, Feng, Zhan-hui, Xu, Zhao, Chen, Juan, Wang, Ming-Wei, Zhang, Xing-wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494496/
https://www.ncbi.nlm.nih.gov/pubmed/33039221
http://dx.doi.org/10.1016/j.ajem.2020.09.038
_version_ 1783582763223351296
author Fu, Xin-yan
Shen, Xiang-feng
Cheng, Yong-ran
Zhou, Meng-Yun
Ye, Lan
Feng, Zhan-hui
Xu, Zhao
Chen, Juan
Wang, Ming-Wei
Zhang, Xing-wei
author_facet Fu, Xin-yan
Shen, Xiang-feng
Cheng, Yong-ran
Zhou, Meng-Yun
Ye, Lan
Feng, Zhan-hui
Xu, Zhao
Chen, Juan
Wang, Ming-Wei
Zhang, Xing-wei
author_sort Fu, Xin-yan
collection PubMed
description OBJECTIVE: To explore the effect of COVID-19 outbreak on the treatment time of patients with ST-segment elevation myocardial infarction (STEMI) in Hangzhou, China. METHODS: We retrospectively reviewed the data of STEMI patients admitted to the Hangzhou Chest Pain Center (CPC) during a COVID-19 epidemic period in 2020 (24 cases) and the same period in 2019 (29 cases). General characteristics of the patients were recorded, analyzed, and compared. Moreover, we compared the groups for the time from symptom onset to the first medical contact (SO-to-FMC), time from first medical contact to balloon expansion (FMC-to-B), time from hospital door entry to first balloon expansion (D-to-B), and catheter room activation time. The groups were also compared for postoperative cardiac color Doppler ultrasonographic left ventricular ejection fraction (LVEF),the incidence of major adverse cardiovascular and cerebrovascular events (MACCE),Kaplan-Meier survival curves during the 28 days after the operation. RESULTS: The times of SO-to-FMC, D-to-B, and catheter room activation in the 2020 group were significantly longer than those in the 2019 group (P < 0.05). The cumulative mortality after the surgery in the 2020 group was significantly higher than the 2019 group (P < 0.05). CONCLUSION: The pre-hospital and in-hospital treatment times of STEMI patients during the COVID-19 epidemic were longer than those before the epidemic. Cumulative mortality was showed in Kaplan-Meier survival curves after the surgery in the 2020 group was significantly different higher than the 2019 group during the 28 days.The diagnosis and treatment process of STEMI patients during an epidemic should be optimized to improve their prognosis.
format Online
Article
Text
id pubmed-7494496
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier Inc.
record_format MEDLINE/PubMed
spelling pubmed-74944962020-09-17 Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction Fu, Xin-yan Shen, Xiang-feng Cheng, Yong-ran Zhou, Meng-Yun Ye, Lan Feng, Zhan-hui Xu, Zhao Chen, Juan Wang, Ming-Wei Zhang, Xing-wei Am J Emerg Med Article OBJECTIVE: To explore the effect of COVID-19 outbreak on the treatment time of patients with ST-segment elevation myocardial infarction (STEMI) in Hangzhou, China. METHODS: We retrospectively reviewed the data of STEMI patients admitted to the Hangzhou Chest Pain Center (CPC) during a COVID-19 epidemic period in 2020 (24 cases) and the same period in 2019 (29 cases). General characteristics of the patients were recorded, analyzed, and compared. Moreover, we compared the groups for the time from symptom onset to the first medical contact (SO-to-FMC), time from first medical contact to balloon expansion (FMC-to-B), time from hospital door entry to first balloon expansion (D-to-B), and catheter room activation time. The groups were also compared for postoperative cardiac color Doppler ultrasonographic left ventricular ejection fraction (LVEF),the incidence of major adverse cardiovascular and cerebrovascular events (MACCE),Kaplan-Meier survival curves during the 28 days after the operation. RESULTS: The times of SO-to-FMC, D-to-B, and catheter room activation in the 2020 group were significantly longer than those in the 2019 group (P < 0.05). The cumulative mortality after the surgery in the 2020 group was significantly higher than the 2019 group (P < 0.05). CONCLUSION: The pre-hospital and in-hospital treatment times of STEMI patients during the COVID-19 epidemic were longer than those before the epidemic. Cumulative mortality was showed in Kaplan-Meier survival curves after the surgery in the 2020 group was significantly different higher than the 2019 group during the 28 days.The diagnosis and treatment process of STEMI patients during an epidemic should be optimized to improve their prognosis. Elsevier Inc. 2021-06 2020-09-17 /pmc/articles/PMC7494496/ /pubmed/33039221 http://dx.doi.org/10.1016/j.ajem.2020.09.038 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
Fu, Xin-yan
Shen, Xiang-feng
Cheng, Yong-ran
Zhou, Meng-Yun
Ye, Lan
Feng, Zhan-hui
Xu, Zhao
Chen, Juan
Wang, Ming-Wei
Zhang, Xing-wei
Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title_full Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title_fullStr Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title_full_unstemmed Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title_short Effect of COVID-19 outbreak on the treatment time of patients with acute ST-segment elevation myocardial infarction
title_sort effect of covid-19 outbreak on the treatment time of patients with acute st-segment elevation myocardial infarction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494496/
https://www.ncbi.nlm.nih.gov/pubmed/33039221
http://dx.doi.org/10.1016/j.ajem.2020.09.038
work_keys_str_mv AT fuxinyan effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT shenxiangfeng effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT chengyongran effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT zhoumengyun effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT yelan effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT fengzhanhui effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT xuzhao effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT chenjuan effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT wangmingwei effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction
AT zhangxingwei effectofcovid19outbreakonthetreatmenttimeofpatientswithacutestsegmentelevationmyocardialinfarction