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Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic

BACKGROUND: An increase in the time from the symptoms onset to first medical contact and to primary percutaneous coronary intervention (pPCI) has been observed in countries with high-incidence of COVID-19 cases. We aimed to verify if there was any change in the patient delay and in the EMS response...

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Autores principales: Baldi, Enrico, Auricchio, Angelo, Cresta, Ruggero, Vanetta, Chiara, Anselmi, Luciano, Pedrazzini, Giovanni, Benvenuti, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193031/
https://www.ncbi.nlm.nih.gov/pubmed/34131581
http://dx.doi.org/10.1016/j.ijcha.2021.100824
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author Baldi, Enrico
Auricchio, Angelo
Cresta, Ruggero
Vanetta, Chiara
Anselmi, Luciano
Pedrazzini, Giovanni
Benvenuti, Claudio
author_facet Baldi, Enrico
Auricchio, Angelo
Cresta, Ruggero
Vanetta, Chiara
Anselmi, Luciano
Pedrazzini, Giovanni
Benvenuti, Claudio
author_sort Baldi, Enrico
collection PubMed
description BACKGROUND: An increase in the time from the symptoms onset to first medical contact and to primary percutaneous coronary intervention (pPCI) has been observed in countries with high-incidence of COVID-19 cases. We aimed to verify if there was any change in the patient delay and in the EMS response times up to the pPCI for STEMI patients in Swiss Ticino Canton. METHODS: We assessed STEMI management including time from symptoms onset to EMS call, time of EMS response, time to pPCI in Swiss Canton Ticino. Data were retrieved from the Acute-Coronary-Syndrome-Ticino-Registry. We considered the patients included in the registry from March to May 2020 (pandemic period) and then from June to August 2020 (post-pandemic period) in whom a pPCI was performed. We compared these patients to those undergoing a pPCI in the same months in the year 2016–2019. RESULTS: During the pandemic period, the time from symptoms onset to pPCI significantly increased compared to non-pandemic periods. This was due to a significant prolongation of the time from symptoms onset to EMS call, that nearly tripled. In contrast, after the pandemic period, there was a significantly shorter time from symptom onset to EMS call compared to non-pandemic years, whereas all other times remained unchanged. CONCLUSION: Patients delay the call to EMS despite symptoms of myocardial infarction during the COVID-19 pandemic also in a region with a relatively low incidence of COVID-19.
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spelling pubmed-81930312021-06-11 Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic Baldi, Enrico Auricchio, Angelo Cresta, Ruggero Vanetta, Chiara Anselmi, Luciano Pedrazzini, Giovanni Benvenuti, Claudio Int J Cardiol Heart Vasc Correspondence BACKGROUND: An increase in the time from the symptoms onset to first medical contact and to primary percutaneous coronary intervention (pPCI) has been observed in countries with high-incidence of COVID-19 cases. We aimed to verify if there was any change in the patient delay and in the EMS response times up to the pPCI for STEMI patients in Swiss Ticino Canton. METHODS: We assessed STEMI management including time from symptoms onset to EMS call, time of EMS response, time to pPCI in Swiss Canton Ticino. Data were retrieved from the Acute-Coronary-Syndrome-Ticino-Registry. We considered the patients included in the registry from March to May 2020 (pandemic period) and then from June to August 2020 (post-pandemic period) in whom a pPCI was performed. We compared these patients to those undergoing a pPCI in the same months in the year 2016–2019. RESULTS: During the pandemic period, the time from symptoms onset to pPCI significantly increased compared to non-pandemic periods. This was due to a significant prolongation of the time from symptoms onset to EMS call, that nearly tripled. In contrast, after the pandemic period, there was a significantly shorter time from symptom onset to EMS call compared to non-pandemic years, whereas all other times remained unchanged. CONCLUSION: Patients delay the call to EMS despite symptoms of myocardial infarction during the COVID-19 pandemic also in a region with a relatively low incidence of COVID-19. Elsevier 2021-06-11 /pmc/articles/PMC8193031/ /pubmed/34131581 http://dx.doi.org/10.1016/j.ijcha.2021.100824 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Correspondence
Baldi, Enrico
Auricchio, Angelo
Cresta, Ruggero
Vanetta, Chiara
Anselmi, Luciano
Pedrazzini, Giovanni
Benvenuti, Claudio
Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title_full Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title_fullStr Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title_full_unstemmed Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title_short Patient voluntarily delays call to emergency medical system for ST-elevation myocardial infarction during COVID-19 pandemic
title_sort patient voluntarily delays call to emergency medical system for st-elevation myocardial infarction during covid-19 pandemic
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193031/
https://www.ncbi.nlm.nih.gov/pubmed/34131581
http://dx.doi.org/10.1016/j.ijcha.2021.100824
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