The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia
Background: The COVID-19 Pandemic has put enormous pressure on the healthcare system globally, causing many healthcare organizations to cancel elective admission for coronary angiograms. The purpose of this study is to assess changes in ST segment elevation myocardial infarction (STEMI) practice, in...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
| Series: | Heart Views |
| Subjects: | |
| Online Access: | http://www.heartviews.org/article.asp?issn=1995-705X;year=2020;volume=21;issue=3;spage=166;epage=170;aulast=Balghith |
| _version_ | 1818302572552781824 |
|---|---|
| author | Mohammed Ali Balghith |
| author_facet | Mohammed Ali Balghith |
| author_sort | Mohammed Ali Balghith |
| collection | DOAJ |
| description | Background: The COVID-19 Pandemic has put enormous pressure on the healthcare system globally, causing many healthcare organizations to cancel elective admission for coronary angiograms. The purpose of this study is to assess changes in ST segment elevation myocardial infarction (STEMI) practice, including the number of patients, door to balloon time and time from the onset of symptoms until reperfusion therapy in a tertiary center in Saudi Arabia.
Methods: This is a single center retrospective observational study, comparing all STEMI patients in the last five months of 2019 (Pre-COVID-19 period) with the first 5 months of 2020 (COVID -19 period) in regards to the volume of STEMI patients, symptoms onset to ER arrival time, door to balloon timing and the reperfusion therapy strategy.
Results: A total number of 173 STEMI patients were analyzed; 81 STEMI patients in the Pre-COVID-19 period and 92 STEMI patients in the COVID-19 period. When compared with pre-COVID period, there was a statistically non-significant increase in STEMI patients (12%), slight delay in the door to balloon timing; 94 vs 87 minutes. As well, there was more delay from onset of symptoms to presentation to the ER (>12 hours from symptoms onset to ER arrival (16% vs, 4% in group 1). Primary percutaneous coronary intervention (PPCI) was the main modality between the 2 groups without significant differences (100% Pre-COVID vs. 97% COVID-19 period).
Conclusion: There was some delay of STEMI patient's presentation to the hospital during Covid-19 timing, without significant changes in the medical practice of care. |
| first_indexed | 2024-12-13T05:41:02Z |
| format | Article |
| id | doaj.art-6cdd9fce4f2542ea881478baea1ada6f |
| institution | Directory Open Access Journal |
| issn | 1995-705X |
| language | English |
| last_indexed | 2024-12-13T05:41:02Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj.art-6cdd9fce4f2542ea881478baea1ada6f2022-12-21T23:57:48ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2020-01-0121316617010.4103/HEARTVIEWS.HEARTVIEWS_128_20The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi ArabiaMohammed Ali BalghithBackground: The COVID-19 Pandemic has put enormous pressure on the healthcare system globally, causing many healthcare organizations to cancel elective admission for coronary angiograms. The purpose of this study is to assess changes in ST segment elevation myocardial infarction (STEMI) practice, including the number of patients, door to balloon time and time from the onset of symptoms until reperfusion therapy in a tertiary center in Saudi Arabia. Methods: This is a single center retrospective observational study, comparing all STEMI patients in the last five months of 2019 (Pre-COVID-19 period) with the first 5 months of 2020 (COVID -19 period) in regards to the volume of STEMI patients, symptoms onset to ER arrival time, door to balloon timing and the reperfusion therapy strategy. Results: A total number of 173 STEMI patients were analyzed; 81 STEMI patients in the Pre-COVID-19 period and 92 STEMI patients in the COVID-19 period. When compared with pre-COVID period, there was a statistically non-significant increase in STEMI patients (12%), slight delay in the door to balloon timing; 94 vs 87 minutes. As well, there was more delay from onset of symptoms to presentation to the ER (>12 hours from symptoms onset to ER arrival (16% vs, 4% in group 1). Primary percutaneous coronary intervention (PPCI) was the main modality between the 2 groups without significant differences (100% Pre-COVID vs. 97% COVID-19 period). Conclusion: There was some delay of STEMI patient's presentation to the hospital during Covid-19 timing, without significant changes in the medical practice of care.http://www.heartviews.org/article.asp?issn=1995-705X;year=2020;volume=21;issue=3;spage=166;epage=170;aulast=Balghithcovid-19door to balloonppcistemi |
| spellingShingle | Mohammed Ali Balghith The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia Heart Views covid-19 door to balloon ppci stemi |
| title | The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia |
| title_full | The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia |
| title_fullStr | The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia |
| title_full_unstemmed | The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia |
| title_short | The impact of COVID-19 pandemic on the presentation and hospital management of STEMI patients in a tertiary care center in Saudi Arabia |
| title_sort | impact of covid 19 pandemic on the presentation and hospital management of stemi patients in a tertiary care center in saudi arabia |
| topic | covid-19 door to balloon ppci stemi |
| url | http://www.heartviews.org/article.asp?issn=1995-705X;year=2020;volume=21;issue=3;spage=166;epage=170;aulast=Balghith |
| work_keys_str_mv | AT mohammedalibalghith theimpactofcovid19pandemiconthepresentationandhospitalmanagementofstemipatientsinatertiarycarecenterinsaudiarabia AT mohammedalibalghith impactofcovid19pandemiconthepresentationandhospitalmanagementofstemipatientsinatertiarycarecenterinsaudiarabia |