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Decrease in Acute Coronary Syndrome Presentations During the COVID-19 Pandemic in Upstate New York

Overview
Journal Am Heart J
Specialty Cardiology & Vascular Diseases
Date 2020 Jun 23
PMID 32569892
Citations 48
Authors
Nabil Braiteh
Wajeeh Ur Rehman
Md Alom
Vincent Skovira
Nour Breiteh
Ibraheem Rehman
Alon Yarkoni
Hisham Kahsou
Afzal Rehman
Affiliations
Soon will be listed here.
Abstract

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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