Home

“Heart attack patients waited an average of 14 hours to get help during the pandemic, with some delaying for nearly two days. That compares to a delay of six hours in the previous year,” said study author Ali Aldujeli of the Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania. “This gap may have been one contributor to the higher incidence of subsequent heart failure.”

Aldujeli’s study compared treatment delays, post-treatment ejection fraction, and decompensated heart failure hospitalisation rate in heart attack patients before versus during the COVID-19 pandemic.

The retrospective, multicentre study covered six out of ten administrative regions in Lithuania. The study included consecutive patients with acute myocardial infarction who received a negative test result for COVID-19 infection between 11 March and 20 April 2020 and underwent invasive treatment. The data were compared to patients admitted with the same diagnosis during the same period in 2019. Patients were followed up for six months following hospital discharge.

A total of 269 heart attack patients were evaluated in the study. There was a 34% decline in heart attack admissions during the early phase of the pandemic compared to the same period in 2019. Patients waited significantly longer before presenting to hospital during the pandemic compared to 2019 (a median of 858 versus 386 minutes, respectively).

Admission rates and delays were less pronounced for ST-elevation myocardial infarction (STEMI) compared to non-STEMI. Admission rates fell by 22.1% for STEMI and 47.4% for non-STEMI. Patient delays more than doubled for STEMI patients during the pandemic and increased by more than fourfold for non-STEMI patients.

Aldujeli said: “Declines in admissions and delays in seeking treatment may be partly attributed to the extensive media coverage which amplified patients’ fear of contracting COVID-19 and precluded them from seeking timely medical care. A possible explanation for the differences according to type of heart attack could be because STEMI patients tend to have more acute and intense symptoms compared to those with non-STEMI.”

Post-treatment pump function was significantly lower during the pandemic compared to 2019, the study’s authors found. At six months, 22% of patients who had a heart attack during the pandemic were admitted to the hospital with decompensated heart failure compared to 2.5% in 2019.

When the authors examined the results by type of heart attack, they found that at six months, nearly one-third of patients (30%) who had non-STEMI during the pandemic were admitted to the hospital for decompensated heart failure compared to 1.3% in 2019. For STEMI, the corresponding proportions of admissions were 16.4% during the pandemic versus 3.5% in 2019.

Aldujeli said the outcomes according to type of heart attack may have been influenced by new pandemic-specific protocols implemented to prevent spread of the virus. Patients diagnosed with STEMI according to an electrocardiogram (ECG) were prioritised for urgent treatment (i.e. without waiting for a COVID-19 test result) and staff used personal protective equipment (PPE) during the procedure. Patients with non-STEMI wereS deemed less urgent and were isolated for around 24 hours while waiting for COVID-19 test results, which dictated whether staff needed PPE during the procedure or not.

Aldujeli said: “Our findings suggest that all heart attacks during a pandemic should be treated urgently with staff using PPE. More balanced media coverage is also needed so that patients do not wait to seek help in medical emergencies.”

Source CardiovascularNews

Duc Tin Clinic

Chia sẽ qua facebook bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua google bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua twitter bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua MySpace bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua LinkedIn bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua stumbleupon bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua icio bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua digg bài: Pandemic contributes to worsening heart attack outcomes, study finds

Chia sẽ qua yahoo bài: Pandemic contributes to worsening heart attack outcomes, study finds

Tin tức liên quan

Enrolment reaches midway point in trial of Early Bird bleed monitoring system

Eight-fold increased risk of heart attack seen in patients with subclinical obstructive coronary atherosclerosis

ACC 2023: REVIVED-BCIS-2 results challenge “long-held beliefs” on myocardial viability testing prior to PCI

Blood pressure successfully cut in RADIANCE II ultrasound renal denervation trial

New data examine mortality rates and cardiac damage in early-stage aortic stenosis patients

SUPPORT CONSULTANT

Make an Appointment

I am Nguyen Thanh Sang, born in 1990. Since the examination and treatment at the clinic Duc Tin, I am very grateful to the Doctor for explaining and sharing about my illness. During the treatment time in the clinic I was very caring staff of the clinic. Now my illness has improved in a good way. Expect more and more clinic to be able to save many patients.

I sincerely thank you !. Tel: 0938303275

Huynh Thi Muoi, born in 1940, was examined and treated at Duc Tin Clinic. I am very pleased about how to serve and care patients of the clinic. The doctor is committed to explaining and sharing with the patient.

Huynh Thi Muoi sincerely thank you! Phone number: 0972868746

As I said Duc Tin surgical clinin is where my family trust, hope to visit. Physicians caring, thoughtful, gentle to the patient. Nurses and staff clinic polite, cheerful and thoughtful. This clinic clean, sterile, so I would love to. Tel: +84949914060.

The doctor is very caring, attentive and very gentle nurse, courteous, affable with me. The clinic is clean, comfortable, polite. I enjoyed this faith. Every visit I was very relieved disease. Tel: 0839820792.

I was patient, had to clinics of Dr. Le Duc Tin. I see very conscientious doctor patient care, answer any questions and very dedicated staff from the receptionist to the children tested, nursing. Clinics very clean and spacious. I'm very satisfied. Tel: +841227880829.