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10.1097/HPC.0000000000000228

http://scihub22266oqcxt.onion/10.1097/HPC.0000000000000228
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suck abstract from ncbi


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pmid32467422      Crit+Pathw+Cardiol 2021 ; 20 (1): 53-55
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  • Effects of the COVID-19 Pandemic on the Management of Patients With ST-elevation Myocardial Infarction in a Tertiary Cardiovascular Center #MMPMID32467422
  • Firouzi A; Baay M; Mazayanimonfared A; Pouraliakbar H; Sadeghipour P; Noohi F; Maleki M; Peighambari MM; Kiavar M; Abdi S; Maadani M; Shakerian F; Zahedmehr A; Kiani R; Alemzadeh-Ansari MJ; Rashidinejad A; Hosseini Z
  • Crit Pathw Cardiol 2021[Mar]; 20 (1): 53-55 PMID32467422show ga
  • BACKGROUND: In the Coronavirus Disease 2019 (COVID-19) pandemic, the appropriate reperfusion strategy in patients with ST-segment elevation myocardial infarction (STEMI) is unclear. METHODS: This retrospective single-center study consecutively enrolled patients who presented with STEMI and scheduled for primary percutaneous coronary intervention (PPCI) during the outbreak of COVID-19. Due to the delay in the reporting of the polymerase chain reaction test results, our postprocedural triage regarding COVID-19, followed by the isolation strategy, was based on lung computerized tomography scan results. RESULTS: Forty-eight patients with STEMI referred to our center. PPCI was done for 44 (91%) of these patients. The mean symptom-to-device time was 490.93 +/- 454.608 minutes, and the mean first medical contact-to-device time was and 154.12 +/- 36.27 minutes. Nine (18%) patients with STEMI were diagnosed as having typical/indeterminate features indicating COVID-19 involvement. During hospitalization, 1 (2.0%) patient died of cardiogenic shock. The study population was followed for 35.9 +/- 12.7 days. Two patients expired in another centers due to COVID-19. No cardiac catheterization laboratory staff members were infected by COVID-19 during the study period. CONCLUSIONS: Our small report indicates that by taking the recommended safety measures and using appropriate PPE, we can continue PPCI as the main reperfusion strategy safely and effectively.
  • |*Cardiac Care Facilities[MESH]
  • |*Tertiary Care Centers[MESH]
  • |Aged[MESH]
  • |COVID-19/diagnosis/*epidemiology/prevention & control[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Infection Control/*organization & administration[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Percutaneous Coronary Intervention[MESH]
  • |Retrospective Studies[MESH]
  • |ST Elevation Myocardial Infarction/*surgery[MESH]


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