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10.1002/ccd.28997 http://scihub22266oqcxt.onion/10.1002/ccd.28997 32478961!7300525!32478961     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Catheter+Cardiovasc+Interv 2021 ; 97 (2): 208-214 Nephropedia Template TP {{tp|p=32478961|t=2021. Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a non-COVID-19 epicenter |pdf=|usr=}}{{32478961}} gab.com Text Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a non-COVID-19 epicenter JO: Catheter Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=32478961 #FOAvip OBJECTIVES: We sought to study the impact of COVID-19 pandemic on the presentation delay, severity, patterns of care, and reasons for delay among patients with ST-elevation myocardial infarction (STEMI) in a non-hot-spot region. BACKGROUND: COVID-19 pandemic has significantly reduced the activations for STEMI in epicenters like Spain. METHODS: From January 1, 2020, to April 15, 2020, 143 STEMIs were identified across our integrated 18-hospital system. Pre- and post-COVID-19 cohorts were based on March 23rd, 2020, whenstay-at-home orders were initiated in Ohio. We used presenting heart rate, blood pressure, troponin, new Q-wave, and left ventricle ejection fraction (LVEF) to assess severity. Duration of intensive care unit stay, total length of stay, door-to-balloon (D2B) time, and radial versus femoral access were used to assess patterns of care. RESULTS: Post-COVID-19 presentation was associated with a lower admission LVEF (45 vs. 50%, p = .015), new Q-wave, and higher initial troponin; however, these did not reach statistical significance. Among post-COVID-19 patients, those with >12-hr delay in presentation 31(%) had a longer average D2B time (88 vs. 53 min, p = .033) and higher peak troponin (58 vs. 8.5 ng/ml, p = .03). Of these, 27% avoided the hospital due to fear of COVID-19, 18% believed symptoms were COVID-19 related, and 9% did not want to burden the hospital during the pandemic. CONCLUSIONS: COVID-19 has remarkably affected STEMI presentation and care. Patients' fear and confusion about symptoms are integral parts of this emerging public health crisis. Twit Text FOAVip Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a non-COVID-19 epicenter ????Catheter Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=32478961 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32478961 #FOAvip English Wikipedia <ref>{{Cite pmid|32478961}}</ref> Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a non-COVID-19 epicenter #MMPMID32478961 Hammad TA; Parikh M; Tashtish N; Lowry CM; Gorbey D; Forouzandeh F; Filby SJ; Wolf WM; Costa MA; Simon DI; Shishehbor MH Catheter Cardiovasc Interv 2021[Feb]; 97 (2): 208-214 PMID32478961show ga OBJECTIVES: We sought to study the impact of COVID-19 pandemic on the presentation delay, severity, patterns of care, and reasons for delay among patients with ST-elevation myocardial infarction (STEMI) in a non-hot-spot region. BACKGROUND: COVID-19 pandemic has significantly reduced the activations for STEMI in epicenters like Spain. METHODS: From January 1, 2020, to April 15, 2020, 143 STEMIs were identified across our integrated 18-hospital system. Pre- and post-COVID-19 cohorts were based on March 23rd, 2020, whenstay-at-home orders were initiated in Ohio. We used presenting heart rate, blood pressure, troponin, new Q-wave, and left ventricle ejection fraction (LVEF) to assess severity. Duration of intensive care unit stay, total length of stay, door-to-balloon (D2B) time, and radial versus femoral access were used to assess patterns of care. RESULTS: Post-COVID-19 presentation was associated with a lower admission LVEF (45 vs. 50%, p = .015), new Q-wave, and higher initial troponin; however, these did not reach statistical significance. Among post-COVID-19 patients, those with >12-hr delay in presentation 31(%) had a longer average D2B time (88 vs. 53 min, p = .033) and higher peak troponin (58 vs. 8.5 ng/ml, p = .03). Of these, 27% avoided the hospital due to fear of COVID-19, 18% believed symptoms were COVID-19 related, and 9% did not want to burden the hospital during the pandemic. CONCLUSIONS: COVID-19 has remarkably affected STEMI presentation and care. Patients' fear and confusion about symptoms are integral parts of this emerging public health crisis. |Aged[MESH] |COVID-19/*epidemiology[MESH] |Communicable Disease Control[MESH] |Female[MESH] |Humans[MESH] |Length of Stay[MESH] |Male[MESH] |Middle Aged[MESH] |Ohio[MESH] |Retrospective Studies[MESH] |ST Elevation Myocardial Infarction/*diagnosis/mortality/*therapy[MESH] |Survival Rate[MESH] |Time-to-Treatment[MESH]Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a(epmc).pdf DeepDyve Pubget Overpricing