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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+Heart+J 2020 ; 226 (ä): 147-151 Nephropedia Template TP
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Decrease in acute coronary syndrome presentations during the COVID-19 pandemic in upstate New York #MMPMID32569892
Braiteh N; Rehman WU; Alom M; Skovira V; Breiteh N; Rehman I; Yarkoni A; Kahsou H; Rehman A
Am Heart J 2020[Aug]; 226 (ä): 147-151 PMID32569892show ga
The COVID-19 virus is a devastating pandemic that has impacted the US healthcare system significantly. More than one study reported a significant decrease in acute coronary syndrome admissions during that pandemic which is still due to unknown reasons. 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.