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10.1016/j.cpcardiol.2020.100715

http://scihub22266oqcxt.onion/10.1016/j.cpcardiol.2020.100715
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33081992!7836318!33081992
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suck abstract from ncbi


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pmid33081992      Curr+Probl+Cardiol 2021 ; 46 (3): 100715
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  • Management Trends in the Cath Lab During the COVID-19 Period, an Egyptian Survey #MMPMID33081992
  • Mahmoud SED; Etriby SE; Etriby AE; Ghalib A
  • Curr Probl Cardiol 2021[Mar]; 46 (3): 100715 PMID33081992show ga
  • The World Health Organization (WHO) announced that the novel coronavirus pneumonia pandemic caused by SARS-CoV-2 was classified as a public health emergency of international concern on January 30, 2020 Egypt's health ministry had announced the first case in the country at Cairo International Airport involving a Chinese national on 14 February 2020. Case decisions in the cath labs should be individualized, taking into account the risk of 2019 novel coronavirus (COVID-19) exposure versus the risk of delay in diagnosis or therapy. In patients with known or suspected COVID-19 and ischemic heart disease, the balance of staff exposure and patient benefit will need to be weighed carefully. AIM OF THE WORK: Analyzing and assessing the impact of COVID 19 pandemic on the: (1) volume, type of patients, and the different procedures performed. (2) The changes in management trends of cardiologists in the cath labs. RESULTS: This study has surveyed 30 cath labs distributed all over Egypt during COVID-19 pandemic with 43.35% in urban area and 56.7% in rural areas. Only 63.3% of surveyed centers were well equipped to deal with COVID-19 active patients and full personal protective equipment was worn in only 6.7% of patients. A decrease in the volume of new acute coronary syndrome (ACS) patients, ST-elevation myocardial infarction patients and primary percutaneous coronary intervention (PCI) was recorded in 80%, 83%, and 80% of the surveyed centers respectively. Regarding the delay in the invasive management for patients with ACS due to diagnostic testing, there was 100% delay in all surveyed centers with 70% of centers suffering from delay in primary PCI due to awaited testing. On the other hand, there was a decrease in the volume of patients receiving elective procedures in 83.3% of cath labs. CONCLUSION: The management trends in the current Egyptian survey were significantly impacted during COVID-19 pandemic. Primary PCI volume much reduced and takes longer time than should be.
  • |*Disease Management[MESH]
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |Acute Coronary Syndrome/epidemiology/*therapy[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Cardiac Catheterization/*methods[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Egypt/epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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