Presentation of acute coronary syndromes during covıd-19 pandemia: attitude of patients and health care professionals

Ahmet Karagöz; Zeki Günaydın; Asli Vural; Devrim Kurt; Fatih Özdemir; Fatih Özçubukçu

doi:10.7197/cmj.814394

EN

Presentation of acute coronary syndromes during covıd-19 pandemia: attitude of patients and health care professionals

Abstract

Objective: COVID-19 pandemia resulted in substantial alterations in health care demand and delivery. The aim of this study is to investigate presentations and treatment strategies of acute coronary syndromes during COVID-19 pandemia.

Method: The patients presented with acute coronary syndrome between March 10 2020-June 1 2020 and in the same trimeframe in 2019 were analysed retrospectively. The patients in 2020 constituted the Pandemia group and the patients in 2019 were accepted to be controls. Presentation types, demographical and clinical characteristics as well as treatment strategies were compared between two groups.

Results: There was a 15.2% reduction in the number of acute coronary syndromes during the COVID-19 pandemia lockdown when compared to previous year. The number of patients presenting with STEMI was higher in Pandemia group when compared to controls (p=0.033). Less patients underwent coronary angiography and percutaneous coronary intervention in Pandemia group (p=0.012 and p=0.033, respectively). Antiagregant choice of physicians between clopidogrel and ticagrelol was similar (p=0.227). Aspartate aminotransferase and lactate dehidrogenase levels were significantly higher in Pandemia group compared to controls (p=0.030 and p=0.003, respectively). Hospitalization duration was similar between two groups while serum levels of troponin on the discharge day was significantly higher in Pandemia group (p=0.512 and p=0.001, respectively).

Conclusions: COVID-19 pandemia resulted in a decline in the number of acute coronary syndromes and a trend towards conservative approach in patients with NSTEMI. It is contraversial whether mortality benefit driven from COVID-19 prevention is greater than the consequences these presentation and treatment alterations in heart attack patients.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Ahmet Karagöz ^*
0000-0002-3548-1276
Türkiye

Zeki Günaydın
0000-0001-9779-7578
Türkiye

Asli Vural
0000-0002-6601-8778
Türkiye

Devrim Kurt
0000-0003-4230-3248
Türkiye

Fatih Özdemir
0000-0003-4318-9491
Türkiye

Fatih Özçubukçu
0000-0001-8096-929X
Türkiye

Publication Date

December 31, 2020

Submission Date

October 21, 2020

Acceptance Date

December 20, 2020

Published in Issue

Year 2020 Volume: 42 Number: 4

DOI

https://doi.org/10.7197/cmj.814394

IZ

https://izlik.org/JA59LY36GD

Cite

RIS / Bibtex

AMA

1.Karagöz A, Günaydın Z, Vural A, Kurt D, Özdemir F, Özçubukçu F. Presentation of acute coronary syndromes during covıd-19 pandemia: attitude of patients and health care professionals. CMJ. 2020;42(4):473-478. doi:10.7197/cmj.814394