COVID-19-mediated patient delay caused increased total ischaemic time in ST-segment elevation myocardial infarction

• DOI: 10.1007/s12471-021-01653-9
• Publication Date: 2022-01-19T12:03:11Z
• Authors: H. N. Sturkenboom; V. A. E. van Hattem; W. Nieuwland; F. M. A. Paris; M. Magro; R. L. Anthonio; A. Algin; E. Lipsic; E. Bruwiere; B. J. L. Van den ...; J. Polad; P. Tonino; R. A. Tio
• Keywords: Door-to-balloon

The current study aimed to evaluate changes in treatment delay and outcome for ST-segment elevation myocardial infarction (STEMI) the Netherlands during first coronavirus disease 2019 (COVID-19) outbreak, thereby comparing regions with a high low COVID-19 hospitalisation rate.Clinical characteristics, STEMI timing variables, 30-day all-cause mortality cardiovascular complications of all consecutive patients admitted from 1 January 30 June 2020 six hospitals performing volume percutaneous coronary interventions were collected retrospectively using data Heart Registry, hospital records ambulance report forms. Patient delay, pre-hospital door-to-balloon time before after outbreak compared equivalent periods 2019.A total 2169 included. During median significantly increased (2 h 51 min vs 2 32 min; p = 0.043) due an patient (1 20 h; 0.030) more late presentations > 24 (1.1% 0.3%) 2020. This increase was particularly evident peak phase rate. shorter (38 43 0.042) than 2019. All-cause comparable both frames (7.8% 7.3%; 0.797).During caused ischaemic STEMI, pronounced high-endemic regions, stressing importance good education crisis situations.