Effects of the COVID-19 pandemic on the emergency management of patients presenting with ST-elevation myocardial infarction

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dc.contributor.authorKucuk, Servan
dc.contributor.authorCoskun, Figen
dc.contributor.authorSenturk, Bihter
dc.contributor.authorBaşkurt, Ahmet Anıl
dc.date.accessioned2025-03-20T09:41:20Z
dc.date.available2025-03-20T09:41:20Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractObjectives: This study aims to analyze the changes in the emergency management of ST-elevation myocardial infarction (STEMI) patients during the coronavirus disease 2019 (COVID-19) pandemic. Patients and methods: A total of 474 individuals (375 males, 99 females; mean age: 61.7±12.7 years; range, 22 to 93 years) who presented to the emergency department with STEMI between March 1, 2019, and March 1, 2021, were included in the study. The impact of the pandemic on the management of STEMI patients was assessed by comparing the patients in two time periods: the pre-COVID-19 period (n=271) and the COVID-19 pandemic (n=203). Archive records were retrospectively examined to assess the pandemic's impact on various aspects, including arrival time at the emergency department, consultation duration, time from arrival to percutaneous coronary intervention, treatment choice, in-hospital mortality rate, and length of inpatient stay. Results: There was a notable decrease in the proportion of patients arriving within 2 h of symptom onset during the COVID-19 era (p<0.05). The mean time for STEMI patients to be referred to the cardiology clinic was 15.90±21.97 min. Additionally, the door-to-needle time was faster during the COVID-19 era compared to the prepandemic period. Conclusion: Despite the prolonged duration of presentation to the emergency department for patients exhibiting symptoms of STEMI during the COVID-19 era, there was no extension in the consultation and door-to-needle times for patients diagnosed with STEMI.
dc.identifier.doi10.5606/e-cvsi.2024.1650
dc.identifier.endpage79
dc.identifier.issn2148-9211
dc.identifier.issue2
dc.identifier.startpage73
dc.identifier.trdizinid1274194
dc.identifier.urihttps://doi.org/10.5606/e-cvsi.2024.1650
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1274194
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1898
dc.identifier.volume11
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofCardiovascular surgery and interventions
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250319
dc.titleEffects of the COVID-19 pandemic on the emergency management of patients presenting with ST-elevation myocardial infarction
dc.typeArticle

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