Curr Probl Cardiol. 2021 Mar;46(3):100715. doi: 10.1016/j.cpcardiol.2020.100715. Epub 2020 Sep 24.
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.
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.
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.
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.
分析和评估 COVID-19 大流行对以下方面的影响：(1) 工作量、患者类型和进行的不同程序。(2) 心导管室心脏病专家管理趋势的变化。
本研究调查了 COVID-19 大流行期间埃及的 30 个心导管室，其中 43.35%位于城市地区，56.7%位于农村地区。只有 63.3%的调查中心有能力处理 COVID-19 活动患者，只有 6.7%的患者穿戴了完整的个人防护设备。80%的调查中心记录到新发急性冠状动脉综合征(ACS)患者、ST 段抬高型心肌梗死患者和直接经皮冠状动脉介入治疗(PCI)的数量减少，分别为 83%和 80%。在 ACS 患者因诊断检测而延迟侵入性管理方面，所有调查中心均有 100%的延迟，其中 70%的中心因等待检测而延迟直接 PCI。另一方面，83.3%的心导管室接受择期手术的患者数量减少。
在 COVID-19 大流行期间，埃及目前的调查管理趋势受到了显著影响。直接 PCI 量明显减少，所需时间也比应有的时间长。
