Department of Cardiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
Department of Cardiology, Samsung Education and Research Hospital, Samsun, Turkey.
Int J Clin Pract. 2021 May;75(5):e14005. doi: 10.1111/ijcp.14005. Epub 2021 Jan 21.
Delayed revascularisation in patients with ST-segment elevation myocardial infarction (STEMI) is associated with poor prognosis. The aim of this study is to investigate how the timeline in STEMI treatment was affected during the Covid-19 outbreak.
Consecutive 165 STEMI patients were enrolled in the study during the Covid-19 pandemic period (Pandemic period) and the prepandemic period (Control period). The time period until patients' leaving their current position after the onset of pain (home delay), the time from the onset of pain to the first medical contact (FMC delay), door-to-balloon time, procedure time and hospitalisation time were recorded.
A total of 165 patients, 82 in the Pandemic period and 83 in the Control period, were included in the study. When compared with the control period, home delay [30 (5-6912) minutes vs 165 (10-360) minutes, P < .001] and FMC delay [61 (20-6932) minutes vs 190 (15-3660) minutes, P < .001] were significantly prolonged during the pandemic period. In addition, non-IRA PCI rate (8.8% vs 19.3% P = .043) and hospitalisation time [71 (15-170) vs 74.2 (37-329) hours, P = .045] were decreased.
During the Covid-19 pandemic period, prolonged prehospital time parameters were observed in STEMI patients. Therefore, additional measures may be required to prevent unfavourable delays in STEMI patients during the outbreak.
ST 段抬高型心肌梗死（STEMI）患者的延迟再血管化与预后不良相关。本研究旨在探讨 COVID-19 大流行期间 STEMI 治疗的时间线是如何受到影响的。
在 COVID-19 大流行期间（大流行期间）和大流行前期间（对照期间），连续纳入 165 例 STEMI 患者。记录患者自疼痛发作后离开当前位置的时间（家庭延迟）、自疼痛发作至首次医疗接触的时间（FMC 延迟）、门球时间、手术时间和住院时间。
共纳入 165 例患者，大流行期间 82 例，对照期间 83 例。与对照期间相比，大流行期间家庭延迟[30（5-6912）分钟 vs. 165（10-360）分钟，P<.001]和 FMC 延迟[61（20-6932）分钟 vs. 190（15-3660）分钟，P<.001]显著延长。此外，非 IRA PCI 率（8.8% vs. 19.3%，P=.043）和住院时间[71（15-170）小时 vs. 74.2（37-329）小时，P=.045]降低。
在 COVID-19 大流行期间，STEMI 患者的院前时间参数延长。因此，在疫情期间可能需要采取额外的措施来防止 STEMI 患者出现不利的延迟。
