Akademik Veri Yönetim Sistemi
KUWAIT MEDICAL JOURNAL, cilt.55, sa.3, ss.224-229, 2023 (SCI-Expanded)
Objective: The COVID-19 pandemic caused serious problems in the health system of the world resulting in delays in the management of ST segment elevation myocardial infarction (STEMI). Design: Retrospective study Setting: Department of Cardiology, Eskisehir City Hospital and Eskisehir Osmangazi University Faculty of Medicine Subjects: Two hundred and fourteen STEMI patients (Group 1: 125 patients between 11/03/2019-31/05/2019; Group 2: 89 patients between 11/03/2020-31/05/2020) Interventions: Coronary angiography Main outcome measures: To evaluate the effect of COVID-19 pandemic on the incidence, the clinical presentation and the in-hospital outcomes of acute STEMI. Results: There was a significant decrease in STEMI patients' admission during the COVID-19 period compared to that of the previous year. It was found that patients in Group 2 presented significantly later than Group 1. The longest delay was in the time from symptom-onset to the presentation to the hospital. The ejection fraction was significantly lower in Group 2 (P<0.05), and despite being statistically insignificant, cardiogenic shock was higher in Group 2. Conclusion: With the onset of the COVID-19 pandemic, there was a decrease in the number of hospital admissions for acute STEMI patients and most of the acute STEMI patients were shown to be complicated due to late admission to hospital. It is important that cardiologists have more knowledge about the indirect effects of such diseases on the cardiovascular system and organize their management protocol.