作者
Callum Little, Tushar Kotecha, Luciano Candilio, Richard Jabbour, George Collins, Asrar Ahmed, Michelle Connolly, Ritesh Kanyal, Ozan Demir, Lucy Lawson, Brian Wang, Sam Firoozi, James Spratt, Divaka Perera, Philip MacCarthy, Miles Dalby, Akay Jain, Simon Wilson, Iqbal Malik, Roby Rakhit
发表日期
2020/10/26
期刊
Open Heart
卷号
4
页码范围
e001432
简介
Objectives
To understand the impact of COVID-19 on delivery and outcomes of primary percutaneous coronary intervention (PPCI). Furthermore, to compare clinical presentation and outcomes of patients with ST-segment elevation myocardial infarction (STEMI) with active COVID-19 against those without COVID-19.
Methods
We systematically analysed 348 STEMI cases presenting to the PPCI programme in London during the peak of the pandemic (1 March to 30 April 2020) and compared with 440 cases from the same period in 2019. Outcomes of interest included ambulance response times, timeliness of revascularisation, angiographic and procedural characteristics, and in-hospital clinical outcomes
Results
There was a 21% reduction in STEMI admissions and longer ambulance response times (87 (62–118) min in 2020 vs 75 (57–95) min in 2019, p<0.001), but that this was not associated with a delays in …
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CD Little, T Kotecha, L Candilio, RJ Jabbour… - Open Heart, 2020