Changing pattern of admissions for acute myocardial infarction in India during the COVID-19 pandemic.
Indian Heart J
; 73(4): 413-423, 2021.
Article
en En
| MEDLINE
| ID: mdl-34474751
ABSTRACT
AIM:
Studies on the changes in the presentation and management of acute myocardial infarction (AMI) during the COVID-19 pandemic from low- and middle-income countries are limited. We sought to determine the changes in the number of admissions, management practices, and outcomes of AMI during the pandemic period in India. METHODS &RESULTS:
In this two-timepoint cross-sectional study involving 187 hospitals across India, patients admitted with AMI between 15th March to 15th June in 2020 were compared with those admitted during the corresponding period of 2019. We included 41,832 consecutive adults with AMI. Admissions during the pandemic period (n = 16414) decreased by 35·4% as compared to the corresponding period in 2019 (n = 25418). We observed significant heterogeneity in this decline across India. The weekly average decrease in AMI admissions in 2020 correlated negatively with the number of COVID cases (r = -0·48; r2 = 0·2), but strongly correlated with the stringency of lockdown index (r = 0·95; r2 = 0·90). On a multi-level logistic regression, admissions were lower in 2020 with older age categories, tier 1 cities, and centers with high patient volume. Adjusted utilization rate of coronary angiography, and percutaneous coronary intervention decreased by 11·3%, and 5·9% respectively.CONCLUSIONS:
The magnitude of reduction in AMI admissions across India was not uniform. The nature, time course, and the patient demographics were different compared to reports from other countries, suggesting a significant impact due to the lockdown. These findings have important implications in managing AMI during the pandemic.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Intervención Coronaria Percutánea
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Infarto del Miocardio sin Elevación del ST
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Infarto del Miocardio con Elevación del ST
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COVID-19
/
Infarto del Miocardio
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Indian Heart J
Año:
2021
Tipo del documento:
Article
País de afiliación:
India