- Patients who suffered from STEMI presented a delay of 4 hours from symptom onset to first medical contact, as compared to the same patient population from the prior year.
- Potential causes to the delays are reluctance to seek medical care, not seeking care at all, or precaution measures after hospital arrival, delaying access to catheterization laboratories and treatment.
This data comes from analysis of the changes in time components of STEMI care amongst 7 patients who underwent PPCI in a single center in Hong Kong, China, since 2020-01-25, when hospitals started establishing emergency protocols to contain the COVID-19 outbreak. This data was compared to 108 patients with STEMI treated with PPCI in the prior year. The time components evaluated were symptom onset to first medical contact, door to device, and cath lab arrival to device.
To be noted that this report describes the experiences of STEMI care amidst the COVID-19 outbreak in a single hospital, where the precaution measures were still unfamiliar and new.
Tam, C.-C. F., Cheung, K.-S., Lam, S., Wong, A., Yung, A., Sze, M., … Siu, C.-W. (March 17, 2020). Impact of Coronavirus Disease 2019 (COVID-19) Outbreak on ST-Segment–Elevation Myocardial Infarction Care in Hong Kong, China. Circulation: Cardiovascular Quality and Outcomes. https://doi.org/10.1161/CIRCOUTCOMES.120.006631