BACKGROUND: The initial wave of the coronavirus disease 2019 (COVID-19) pandemic resulted in an influx of patients with acute viral illness and profound changes in healthcare delivery in New York City. The impact of this pandemic on the presentation and invasive management of acute myocardial infarction (MI) is not well described. METHODS: This single-center retrospective study compared patients with MI who underwent invasive coronary angiography at New York University from March-April 2020, during the peak of the first wave of the pandemic, with those presenting in March-April 2019. RESULTS: Only 35 patients with MI underwent angiography during the study period in 2020 vs 109 patients in 2019. No differences in comorbidities or baseline medications were identified. The proportion of patients with ST-segment elevation MI (STEMI) was higher in 2020 than in 2019 (48.6% vs 24.8%, respectively; P=.01). Median peak troponin concentration was higher (14.5 ng/mL vs 2.9 ng/mL; P<.01) and left ventricular ejection fraction was lower (43.34% vs 51.1%; P=.02) during the pandemic. Among patients with non-STEMI, time from symptom onset to presentation was delayed in 2020 compared with 2019 (median, 24 hours vs 10 hours; P=.04). CONCLUSION: There was a dramatic decrease in the number of patients with MI undergoing coronary angiography during the first wave of the COVID-19 pandemic. Of those who presented, patients tended to seek care later after symptom onset and had excess myocardial injury. These data indicate a need for improved patient education to ensure timely cardiovascular care during public health emergencies.
BACKGROUND: The initial wave of the coronavirus disease 2019 (COVID-19) pandemic resulted in an influx of patients with acute viral illness and profound changes in healthcare delivery in New York City. The impact of this pandemic on the presentation and invasive management of acute myocardial infarction (MI) is not well described. METHODS: This single-center retrospective study compared patients with MI who underwent invasive coronary angiography at New York University from March-April 2020, during the peak of the first wave of the pandemic, with those presenting in March-April 2019. RESULTS: Only 35 patients with MI underwent angiography during the study period in 2020 vs 109 patients in 2019. No differences in comorbidities or baseline medications were identified. The proportion of patients with ST-segment elevation MI (STEMI) was higher in 2020 than in 2019 (48.6% vs 24.8%, respectively; P=.01). Median peak troponin concentration was higher (14.5 ng/mL vs 2.9 ng/mL; P<.01) and left ventricular ejection fraction was lower (43.34% vs 51.1%; P=.02) during the pandemic. Among patients with non-STEMI, time from symptom onset to presentation was delayed in 2020 compared with 2019 (median, 24 hours vs 10 hours; P=.04). CONCLUSION: There was a dramatic decrease in the number of patients with MI undergoing coronary angiography during the first wave of the COVID-19 pandemic. Of those who presented, patients tended to seek care later after symptom onset and had excess myocardial injury. These data indicate a need for improved patient education to ensure timely cardiovascular care during public health emergencies.
Authors: Ankeet S Bhatt; Alea Moscone; Erin E McElrath; Anubodh S Varshney; Brian L Claggett; Deepak L Bhatt; James L Januzzi; Javed Butler; Dale S Adler; Scott D Solomon; Muthiah Vaduganathan Journal: J Am Coll Cardiol Date: 2020-05-26 Impact factor: 24.094
Authors: Christopher M Petrilli; Simon A Jones; Jie Yang; Harish Rajagopalan; Luke O'Donnell; Yelena Chernyak; Katie A Tobin; Robert J Cerfolio; Fritz Francois; Leora I Horwitz Journal: BMJ Date: 2020-05-22
Authors: Amy V Rapkiewicz; Xingchen Mai; Steven E Carsons; Stefania Pittaluga; David E Kleiner; Jeffrey S Berger; Sarun Thomas; Nicole M Adler; David M Charytan; Billel Gasmi; Judith S Hochman; Harmony R Reynolds Journal: EClinicalMedicine Date: 2020-06-25
Authors: Santiago Garcia; Mazen S Albaghdadi; Perwaiz M Meraj; Christian Schmidt; Ross Garberich; Farouc A Jaffer; Simon Dixon; Jeffrey J Rade; Mark Tannenbaum; Jenny Chambers; Paul P Huang; Timothy D Henry Journal: J Am Coll Cardiol Date: 2020-04-10 Impact factor: 24.094
Authors: Bernhard Metzler; Peter Siostrzonek; Ronald K Binder; Axel Bauer; Sebastian Johannes Reinstadler Journal: Eur Heart J Date: 2020-05-14 Impact factor: 29.983
Authors: Nathaniel R Smilowitz; Neil Jethani; Ji Chen; Yindalon Aphinyanaphongs; Ruina Zhang; Siddhant Dogra; Carlos L Alviar; Norma Keller; Louai Razzouk; Adriana Quinones-Camacho; Albert S Jung; Glenn I Fishman; Judith S Hochman; Jeffrey S Berger Journal: Circulation Date: 2020-11-05 Impact factor: 29.690
Authors: Santiago Garcia; Larissa Stanberry; Christian Schmidt; Scott Sharkey; Michael Megaly; Mazen S Albaghdadi; Perwaiz M Meraj; Ross Garberich; Farouc A Jaffer; Ada C Stefanescu Schmidt; Simon R Dixon; Jeffrey J Rade; Timothy Smith; Mark Tannenbaum; Jenny Chambers; Frank Aguirre; Paul P Huang; Dharam J Kumbhani; Thomas Koshy; Dmitriy N Feldman; Jay Giri; Prashant Kaul; Craig Thompson; Houman Khalili; Brij Maini; Keshav R Nayak; Mauricio G Cohen; Sripal Bangalore; Binita Shah; Timothy D Henry Journal: Catheter Cardiovasc Interv Date: 2020-08-07 Impact factor: 2.585