STEMI and COVID-19 Pandemic in Saudi Arabia
Date
2020Author
Daoulah, Amin
Hersi, Ahmad S.
Al-Faif, Salem M.
Alasmari, Abdulaziz
Aljohar, Alwaleed
Balghith, Mohammed
Alshehri, Mohammed
Youssef, Ali A.
ElSayed, Osama
Nabil Alama, Mohamed
Refaat, Wael A.
Alzahrani, Badr
Dahdouh, Ziad
Salim Khan, Abdul
Ghani, Mohamed A.
Adil Soof, Muhammad
Alasnag, Mirvat
Kazim, Hameedullah M.
Elganady, Abdelmaksoud
Hassan, Taher
Mahmoud Ibrahim, Ahmed
Amellal, Zainab
Alshehri, Abdulaziz M.
Alhulayf, Mohammed S.
Ghonim, Ahmed A.
Algazzar, Alaa S.
AL Garni, Turki A.
AlHarbi, Waleed
Jouda, Ahmed A.
Al-Shaibi, Khaled
Albasiri, Saleh
Abuelatta, Reda
Tawfik, Wael
Magdy, Mohamed
Rashed Alasmari, Sami
Selim, Ehab
Elramly, Mohamed
Abufayyah, Mohammed A.
Alshahrani, Saif S.
Alqahtani, Abdulrahman H.
Ali Ahmed, Fatima
Ahmed, Waleed A.
Lotfi, Amir
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Abstract
Background
The COVID-19 pandemic had significant impact on health care worldwide which has led to a
reduction in all elective admissions and management of patients through virtual care. The
purpose of this study is to assess changes in STEMI volumes, door to reperfusion, and the time
from the onset of symptoms until reperfusion therapy, and in-hospital events between the pre
COVID-19 (PC) and after COVID-19 (AC) period.
Methods
All acute STEMI cases were retrospectively identified from 16 centers in the Kingdom of Saudi
Arabia during the COVID-19 period from January 01 to April 30, 2020. These cases were
compared to a pre-COVID period from January 01 to April 30, 2018 and 2019.
Results
1785 patients with a mean age 56.3 (SD ± 12.4) years, 88.3% were male. During COVID-19
Pandemic the total STEMI volumes was reduced (28%, n=500), STEMI volumes for those
treated with reperfusion therapy was reduced too (27.6%, n=450). Door to balloon time < 90
minutes was achieved in (73.1%, no=307) during 2020. Timing from the onset of symptoms to
the balloon of more than 12 hours was higher during 2020 comparing to pre COVID 19 years
(17.2% versus <3%, respectively). There were no differences between the AC and PC period
with respect to in-hospital events and the length of hospital stay.
Conclusion
There was a reduction in the STEMI volumes during 2020. Our data reflected the standard of
care for STEMI patients continued during the COVID-19 pandemic while demonstrating patients
delayed presenting to the hospital.
Link to resource
https://doi.org/10.1016/j.cpcardiol.2020.100656Collections
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