Akademik Veri Yönetim Sistemi
7th International Medicine and Health Sciences Researches Congress, Ankara, Türkiye, 28 - 29 Ağustos 2021, ss.169-170, (Özet Bildiri)
Abstract
OBJECTİVES: It is observed that patients who applied to the emergency departments with the diagnosis of ST-segment elevation myocardial infarction (STEMI) in the Covid-19 pandemic applied to the hospital in the late stages of their symptoms. In our study, we aimed to investigate the effects of pandemic period on TIMI frame count(TFC) in STEMI patients. METHODS: In our study, patients who were admitted to our hospital with STEMI and underwent primary PCI during the pandemic period (11 March-11 June 2020) and the same period of the previous year(11 March-11 June 2019) were included. 70 patients admitted during the pandemic period were defined as group 1, and 55 patients included inthe previous year were defined as group 2. Angiographic image recordings were reviewed and TFC were quantified by two experienced interventional cardiologists. RESULTS: Both group 1 and group 2 were similar in demographical and biochemical parameters. There was a significant delay in the presentations of the patients with group 1(4,8±1,7 vs. 2,5±1.4 hours; p<0,001). The frequency of no reflow as an angiographic endpoint was higher in group 1 but did not reach statistical significance between groups (%9.1 vs %14; p: 0.42). In-hospital mortality of the group 1 patient was significantly higher than the patients of the group 2 (%11,4 vs %1,8 respectively, p=0,04). TFC was found to be the independent predictor of in-hospital cardiac events( OR: 1.17, 95% CI:1.05-1.31, p< 0.01). COUNCLUSION In our study, we found that TFC and in-hospital event frequencies were higher in patients with STEMI who applied during the pandemic period. The SARS-CoV-2 virus causes morbidity and mortality due to the damages it directly causes. However, it was caused delays in the diagnosis and treatment of cardiovascular diseases, which are the most important cause of death all over the world.
Keywords: Covid-19 Pandemic, St Segment Elevation Myocardial İnfarction, Tımı Frame Count