Changes in the investigation and management of suspected myocardial infarction and injury during COVID-19: a multi-centre study using routinely collected healthcare data Article Swipe
Lara Chammas
,
Kevin Yuan
,
Stephanie Little
,
Gail Roadknight
,
Kinga A. Várnai
,
Shing Chan Chang
,
Shirley Sze
,
Jim Davies
,
Andrew Tsui
,
Hizni Salih
,
Ben Glampson
,
Dimitri Papadimitriou
,
Abdulrahim Mulla
,
Kerrie Woods
,
Kevin O’Gallagher
,
Anoop D Shah
,
Bryan Williams
,
Folkert W. Asselbergs
,
Erik Mayer
,
Richard W. Lee
,
Christopher Herbert
,
Tom Johnson
,
Stuart W Grant
,
Nick Curzen
,
Ajay M. Shah
,
Divaka Perera
,
Riyaz Patel
,
Keith M. Channon
,
Amit Kaura
,
Jamil Mayet
,
David W. Eyre
,
Iain Squire
,
Rajesh Kharbanda
,
Andrew Lewis
,
Rohan S. Wijesurendra
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2024.1406608
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2024.1406608
Objective The COVID-19 pandemic was associated with a reduction in the incidence of myocardial infarction (MI) diagnosis, in part because patients were less likely to present to hospital. Whether changes in clinical decision making with respect to the investigation and management of patients with suspected MI also contributed to this phenomenon is unknown. Methods Multicentre retrospective cohort study in three UK centres contributing data to the National Institute for Health Research Health Informatics Collaborative. Patients presenting to the Emergency Department (ED) of these centres between 1st January 2020 and 1st September 2020 were included. Three time epochs within this period were defined based on the course of the first wave of the COVID-19 pandemic: pre-pandemic (epoch 1), lockdown (epoch 2), post-lockdown (epoch 3). Results During the study period, 10,670 unique patients attended the ED with chest pain or dyspnoea, of whom 6,928 were admitted. Despite fewer total ED attendances in epoch 2, patient presentations with dyspnoea were increased ( p < 0.001), with greater likelihood of troponin testing in both chest pain ( p = 0.001) and dyspnoea ( p < 0.001). There was a dramatic reduction in elective and emergency cardiac procedures (both p < 0.001), and greater overall mortality of patients ( p < 0.001), compared to the pre-pandemic period. Positive COVID-19 and/or troponin test results were associated with increased mortality ( p < 0.001), though the temporal risk profile differed. Conclusions The first wave of the COVID-19 pandemic was associated with significant changes not just in presentation, but also the investigation, management, and outcomes of patients presenting with suspected myocardial injury or MI.
Related Topics
Concepts
Coronavirus disease 2019 (COVID-19)
Medicine
Myocardial infarction
Health care
2019-20 coronavirus outbreak
Emergency medicine
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Internal medicine
Intensive care medicine
Cardiology
Virology
Disease
Infectious disease (medical specialty)
Economic growth
Economics
Outbreak
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fcvm.2024.1406608
- https://www.frontiersin.org/articles/10.3389/fcvm.2024.1406608/pdf?isPublishedV2=False
- OA Status
- gold
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4398174972
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4398174972Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fcvm.2024.1406608Digital Object Identifier
- Title
-
Changes in the investigation and management of suspected myocardial infarction and injury during COVID-19: a multi-centre study using routinely collected healthcare dataWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-21Full publication date if available
- Authors
-
Lara Chammas, Kevin Yuan, Stephanie Little, Gail Roadknight, Kinga A. Várnai, Shing Chan Chang, Shirley Sze, Jim Davies, Andrew Tsui, Hizni Salih, Ben Glampson, Dimitri Papadimitriou, Abdulrahim Mulla, Kerrie Woods, Kevin O’Gallagher, Anoop D Shah, Bryan Williams, Folkert W. Asselbergs, Erik Mayer, Richard W. Lee, Christopher Herbert, Tom Johnson, Stuart W Grant, Nick Curzen, Ajay M. Shah, Divaka Perera, Riyaz Patel, Keith M. Channon, Amit Kaura, Jamil Mayet, David W. Eyre, Iain Squire, Rajesh Kharbanda, Andrew Lewis, Rohan S. WijesurendraList of authors in order
- Landing page
-
https://doi.org/10.3389/fcvm.2024.1406608Publisher landing page
- PDF URL
-
https://www.frontiersin.org/articles/10.3389/fcvm.2024.1406608/pdf?isPublishedV2=FalseDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fcvm.2024.1406608/pdf?isPublishedV2=FalseDirect OA link when available
- Concepts
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Coronavirus disease 2019 (COVID-19), Medicine, Myocardial infarction, Health care, 2019-20 coronavirus outbreak, Emergency medicine, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Internal medicine, Intensive care medicine, Cardiology, Virology, Disease, Infectious disease (medical specialty), Economic growth, Economics, OutbreakTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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35Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| publication_date | 2024-05-21 |
| publication_year | 2024 |
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