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COVID-19 pandemic: preventing hospital myocardial infarction admissions or preventing acute myocardial infarction altogether?


The COVID-19 pandemic has been a game changer worldwide, including for healthcare organisation, whatever the healthcare system in use. Understanding how it has impacted acute medical conditions such as acute myocardial infarction (AMI) and their management is of major importance for the future.

Since the beginning of the pandemic, numerous reports have described a decrease in the number of hospital admissions for AMI. The present meta-analysis by Rattka and colleagues summarises the data reported up to August 2020 on admissions and in-hospital mortality for ST-segment elevation myocardial infarction (STEMI) during the pandemic.1 Ten studies were included, 2 from China and the rest from European countries. Overall, baseline characteristics did not differ between patients admitted in the pre-COVID era and during the first wave of the pandemic. A 25% reduction in daily admissions for STEMI was observed. Time from symptom onset to first medical contact remained unchanged, while…

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