Assessment Of COVID-19 Positive Patients With ST-Segment Elevation Myocardial Infarction During The COVID-19 Pandemic

Hakan Duman; Handan Duman

Makale detayları

Assessment Of COVID-19 Positive Patients With ST-Segment Elevation Myocardial Infarction During The COVID-19 Pandemic

Yazarlar:

Hakan Duman | Handan Duman

Yayıncı:

Ataturk University

Ana Başlıklar:

Curriculum and Instration (Other)

Dergi:

Journal of Medical Education and Family Medicine Vol.2 Issue 1, pp.22-27

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346464

pISSN:

3023-7793

Anahtar kelimeler:

Özet:

 Objective: The global impact of the coronavirus disease 2019 COVID-19 pandemic has been shown to adversely affect the cardiovascular system. Investigating the clinical course of patients with ST-segment elevation myocardial infarction STEMI associated with COVID-19 infection is crucial to elucidate the mechanisms linking COVID-19 and STEMI. Assessing these patients from both cardiovascular and infection control perspectives is essential for improving clinical outcomes and reducing the burden on healthcare systems. This study aims to provide a comprehensive evaluation of the clinical course of COVID-19-positive STEMI patients. Methods: This single-center, cross-sectional study analyzed 80 STEMI patients who underwent coronary angiography, comprising 38 COVID-19-positive individuals and 42 COVID-19-negative individuals. We assessed admission times, biochemical parameters, door-to-balloon times, angiographic data, length of hospital stay, and in-hospital mortality. Results: The mean age in the COVID-19-positive group was 56.610.8 years, whereas that in the COVID-19-negative group was 53.610.8 years P  .238. No significant differences in demographic characteristics were observed between the groups. However, C-reactive protein CRP, white blood cell WBC, and baseline troponin levels were significantly greater in the COVID-19-positive group P  .001, P  .005, and P  .037, respectively. Echocardiographic evaluation revealed a lower ejection fraction EF in COVID-19-positive patients than in COVID-19-negative patients P  .023. Angiographic evaluation revealed a greater thrombus burden and longer pain-to-balloon time in the COVID-19-positive group P  .001 and P  .001, respectively. The length of hospital stay was also longer in the COVID-19-positive group P  .001. Conclusion: The findings of increased thrombus burden, prolonged pain-to-balloon time, and extended hospital stays among COVID-19-positive patients underscore the adverse cardiovascular effects of COVID-19. Delayed hospital presentation of patients with cardiovascular symptoms during the pandemic poses a challenge for timely diagnosis and management of critical cardiovascular conditions.

 Objective: The global impact of the coronavirus disease 2019 COVID-19 pandemic has been shown to adversely affect the cardiovascular system. Investigating the clinical course of patients with ST-segment elevation myocardial infarction STEMI associated with COVID-19 infection is crucial to elucidate the mechanisms linking COVID-19 and STEMI. Assessing these patients from both cardiovascular and infection control perspectives is essential for improving clinical outcomes and reducing the burden on healthcare systems. This study aims to provide a comprehensive evaluation of the clinical course of COVID-19-positive STEMI patients. Methods: This single-center, cross-sectional study analyzed 80 STEMI patients who underwent coronary angiography, comprising 38 COVID-19-positive individuals and 42 COVID-19-negative individuals. We assessed admission times, biochemical parameters, door-to-balloon times, angiographic data, length of hospital stay, and in-hospital mortality. Results: The mean age in the COVID-19-positive group was 56.610.8 years, whereas that in the COVID-19-negative group was 53.610.8 years P  .238. No significant differences in demographic characteristics were observed between the groups. However, C-reactive protein CRP, white blood cell WBC, and baseline troponin levels were significantly greater in the COVID-19-positive group P  .001, P  .005, and P  .037, respectively. Echocardiographic evaluation revealed a lower ejection fraction EF in COVID-19-positive patients than in COVID-19-negative patients P  .023. Angiographic evaluation revealed a greater thrombus burden and longer pain-to-balloon time in the COVID-19-positive group P  .001 and P  .001, respectively. The length of hospital stay was also longer in the COVID-19-positive group P  .001. Conclusion: The findings of increased thrombus burden, prolonged pain-to-balloon time, and extended hospital stays among COVID-19-positive patients underscore the adverse cardiovascular effects of COVID-19. Delayed hospital presentation of patients with cardiovascular symptoms during the pandemic poses a challenge for timely diagnosis and management of critical cardiovascular conditions.

 Objective: The global impact of the coronavirus disease 2019 COVID-19 pandemic has been shown to adversely affect the cardiovascular system. Investigating the clinical course of patients with ST-segment elevation myocardial infarction STEMI associated with COVID-19 infection is crucial to elucidate the mechanisms linking COVID-19 and STEMI. Assessing these patients from both cardiovascular and infection control perspectives is essential for improving clinical outcomes and reducing the burden on healthcare systems. This study aims to provide a comprehensive evaluation of the clinical course of COVID-19-positive STEMI patients. Methods: This single-center, cross-sectional study analyzed 80 STEMI patients who underwent coronary angiography, comprising 38 COVID-19-positive individuals and 42 COVID-19-negative individuals. We assessed admission times, biochemical parameters, door-to-balloon times, angiographic data, length of hospital stay, and in-hospital mortality. Results: The mean age in the COVID-19-positive group was 56.610.8 years, whereas that in the COVID-19-negative group was 53.610.8 years P  .238. No significant differences in demographic characteristics were observed between the groups. However, C-reactive protein CRP, white blood cell WBC, and baseline troponin levels were significantly greater in the COVID-19-positive group P  .001, P  .005, and P  .037, respectively. Echocardiographic evaluation revealed a lower ejection fraction EF in COVID-19-positive patients than in COVID-19-negative patients P  .023. Angiographic evaluation revealed a greater thrombus burden and longer pain-to-balloon time in the COVID-19-positive group P  .001 and P  .001, respectively. The length of hospital stay was also longer in the COVID-19-positive group P  .001. Conclusion: The findings of increased thrombus burden, prolonged pain-to-balloon time, and extended hospital stays among COVID-19-positive patients underscore the adverse cardiovascular effects of COVID-19. Delayed hospital presentation of patients with cardiovascular symptoms during the pandemic poses a challenge for timely diagnosis and management of critical cardiovascular conditions.

 Objective: The global impact of the coronavirus disease 2019 COVID-19 pandemic has been shown to adversely affect the cardiovascular system. Investigating the clinical course of patients with ST-segment elevation myocardial infarction STEMI associated with COVID-19 infection is crucial to elucidate the mechanisms linking COVID-19 and STEMI. Assessing these patients from both cardiovascular and infection control perspectives is essential for improving clinical outcomes and reducing the burden on healthcare systems. This study aims to provide a comprehensive evaluation of the clinical course of COVID-19-positive STEMI patients. Methods: This single-center, cross-sectional study analyzed 80 STEMI patients who underwent coronary angiography, comprising 38 COVID-19-positive individuals and 42 COVID-19-negative individuals. We assessed admission times, biochemical parameters, door-to-balloon times, angiographic data, length of hospital stay, and in-hospital mortality. Results: The mean age in the COVID-19-positive group was 56.610.8 years, whereas that in the COVID-19-negative group was 53.610.8 years P  .238. No significant differences in demographic characteristics were observed between the groups. However, C-reactive protein CRP, white blood cell WBC, and baseline troponin levels were significantly greater in the COVID-19-positive group P  .001, P  .005, and P  .037, respectively. Echocardiographic evaluation revealed a lower ejection fraction EF in COVID-19-positive patients than in COVID-19-negative patients P  .023. Angiographic evaluation revealed a greater thrombus burden and longer pain-to-balloon time in the COVID-19-positive group P  .001 and P  .001, respectively. The length of hospital stay was also longer in the COVID-19-positive group P  .001. Conclusion: The findings of increased thrombus burden, prolonged pain-to-balloon time, and extended hospital stays among COVID-19-positive patients underscore the adverse cardiovascular effects of COVID-19. Delayed hospital presentation of patients with cardiovascular symptoms during the pandemic poses a challenge for timely diagnosis and management of critical cardiovascular conditions.

Makale detayları

Assessment Of COVID-19 Positive Patients With ST-Segment Elevation Myocardial Infarction During The COVID-19 Pandemic

Yazarlar:

Hakan Duman | Handan Duman

Yayıncı:

Ataturk University

Ana Başlıklar:

Curriculum and Instration (Other)

Dergi:

Journal of Medical Education and Family Medicine Vol.2 Issue 1, pp.22-27

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346464

pISSN:

3023-7793

COVID-19

STEMI

Thrombus burden

Sayı

Makale detayları

Assessment Of COVID-19 Positive Patients With ST-Segment Elevation Myocardial Infarction During The COVID-19 Pandemic

Yazarlar: Hakan Duman | Handan Duman

Yayıncı: Ataturk University

Ana Başlıklar: Curriculum and Instration (Other)

Dergi: Journal of Medical Education and Family Medicine Vol.2 Issue 1, pp.22-27

Belge Tipi: Makale

Yayın Tarihi: 4/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001346464

pISSN: 3023-7793

COVID-19

STEMI

Thrombus burden

Sayı

Yazarlar:

Hakan Duman | Handan Duman

Yayıncı:

Ataturk University

Ana Başlıklar:

Curriculum and Instration (Other)

Dergi:

Journal of Medical Education and Family Medicine Vol.2 Issue 1, pp.22-27

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346464

pISSN:

3023-7793