Why the study?
The COVID-19 pandemic has significantly affected the presentation, time-dependent management, and clinical outcomes of STEMI, highlighting the need to address the challenges of PCI during this era.
Timely primary PCI remains the standard of care for STEMI during the COVID-19 pandemic and requires a coordinated approach to achieve the 90-minute timeline.
Supports timely primary PCI feasibility in STEMI during COVID-19; leaves open generalizability beyond this single case.
The COVID-19 pandemic continues to present a public health challenge and has had a significant impact on the presentation, time-dependent management, and clinical outcomes of ST elevation myocardial infarction (STEMI). Patients with COVID-19 and pre-disposing cardiovascular risk factors like hypertension, hyperlipidemia, and diabetes mellitus are at a higher risk of developing STEMI, and global trends have highlighted delayed management of STEMI, which may contribute to worse clinical outcomes. Prolonged time to intervention has also resulted in an increased rate of no reflow, which is an independent risk factor for worse outcomes in these patients. Timely primary percutaneous coronary intervention (PCI) remains standard of care for STEMI and can be attained within the recommended 90 minutes timeline from hospital presentation. A coordinated, safe, standardized, algorithmic approach among emergency medical services, emergency departments, and cardiac catheterization laboratory is needed to ensure optimal patient outcome during and after the COVID-19 pandemic. The focus of this case report is to highlight the challenges of PCI for ST elevation myocardial infarction in the COVID-19 era.
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Nwaedozie et al. (2022) studied this question.
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