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April 23, 2020JACC Case Reports134 citationsOpen Access

Collateral Damage

FMFrancesco MoroniMGMario GramegnaSASilvia Ajello

Key Result

Three patients with acute myocardial infarction experienced severe complications, including cardiogenic shock and systemic embolization, due to delayed medical care seeking driven by fear of COVID-19.

Study Design

Type

Case Report (n=3)

Multicenter

No

Structured PICO

P
Population
Patients with acute coronary syndrome during the COVID-19 pandemic

Highlights the unintended consequence of the COVID-19 pandemic where fear of infection leads to medical care avoidance and poor outcomes in patients with acute coronary syndrome.

Limitations

  • Small sample size as a case series
  • Lack of control group

Abstract

The coronavirus disease-2019 (COVID-19) pandemic has caused an enormous strain on healthcare systems and society on a global scale. We report a new phenomenon of medical care avoidance among patients with acute coronary syndrome, which is due to concerns about contracting severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection during hospital stay, ultimately leading to dire clinical outcomes. (Level of Difficulty: Beginner.)

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Cite This Study

Moroni et al. (2020) conducted a case report in Myocardial Infarction (n=3). Medical care avoidance was evaluated on Clinical complications of late-presentation MI. Three patients with acute myocardial infarction experienced severe complications, including cardiogenic shock and systemic embolization, due to delayed medical care seeking driven by fear of COVID-19.

synapsesocial.com/papers/6a12db2186514ddae6c0af83https://doi.org/10.1016/j.jaccas.2020.04.010
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