3/1/2023 0 Comments All my patients sick![]() ![]() ![]() 1,2 Study exclusion criteria included inpatient STEMI (n=1), STEMI with unknown symptom onset time (n=3), and cardiac arrest patients (n=2). Indications for PPCI were according to the international guidelines. ![]() This required hospitals to suspend all nonessential visits and adjust clinical in-patient and out-patient services. We focus on the time period since January 25, 2020, when hospitals in the city started to institute emergency infection protocols to contain COVID-19. We included patients with STEMI admitted via the Accident and Emergency Department and in whom PPCI was performed. We describe the impact of the COVID-19 outbreak on STEMI care in Hong Kong through a handful of recent cases of patients with STEMI who underwent PPCI at a single center. Since December 2019, the emergence of Coronavirus disease 2019 (COVID-19) in Wuhan, China, has evolved into a regional epidemic, including in Hong Kong, a city in Southern China. Little is known about the impact of public health emergencies like a community outbreak of infectious disease on STEMI systems of care. 1,2 Systems of care have been established to expedite PPCI workflow to minimize ischemic time from symptom onset to definitive treatment in the catheterization laboratory. Acute ST-segment–elevation myocardial infarction (STEMI) is a disease of high mortality and morbidity, and primary percutaneous coronary intervention (PPCI) is the typical recommended therapy. ![]()
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