COVID-19 pandemisinin akut koroner sendrom başvurularına ve kardiyologların tıbbi yaklaşımlarına etkisi

Amaç: COVID-19 pandemisi, tüm dünyada COVID-19 dışı hastalıkların, hasta ve sağlık hizmeti sunucuları düzeyinde ötelenmesine neden olmuştur. Çalışmada, COVID-19 pandemisinin akut koroner sendrom başvurularına ve kardiyologların tıbbi yaklaşımlarına etkisi incelendi. Gereç ve Yöntem: Çalışmada, ülkemizde ilk COVID-19 vakasının bildirildiği 11 Mart 2020 ile kontrollü normalleşmeye geçildiği 1 Haziran 2020 tarihleri arasında (Grup 1) ve 2019 yılının aynı döneminde (Grup 2) akut koroner sendrom tanısı ile koroner yoğun bakım ünitesine yatan hastalar retrospektif olarak tarandı. İki grup arasında demografik özellikler, akut koroner sendrom alt tanıları (ST elevasyonlu/ ST elevasyonu olmayan/subakut ST elevasyonlu miyokard infarktüsü, anstabil anjina pektoris) risk faktörleri, grace risk skoru, invaziv işlemleri, ekokardiyografi yapılırlığı, yatış süreleri, hastane içi mortaliteleri, birinci ay kontrol başvuruları karşılaştırıldı. Bulgular: Hasta sayıları Grup1’de (n=196) Grup2’ye (n=297) oranla %34 azalmıştır. Sigara kullanımı, hipertansiyon ve hiperlipidemi Grup 2’de anlamlı yüksektir. ST segment elevasyonu olmayan miyokard infarktüsü Grup 2’de (%35,6) Grup 1’e (%26.02) göre (p

THE EFFECT OF COVID-19 PANDEMIC ON ACUTE CORONARY SYNDROME APPLICATIONS AND MEDICAL APPROACHES OF CARDIOLOGISTS

Objective: The COVID-19 outbreak has caused diseases other than COVID-19 to be ignored by patients and healthcare providers worldwide. In our study, the impact of COVID-19 pandemic on acute coronary syndrome admissions and medical approaches of cardiologist was examined Materials and Methods: Patients with acute coronary syndrome admitted to Coronary İntensive Care Unit between March 11-June 1, 2020, from the first COVID-19 case reported in our country till the controlled normalization, were included the study (Group-1) and compared with the patients at the same period of 2019 (Group-2). Demographic characteristics, acute coronary syndrome sub-types (ST elevation/ non-ST elevation/ sub-acute ST elevation myocardial infarction, unstable angina pectoris), risk factors, grace risk scores, invasive procedures, echocardiography imaging, hospitalization times, inhospital mortality, control admissions were compared. Results: The number of patients in Group 1 (n=196) were decreased by 34% compared to Group 2 (n=297). Smoking, hypertension and hyperlipidemia were significantly higher in Group 2. Non-ST elevation myocardial infarction in Group-2 (35.6%) compared to Group-1 (26.02%) (p

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