Sham 69 the a files5/28/2023 The percentage of patients presenting from rural areas declined significantly during the COVID period (18% vs. No significant difference was noted in mortality (4.7% vs. There was reduction in cardiovascular admissions (coronary care unit p < 0.01, coronary step-down unit p = 0.03), cardiovascular imaging (p < 0.001), and procedures (percutaneous coronary intervention p = 0.04 and coronary angiography p = 0.02). A striking surge was noted in Type II Myocardial injury (↑18%, p < 0.001) during the pandemic. There was significant reduction in acute coronary syndrome (ACS) (8%, p < 0.001) and heart failure (↓6%, p < 0.001). Results: Of 2976 patients presenting with cardiac complaints to the emergency department (ED), 2041(69%) patients presented during the pre-COVID period, and 935 (31%) patients presented during the COVID period. The comparison was made to quantify the differences in demographics, clinical characteristics, admission, diagnostic and therapeutic procedures, and in-hospital mortality between the two periods. We collected data for patients presenting to the emergency department with cardiovascular symptoms between March-July 2019 (pre-COVID period) and March-July 2020 (COVID period). Methods: We conducted a retrospective cohort study at the Aga Khan University Hospital, Karachi. There was a significant increase noted in Type II MI.Ībstract = "Aims: To identify the changes in cardiovascular disease presentation, emergency room triage and inpatient diagnostic and therapeutic pathways. Conclusions: This study shows a significant decline in patients presenting with Type I myocardial infarction (MI) and a decrease in cardiovascular imaging and procedures during the COVID period. In the subgroup analysis of sex, we noticed a falling trend of intervention performed in females during the COVID period (8.2% male vs. Aims: To identify the changes in cardiovascular disease presentation, emergency room triage and inpatient diagnostic and therapeutic pathways.
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