- Title
- Effects of lockdown on acute coronary syndrome incidence in an area without community transmission of COVID-19
- Creator
- Ferreira, David; Graffen, Simon; Watkins, Brendan; Peters, Bridie; Lim, Geok Jim; Kamalanathan, Harish; Leitch, James; Sverdlov, Aaron; Collins, Nicholas; Boyle, Andrew; Davies, Allan
- Relation
- Open Heart Vol. 8, Issue 1, no. e001692
- Publisher Link
- http://dx.doi.org/10.1136/openhrt-2021-001692
- Publisher
- BMJ Group
- Resource Type
- journal article
- Date
- 2021
- Description
- Objective: To assess the changes in cardiac hospitalisations, acute coronary syndromes (ACS) and out-of-hospital cardiac arrest (OOHCA) during COVID-19 isolation compared with prior time periods in an area of low COVID-19 disease incidence. Methods: Review of all cardiology admissions, non-ST segment elevation myocardial infarction (NSTEMI), ST-segment elevation myocardial infarction (STEMI) requiring urgent catheter laboratory activation and OOHCA. The 10-week period of government-imposed social isolation (23 March-31 May 2020) was compared with the same period in 2018, 2019 and a 10-week period prior to social isolation (6 January-15 March 2020). Incidence rate ratios were calculated. Symptom to balloon time was also compared for those requiring catheterisation laboratory activation for STEMI. Results: The incidence of COVID-19 in the health district was 0.14 per 100 000 per day during the isolation period. There was a significant reduction in cardiology hospitalisations, NSTEMI and STEMI presentations without changes in OOHCA or symptom to balloon time for STEMI. Conclusions: We observed a significant decline in cardiology presentations during social isolation without widespread COVID-19 disease. This provides further evidence for the important influence of social and behavioural factors on coronary event rates.
- Subject
- cardiac hospitalisations; acute coronary syndromes (ACS); COVID-19 isolation; catheterisation
- Identifier
- http://hdl.handle.net/1959.13/1460641
- Identifier
- uon:46019
- Identifier
- ISSN:2053-3624
- Rights
- © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Language
- eng
- Full Text
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