Objective. To evaluate the impact of the COVID-19 pandemic on the ST–Elevation myocardial infarction (STEMI) management in a reference center of northern Peru. Methods. Observational, analytical, retrospective cohort-type study, derivated from the Acute Coronary Syndrome registry of the Almanzor Aguinaga Asenjo National Hospital. The characteristics of the patients with STEMI and their 30-day outcomes were compared in 02 cohorts according to the time of medical care: prior to the pandemic or during the pandemic. Results. During the COVID-19 pandemic, hospitalizations for STEMI decreased by 53%, there was a greater use of fibrinolysis to the detriment of primary angioplasty, with increases in the time of first medical contact (100 vs. 240 minutes, p = 0.006) and ischemic time to percutaneous coronary intervention (900 vs. 2880 minutes, p <0.001). This generated a higher frequency of ...

Objetivo. Evaluar la repercusión de la pandemia del COVID-19 sobre el abordaje del infarto de miocardio con elevación del segmento ST (IMCEST) en un centro de referencia en el norte del Perú. Métodos. Se realizó un estudio observacional, analítico, tipo cohortes retrospectivas, derivado del registro de síndrome coronario agudo del Hospital Nacional Almanzor Aguinaga Asenjo. Se compararon las características de los pacientes con IMCEST y sus desenlaces a 30 días en dos cohortes según el momento de atención médica: previo a la pandemia o durante pandemia. Resultados. Durante la pandemia del COVID-19 disminuyeron las hospitalizaciones por IMCEST en 53%; hubo mayor empleo de fibrinólisis en detrimento de la angioplastia primaria, con incrementos en el tiempo de primer contacto médico (100 vs. 240 min, p= 0,006) y tiempo de isquemia hasta el intervencionismo coronario percutáne...

Objective. To evaluate the impact of the COVID-19 pandemic on the ST–Elevation myocardial infarction (STEMI) management in a reference center of northern Peru. Methods. Observational, analytical, retrospective cohort-type study, derivated from the Acute Coronary Syndrome registry of the Almanzor Aguinaga Asenjo National Hospital. The characteristics of the patients with STEMI and their 30-day outcomes were compared in 02 cohorts according to the time of medical care: prior to the pandemic or during the pandemic. Results. During the COVID-19 pandemic, hospitalizations for STEMI decreased by 53%, there was a greater use of fibrinolysis to the detriment of primary angioplasty, with increases in the time of first medical contact (100 vs. 240 minutes, p = 0.006) and ischemic time to percutaneous coronary intervention (900 vs. 2880 minutes, p <0.001). This generated a higher frequency of ...