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Worrying decrease in hospital admissions for myocardial infarction during the COVID-19 pandemic.

Pierre Lantelme¹, Sandrine Couray Targe², Pierre Metral³

¹University of Lyon, CREATIS UMR5220; INSERM U1044; INSA-15 Lyon, France; Cardiology Department, Hôpital Croix-Rousse and Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.

Archives of Cardiovascular Diseases

|July 9, 2020

Summary

This summary is machine-generated.

The COVID-19 lockdown in France led to a 31% decrease in myocardial infarction admissions. Birth rates remained stable, highlighting a significant impact on emergency cardiac care management.

Keywords:

Acute coronary syndrome COVID-19 Infarctus du myocarde Myocardial infarction

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Area of Science:

Cardiology
Public Health
Epidemiology

Background:

The COVID-19 pandemic caused widespread reallocation of medical resources and initiated population lockdowns in France starting March 17, 2020.
Understanding the impact of these measures on acute cardiovascular events, specifically myocardial infarctions, is crucial.

Purpose of the Study:

To analyze the effect of lockdown measures on weekly hospital admissions for myocardial infarctions (both non-ST-segment elevation and ST-segment elevation) in Lyon.
To compare these trends with pre-lockdown periods (2018-2019) and with an unrelated emergency, births, to validate findings.

Main Methods:

Utilized the national hospitalisation database (PMSI) to identify patients admitted for myocardial infarction or birth between weeks 2 and 14 of 2020.
Compared 2020 admission data with the average data from the identical time windows in 2018 and 2019.

Main Results:

Prior to lockdown, 2020 myocardial infarction admissions varied by less than 10% compared to 2018-2019 averages.
Following the lockdown implementation, myocardial infarction admissions dropped by 31% compared to the same period in 2018-2019.
Birth admissions remained consistent across all analyzed periods, serving as a control for general emergency service utilization.

Conclusions:

The study indicates a substantial decrease in myocardial infarction admissions during the COVID-19 lockdown period.
This finding serves as a critical alert to healthcare professionals and public health officials regarding the potential consequences of such public health interventions.
Further long-term follow-up is needed to ascertain the persistence of this trend.