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Collateral Damage: Medical Care Avoidance Behavior Among Patients With Myocardial Infarction During the COVID-19

Francesco Moroni1, Mario Gramegna2, Silvia Ajello3

  • 1Università VIta-Salute San Raffaele, Milan, Italy.

JACC. Case Reports
|August 25, 2020
PubMed

Insights

Patients with acute coronary syndrome avoided medical care during the COVID-19 pandemic due to SARS-CoV-2 infection fears. This avoidance led to negative health outcomes, highlighting a critical gap in care delivery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic presented unprecedented challenges to global healthcare systems.
  • Public health crises can significantly alter patient behavior and healthcare seeking patterns.

Observation:

  • A novel phenomenon of medical care avoidance was observed in patients experiencing acute coronary syndrome.
  • Patients expressed significant concern regarding potential SARS-CoV-2 infection acquisition during hospital visits.

Findings:

  • Fear of contracting SARS-CoV-2 deterred patients with acute coronary syndrome from seeking timely medical attention.
  • This avoidance of necessary healthcare resulted in adverse clinical outcomes for affected individuals.

Implications:

  • Healthcare systems must address patient fears and ensure safe environments to prevent care avoidance during pandemics.
  • Public health strategies need to consider the psychological impact on patients with chronic and acute conditions.
  • Maintaining access to essential medical services, like cardiology care, is crucial even amidst widespread infectious disease outbreaks.

Keywords:
COVID-19, coronavirus disease-2019ECG, electrocardiographyEMS, emergency medical servicesICU, intensive care unitLAD, left anterior descending arteryLV, left ventricularMI, myocardial infarctionPCI, percutaneous coronary interventionSARS-CoV-2, severe acute respiratory syndrome-coronavirus-2STEMI, ST-segment elevation myocardial infarctionacute coronary syndromecomplicationmyocardial infarction

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