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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

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Turn down of acute aortic syndrome cases during COVID-19: Results from UK multicentre studies

Marius Roman1, Amer Harky2,3,4, Andrew Brazier5

  • 1Department of Cardiothoracic Surgery, Glenfield Hospital, Leicester, UK.

Journal of Cardiac Surgery
|November 10, 2020
PubMed

Insights

During the COVID-19 pandemic, acute aortic syndrome (AAS) patients maintained access to emergency cardiac surgery. Patient selection and surgical timing ensured essential services continued, with outcomes comparable to pre-pandemic levels.

Area of Science:

  • Cardiovascular Surgery
  • Emergency Medicine
  • Public Health

Background:

  • The COVID-19 pandemic significantly impacted healthcare systems globally.
  • Resource prioritization for COVID-19 patients raised concerns about access to emergency treatments for other critical conditions.

Purpose of the Study:

  • To assess emergency treatment access for acute aortic syndrome (AAS) patients during the COVID-19 pandemic.
  • To evaluate the outcomes of AAS patients during the peak of the pandemic.

Main Methods:

  • Retrospective analysis of prospectively collected data.
  • Data gathered from 19 UK cardiac surgery centers between March and June 2020.
  • Inclusion of 95 patients presenting with AAS.

Main Results:

  • 89% of AAS patients underwent surgery; 7% were declined due to comorbidities.
  • No significant restrictions in AAS treatment access were observed.
  • 43% of conservatively treated patients survived 30 days.

Conclusions:

  • Life-threatening aortic surgery services were sustained during the pandemic.
  • Patient selection and surgical timing were key to maintaining services.
  • Surgical turn-down rates remained comparable to pre-pandemic figures.
Abstract

Keywords:
COVID-19 pandemicacute aortic syndromeconservative treatmentsurgery

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