Related Experiment Video

Updated: Oct 26, 2025

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

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

Published on: December 28, 2012

24.4K

Association between public media and trends in new acute coronary syndrome presentations during the first COVID‑19

L Derks1, H N Sturkenboom2, M Zaal3

  • 1Netherlands Heart Registration, Utrecht, The Netherlands. Lineke.derks@nederlandsehartregistratie.nl.

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
|July 30, 2021
PubMed

Insights

Public media campaigns and lockdown measures significantly impacted acute coronary syndrome (ACS) hospitalizations during COVID-19. Media efforts encouraged patients to seek care, preventing underdiagnosis of ACS and related harm.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • The initial wave of coronavirus disease 2019 (COVID-19) in the Netherlands coincided with significant public health measures.
  • Understanding the impact of these measures on non-COVID-19 related medical emergencies is crucial.

Purpose of the Study:

  • To evaluate the association between public media messaging and trends in new acute coronary syndrome (ACS) presentations during the COVID-19 pandemic's first wave.
  • To determine if COVID-19 incidence or public health interventions influenced ACS presentation rates.

Main Methods:

  • Retrieved weekly ACS presentation data from 73 Dutch hospitals for the first halves of 2019 and 2020.
  • Calculated incidence rates and performed stratified analyses by region, ACS type, and patient demographics.
  • Correlated ACS trends with COVID-19 incidence and public media campaign timing.

Main Results:

  • New ACS presentations decreased by up to 41% during the lockdown period compared to 2019.
  • Reductions were most significant for non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina (UA).
  • No association was found between ACS incidence and regional COVID-19 rates; trends were consistent across demographics.

Conclusions:

  • Lockdown measures and subsequent public campaigns, not COVID-19 incidence, were linked to changes in ACS presentations.
  • Public media and healthcare communication play a vital role in encouraging timely patient care.
  • Interventions are essential to prevent underdiagnosis of ACS and mitigate associated health damage.
Abstract

Keywords:
Acute coronary syndromeCOVID‑19Non-ST-segment elevation myocardial infarctionST-segment elevation myocardial infarctionUnstable angina

More Related Videos

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses03:53

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses

Published on: November 10, 2023

1.5K
Acetylcholine Re-Challenge After Intracoronary Nitroglycerine Administration07:59

Acetylcholine Re-Challenge After Intracoronary Nitroglycerine Administration

Published on: April 4, 2022

1.5K

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
54
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
180
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
95
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
62
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
79
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
424