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Impact of COVID-19 on primary percutaneous coronary intervention centres in the UK: a survey

Ahmed M Adlan1, Ven G Lim2, Gurpreet Dhillon3

  • 1Senior Cardiology Fellow in Electrophysiology and Devices North West Heart Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT.

The British Journal of Cardiology
|June 24, 2022
PubMed

Insights

The COVID-19 pandemic significantly reduced open cardiac catheterization labs in the UK, impacting primary percutaneous coronary intervention (PCI) services. However, primary PCI remained the preferred treatment for ST-elevation myocardial infarction (STEMI) patients.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Public Health

Background:

  • The COVID-19 pandemic prompted recommendations to postpone elective procedures.
  • Primary percutaneous coronary intervention (PCI) is the recommended treatment for ST-elevation myocardial infarction (STEMI).

Purpose of the Study:

  • To assess the impact of the COVID-19 pandemic on primary PCI services in the United Kingdom.
  • To evaluate changes in cardiac catheterization laboratory availability during the pandemic.

Main Methods:

  • A survey was conducted across 43 primary PCI centers in the UK.
  • Data on the number of open cardiac catheterization labs before and during the COVID-19 pandemic were collected.

Main Results:

  • A significant reduction in open cardiac catheterization labs was observed (3.6±1.8 pre-COVID vs. 2.1±0.8 post-COVID).
  • Only 64% of cardiac catheterization labs remained operational during the pandemic.
  • Primary PCI was consistently maintained as the first-line treatment for STEMI across all surveyed centers.

Conclusions:

  • The COVID-19 pandemic led to a substantial decrease in operational cardiac catheterization labs.
  • Despite reduced capacity, primary PCI remained the standard of care for STEMI patients in the UK.

Keywords:
acute myocardial infarctionhealthcare deliverymedical educationpercutaneous coronary intervention

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