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About:
Characteristics and Outcomes in Patients Presenting with COVID-19 and ST-Segment Elevation Myocardial Infarction
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Characteristics and Outcomes in Patients Presenting with COVID-19 and ST-Segment Elevation Myocardial Infarction
Creator
Al Dujeili, Montazar
Al, Montazar
Al-Kafeel,
Al-Obeidi, Ammar
Aldujeli, Ali
Briedis, Kasparas
Hamadeh, Anas
Karbala,
Luís, Jose
Mccullough, Peter
Sanz Sánchez, Jorge
Stoler, Robert
Tecson, Kristen
Source
Elsevier; Medline; PMC
abstract
There is limited information regarding clinical characteristics and outcomes of patients with SARS-CoV-2 (COVID-19) disease presenting with ST-segment elevation myocardial infarction (STEMI). In this multicenter retrospective study, we reviewed charts of patients admitted with symptomatic COVID-19 infection and STEMI to a total of 4 hospitals spanning Italy, Lithuania, Spain and Iraq from February 1, 2020 to April 15, 2020. A total of 78 patients were included in this study, 49 (63%) of whom were men, with a median age of 65 [58, 71] years, and high comorbidity burden. During hospitalization, 8 (10%) developed acute respiratory distress syndrome, and 14 (18%) required mechanical ventilation. 19 (24%) patients were treated with primary PCI and 59 (76%) were treated with fibrinolytic therapy. 13 (17%) patients required cardiac resuscitation, and 9 (11%) died. For the 19 patients treated with primary PCI, 8 (42%) required intubation and 8 (42%) required cardiac resuscitation; stent thrombosis occurred in 4 patients (21%). A total of 5 patients (26%) died during hospitalization. 50 (85%) of the 59 patients initially treated with fibrinolytic therapy had successful fibrinolysis. The median time to reperfusion was 27 minutes [20, 34]. Hemorrhagic stroke occurred in 5 patients (9%). Six patients (10%) required invasive mechanical ventilation; 5 (9%) required cardiac resuscitation, and 4 (7%) died. In conclusion, this is the largest case series to-date of COVID-19 positive patients presenting with STEMI and spans 4 countries. We found a high rate of stent thrombosis, indicating a possible need to adapt STEMI management for COVID-19 patients.
has issue date
2020-07-03
(
xsd:dateTime
)
bibo:doi
10.1016/j.amjcard.2020.06.063
bibo:pmid
32732010
has license
no-cc
sha1sum (hex)
92205b253d59235effe41e15f028c7109fe813dd
schema:url
https://doi.org/10.1016/j.amjcard.2020.06.063
resource representing a document's title
Characteristics and Outcomes in Patients Presenting with COVID-19 and ST-Segment Elevation Myocardial Infarction
has PubMed Central identifier
PMC7333635
has PubMed identifier
32732010
schema:publication
Am J Cardiol
resource representing a document's body
covid:92205b253d59235effe41e15f028c7109fe813dd#body_text
is
schema:about
of
named entity 'patients'
named entity 'STEMI'
named entity 'COVID-19'
named entity 'SARS-CoV-2'
named entity 'Presenting'
named entity 'ACUTE RESPIRATORY DISTRESS SYNDROME'
named entity 'POSSIBLE'
named entity 'OCCURRED'
named entity 'SEGMENT'
named entity 'COVID-19'
named entity 'study'
named entity 'spans'
named entity 'hospitalization'
named entity 'COVID-19'
named entity 'patients'
named entity 'comorbidity'
named entity 'hospitalization'
named entity 'During'
named entity 'Italy'
named entity 'retrospective study'
named entity 'STEMI'
named entity 'high'
named entity 'thrombosis'
named entity 'patients'
named entity 'patients'
named entity 'spanning'
named entity 'Italy'
named entity 'STEMI'
named entity 'cardiac resuscitation'
named entity 'Lithuania'
named entity 'cardiac resuscitation'
named entity 'primary PCI'
named entity 'acute respiratory distress syndrome'
named entity 'STEMI'
named entity 'mechanical ventilation'
named entity 'COVID'
named entity 'thrombosis'
named entity 'STEMI'
named entity 'COVID-19'
named entity 'patients'
named entity 'COVID'
named entity 'infarcted'
named entity 'primary PCI'
named entity 'myocardial infarction'
named entity 'medical doctors'
named entity 'acute respiratory distress syndrome'
named entity 'COVID'
named entity 'fibrinolytics'
named entity 'clinical characteristics'
named entity 'Lithuania'
named entity 'chest pain'
named entity 'ST segment'
named entity 'hemodynamic'
named entity 'case series'
named entity 'symptom'
named entity 'COVID'
named entity 'Iraq'
named entity 'hypertension'
named entity 'reperfusion'
named entity 'angina'
named entity 'COVID'
named entity 'pathophysiologic'
named entity 'fibrinolytic therapy'
named entity 'Iraq'
named entity 'echocardiography'
named entity 'COVID'
named entity 'cardiac resuscitation'
named entity 'thrombotic events'
named entity 'PCI'
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