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Status of acute myocardial infarction in southern India during COVID-19 lockdown: A multi-centric study

Lookup NU author(s): Melvin JoyORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).

Abstract

There has been a reduction in the reported cases of acute myocardial infarction (MI) across the globe during the outbreak of coronavirus disease 2019 (COVID-19) (severe acute respiratory distress syndrome coronavirus 2). An attempt was made to find out the number of acute MI cases treated during the COVID-19 lockdown period (April 2020) and highlight the possible reasons for the changes in the occurrence. A multicentric retrospective observational study was performed to collect the selected data from 12 private hospitals distributed in 4 cities - Madurai, Trichy (Thiruchirapalli), Erode, and Salem of the Tamil Nadu state in southern India. There was a significant (P<.001) reduction in ST-segment elevation MI (STEMI), non-STEMI (NSTEMI), and total (STEMI and NSTEMI together) cases during the lockdown period (April 1 to 30, 2020) as compared with no-lockdown periods such as January and February 2020 and April 2019 and April 2018 in all cities, whereas the reduction was not significant for NSTEMI in Trichy when data for the lockdown period was compared with those for January and February 2020. Overall, there is a reduction in acute MI cases, which may be due to alterations in modifiable risk factors during the COVID-19 lockdown period. Hence, implementation of public education and polices on controlling modifiable risk factors is likely to pay dividends.

Publication metadata

Author(s): Meenakshisundaram R, Senthilkumaran S, Thirumalaikolundusubramanian P, Joy M, Jena NN, Vadivelu R, Ayyasamy S, Chandrasekaran VP

Publication type: Article

Publication status: Published

Journal: Mayo Clinic Proceedings: Innovations, Quality & Outcomes

Year: 2020

Volume: 4

Issue: 5

Pages: 506-510

Online publication date: 06/10/2020

Acceptance date: 06/10/2020

Date deposited: 02/04/2026

ISSN (electronic): 2542-4548

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.mayocpiqo.2020.06.010

DOI: 10.1016/j.mayocpiqo.2020.06.010

PubMed id: 33043274

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