Investigation of changes in young cardiac pathology cases before and during the pandemic process

Authors : Burak DEMİRCİ

Pages : 40-45

Doi:10.32322/jhsm.1196920

View : 54 | Download : 13

Publication Date : 2023-01-12

Article Type : Research Paper

Abstract :Aim: It was aimed to evaluate the effect of pandemic in cardiac pathologies, especially acute coronary syndrome in young cases. Material and Method: Between January 2019-May 2021, 510 young patients aged between 18-50 years with acute coronary syndrome, arrhythmia or pericarditis were evaluated. The patients were divided into two groups as pre-pandemic and pandemic period, and the pandemic period was divided into two groups as Coronavirus Disesase 2019 insert ignore into journalissuearticles values(COVID); insert ignore into journalissuearticles values(-);/insert ignore into journalissuearticles values(+);. In addition, patients were divided into groups according to their diagnosis. Demographic data, diagnostic classifications, COVID-PCR results, white blood cell, mean corpuscular volume, neutrophil, lymphocyte, neutrophil lymphocyte ratio, platelet, platelet lymphocyte ratio, C reactive protein, glucose, troponin values and survival data of the patients were recorded. Results: The median age of 510 patients included in the study was 44insert ignore into journalissuearticles values(39-48); years, 395insert ignore into journalissuearticles values(77.5%); were male. When the diagnoses were put into groups by time, unstable angina was the most common diagnosis in each group. In the COVIDinsert ignore into journalissuearticles values(+); group, 39insert ignore into journalissuearticles values(23.8%); non-ST-elevation myocardial infarction insert ignore into journalissuearticles values(NSTEMI);, 17insert ignore into journalissuearticles values(10.4%); inferior MI, and 14insert ignore into journalissuearticles values(8.5%); anterior MI were found. Twenty three insert ignore into journalissuearticles values(4.5%); of all cases resulted in mortality. According to the diagnoses, the most common mortality was in the inferior MI group with 10insert ignore into journalissuearticles values(28.6%); cases insert ignore into journalissuearticles values(p<0.001);. During the pandemic period, 13insert ignore into journalissuearticles values(7.9%); of the COVIDinsert ignore into journalissuearticles values(+); patients resulted in mortality insert ignore into journalissuearticles values(p=0.016);. Conclusion: Acute coronary syndrome cases and cardiac pathologies other than unstable angina increased in young cases during the pandemic process. Mortality rates in all groups increased significantly during the pandemic and especially in COVIDinsert ignore into journalissuearticles values(+); cases compared to pre-pandemic.
Keywords : Emergency department, COVID 19, acute coronary syndrome, mortality, pandemic

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