摘要
Background: Timely management determines the prognosis of patients admitted for acute coronary syndrome with persistent ST-segment elevation (STEMI). Coronavirus COVID-19 appeared in China, in Wuhan in December 2019, </span><span style="font-family:Verdana;">which</span><span style="font-family:Verdana;"> has spread at a lightning speed across the planet earth, becoming a pandemic. Senegal, as well as countries around the world, has also been affected by this pandemic, which has had a strong impact on all its sectors of activity, particularly the health system. The objective of this study was to identify and evaluate the factors that increase the time required to treat myocardial infarctions, received late at H?pital Aristide le Dantec and to assess the impact of the Covid-19 pandemic on these delays. Results: A total of 25 patients were included: 17 patients in pre-pandemic period and 8 patients in pandemic period. The predominance was male with a sex ratio of 2.5. The mean age was 59.20 years.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Hypertension was the leading risk factor with a prevalence of 60% followed by sedentary lifestyle (48%). Typical chest pain was the most frequent clinical symptom found on admission (80%) followed by nausea and vomiting (40%). The first medical contact took place in a hospital in most patients (44%) and was made by a general practitioner (64%). The majority of patients (76%) were referred to the cardiology department. The personal car was the most frequently used means of transportation for our patients (60%). The average distance by car between the place of occurrence and the hospital was 22.6 km with extremes of 3.30 and 36 km. The average travel time from the place of occurrence to the cardiology department was 43 min 30</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">s with extremes of 11 and 57 min. When comparing the results according to the COVID-19 pandemic, a decrease in the number of incide
Background: Timely management determines the prognosis of patients admitted for acute coronary syndrome with persistent ST-segment elevation (STEMI). Coronavirus COVID-19 appeared in China, in Wuhan in December 2019, </span><span style="font-family:Verdana;">which</span><span style="font-family:Verdana;"> has spread at a lightning speed across the planet earth, becoming a pandemic. Senegal, as well as countries around the world, has also been affected by this pandemic, which has had a strong impact on all its sectors of activity, particularly the health system. The objective of this study was to identify and evaluate the factors that increase the time required to treat myocardial infarctions, received late at H?pital Aristide le Dantec and to assess the impact of the Covid-19 pandemic on these delays. Results: A total of 25 patients were included: 17 patients in pre-pandemic period and 8 patients in pandemic period. The predominance was male with a sex ratio of 2.5. The mean age was 59.20 years.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Hypertension was the leading risk factor with a prevalence of 60% followed by sedentary lifestyle (48%). Typical chest pain was the most frequent clinical symptom found on admission (80%) followed by nausea and vomiting (40%). The first medical contact took place in a hospital in most patients (44%) and was made by a general practitioner (64%). The majority of patients (76%) were referred to the cardiology department. The personal car was the most frequently used means of transportation for our patients (60%). The average distance by car between the place of occurrence and the hospital was 22.6 km with extremes of 3.30 and 36 km. The average travel time from the place of occurrence to the cardiology department was 43 min 30</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">s with extremes of 11 and 57 min. When comparing the results according to the COVID-19 pandemic, a decrease in the number of incide
作者
J. S. Mingou
S. Akanni
H. B. Diop
M. Bodian
K. R. Diop
S. A. Sarr
F. Aw
C. M. B. Diop
P. G. Ndiaye
Y. Diouf
A. Mbaye
Ad Kane
M. B. Ndiaye
M. Diao
A. Kane
J. S. Mingou;S. Akanni;H. B. Diop;M. Bodian;K. R. Diop;S. A. Sarr;F. Aw;C. M. B. Diop;P. G. Ndiaye;Y. Diouf;A. Mbaye;Ad Kane;M. B. Ndiaye;M. Diao;A. Kane(Cardiology Department, CHU Aristide Le Dantec, Dakar, Senegal;Cardiology Department, H?pital Général Idrissa Pouye, Dakar, Senegal;Cardiology Department, Saint Louis Regional Hospital, Saint Louis, Senegal;Cardiology Department, Dalal Jamm Hospital, Dakar, Senegal)
