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Impact of COVID-19 on Cardiovascular Disease Presentation, Emergency Department Triage and Inpatient Cardiology Services in a Low- to Middle-Income Country – Perspective from a Tertiary Care Hospital of Pakistan Cover

Impact of COVID-19 on Cardiovascular Disease Presentation, Emergency Department Triage and Inpatient Cardiology Services in a Low- to Middle-Income Country – Perspective from a Tertiary Care Hospital of Pakistan

Open Access
|Dec 2021

Figures & Tables

Table 1

Baseline characteristics of patients presenting in pre-COVID and COVID period.

Demographics
n = 2976
Pre-COVID
(Mar–July 2019)
n = 2041
COVID
(Mar–July 2020)
n = 935
P value
Age (Mean ± SD)60.7 ±1561.7 ±150.24
Genderα
  • male

1201 (58.8%)581 (62.1%)0.09
  • female

840 (41.1%)354 (37.8%)
Areaα
  • Rural area

373 (18.2%)136 (14.5%)0.01*
  • Urban area

1668 (81.7%)799 (85.4%)
HTNα1223 (59.9%)725 (77.5%)<0.001*
DMα920 (45%)465 (49.7%)0.01*
CKDα211 (10.3%)130 (13.9%)<0.01*
Strokeα96 (4.7%)48 (5.1%)0.31
IHDα497 (24.3%)258 (27.5%)0.05
Prior PCIα291 (14.2%)126 (13.4%)0.56

[i] α Fisher Exact test.

Table 2

Cardiology diagnosis in pre-COVID and COVID period.

Diagnosis (n = 2976)PreCOVID n = 2041(68%)COVID n = 935(32%)p Value
STEMI (n = 154)104 (5%)50 (5.3%)p = 0.77
NSTEMI (n = 538)409 (20%)129 (13.7%)P < 0.001
Unstable angina (n = 175)132 (6.4%)43 (4.5%)p = 0.04
Stable CAD (n = 42)26 (1.2%)16 (1.7%)p = 0.34
Type II MI (n = 393)153 (7.4%)240 (25.6%)p < 0.001
Heart Failure (n = 315)254 (12.4%)61 (6.5%)P < 0.001
Tachyarrhythmia (n = 251)177 (8.6%)74 (7.9%)P = 0.49
Brady arrhythmia (n = 99)66 (3.2%)33 (3.5%)P = 0.67
Non-cardiac symptoms (n = 263)191 (9.3%)72 (7.7%)P = 0.13
Non cardiac chest pain (n = 418)289 (14.1%)129 (13.7%)P = 0.79
Pre op risk stratification (n = 129)99 (4.8%)30 (3.2%)P = 0.04
Hypertensive urgency (n = 83)62 (3%)21 (2.2%)P = 0.22
Syncope (n = 66)39 (1.9%)27 (2.8%)P = 0.09
Cardiogenic shock (n = 4)3 (0.1%)1 (0.1%)P = 0.78
Valvular heart disease22 (1%)5 (0.5%)P = 0.14
Infective endocarditis (n = 7)6 (0.3%)1 (0.1%)P = 0.32
Table 3

Cardiovascular interventions in pre-COVID and COVID period.

Management
n = 2976
Pre-COVID
n = 2041
COVID
n = 935
p value
PCI174 (8.5%)60 (6.4%)p = 0.04
Coronary angiography129 (6.32%)29 (3.10%)P < 0.01
Primary PCI (STEMI n =82 (4%)34 (3.6%)p = 0.61
CABG75 (3.7%)32 (3.4%)p = 0.73
Cardiac Imaging481 (23.5%)101 (10.8%)p < 0.001
Device Implantation24 (1.2%)7 (0.7%)p = 0.48
DOI: https://doi.org/10.5334/gh.1084 | Journal eISSN: 2211-8179
Language: English
Submitted on: Nov 18, 2021
Accepted on: Nov 15, 2021
Published on: Dec 22, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Ghufran Adnan, Pirbhat Shams, Maria A. Khan, Jamshed Ali, Nasir Rahman, Fateh Ali Tipoo, Zainab Samad, Saulat Hasnain Fatimi, Saira Bukhari, Osman Faheem, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.