Admissions of Acute Coronary Syndrome among WÄ?Æ?Ä?nÆ?Ɛ during Early Phase and Å?Ä?Æ? One Year of Coronavirus Disease 2019 (COVID-19) Pandemic in Gaza

Background: What is the nature and Ä?ƵÆ?Ä?Æ?Žn of changes to admissions for Ä?ŝīÄ?Æ?Ä?nÆ? types of acute coronary syndrome (ACS), among Æ?Ä?Æ?Ä?nÆ?Ɛ during early stage and Ä?Å?Ä?Æ? one year of coronavirus disease 2019 (COVID-19) pandemic in Gaza? Methods: The ŝnvÄ?ƐÆ?ŐÄ?Æ?ŽÆ?Ɛ analyzed data on hospital admissions in Gaza for types of Acute Coronary Syndrome (ACS) from August 25-2019, to October 1 2019, that were recorded in the Alshifa Hospital Cardiology Department Service Ä?mŝƩÄ?Ä? WÄ?Æ?Ä?nÆ? Care database. Admissions were cůÄ?ƐƐŝĮÄ?Ä? as ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) and non- ST Ä?ůÄ?vÄ?Æ?Žn Acute Coronary Syndrome (ACS) (nonSTEACS) and we calculate the Ä?ŝÄ?ŐnŽƐÆ?c and Percutaneous Coronary /nÆ?Ä?Æ?vÄ?nÆ?Žn (PCI) rate and we compared to the same Æ?mÄ? period in 2020 and 2021. Results: Hospital admissions for Acute Coronary Syndrome (ACS) in 2019 was 99 Æ?Ä?Æ?Ä?nÆ?Ɛ declined to 40 Æ?Ä?Æ?Ä?nÆ?ΖƐ admission in 2020 and increased to 175 Æ?Ä?Æ?Ä?nÆ?Ɛ in 2021 in this Æ?mÄ? period. In 2020 a Æ?Ä?Ä?ƵcÆ?Žn of total Acute Coronary Syndrome (ACS) admission was 60%. During the period of declining admissions, there were Æ?Ä?Ä?ƵcÆ?ŽnƐ in the number of admissions for all types of Acute Coronary Syndrome (ACS), including both ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) and NON-STEACS, with a percent Æ?Ä?Ä?ƵcÆ?Žn of 64 % NON-STEACS in parallel, Æ?Ä?Ä?ƵcÆ?ŽnƐ were recorded in the ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) percent Æ?Ä?Ä?ƵcÆ?Žn ^dͲ ůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) Æ?Ä?Æ?Ä?nÆ? was 4% in 2019 and 21% in 2020. The total Acute Coronary Syndrome (ACS) admission in 2021 was 175 Æ?Ä?Æ?Ä?nÆ?ƐÍ? increases compared with 2019 by 77%. The increase rate in nonSTEMI Æ?Ä?Æ?Ä?nÆ? was 68 and increases rate in ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) was 100% compared with 2019. The mortality rate for ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) Æ?Ä?Æ?Ä?nÆ? was 4% in 2019 and 2021. Conclusion: We found that ƐŝŐnŝĮcÄ?nÆ? Æ?Ä?Ä?ƵcÆ?Žn in the number of Æ?Ä?Æ?Ä?nÆ?Ɛ with Acute Coronary Syndrome (ACS) who were Ä?Ä?mŝƩÄ?Ä? to the hospital but increase in mortality rate in ^dͲůÄ?vÄ?Æ?Žn Myocardial /nĨÄ?Æ?cÆ?Žn (STEMI) in 2020 (during the Ä®Æ?ƐÆ? month of pandemic), and ƐŝŐnŝĮcÄ?nÆ? increases of Acute Coronary Syndrome (ACS) admission rate with the same mortality rate of ^dͲůÄ?vÄ?Æ?Žn Myocardial

Author(s):

Ghada Naser and Mohammed Habib*

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