Indian Heart Journal (Nov 2020)
Pattern of acute MI admissions in India during COVID-19 era: A Cardiological Society of India study - Rationale and design
- Sivasubramanian Ramakrishnan,
- Abdullakutty Jabir,
- Pathiyil Balagopalan Jayagopal,
- Padinhare Purayil Mohanan,
- Venugopal Krishnan Nair,
- Mrinal Kanti Das,
- Manoranjan Mandal,
- Debabrata Roy,
- Seemala Saikrishna Reddy,
- Amit Malviya,
- Bateshwar Prasad Singh,
- Bishwa Bhushan Bharti,
- Biswajit Majumder,
- Chakkalakkal Prabhakaran Karunadas,
- Chandra Bhan Meena,
- Meennahalli Palleda Girish,
- Janakiraman Ezhilan,
- Karthik Tummala,
- Virender Kumar Katyal,
- Kodangala Subramanyam,
- Krishna Kishore Goyal,
- Kumar Kenchappa,
- Mohit Dayal Gupta,
- Natesh Bangalore Hanumanthappa,
- Neil Bardoloi,
- Nitin Modi,
- Pranab Jyoti Bhattacharyya,
- Pushkraj Gadkari,
- Rahul Raosaheb Patil,
- Rambhatla Suryanarayana Murty,
- Rituparna Baruah,
- Santhosh Krishnappa,
- Satish Kumar,
- Satyanarayan Routray,
- Satyendra Tewari,
- Shashi Bhushan Gupta,
- Sivabalan Maduramuthu,
- Sreekanth Yerram,
- Sudeep Kumar,
- Uday Jadhav,
- Cholenahally Nanjappa Manjunath,
- Dorairaj Prabhakaran,
- Prafulla Kerker,
- Rakesh Yadav,
- Santanu Guha,
- Pradip Kumar Deb,
- Geevar Zachariah
Affiliations
- Sivasubramanian Ramakrishnan
- All India Institute of Medical Sciences, New Delhi, India
- Abdullakutty Jabir
- Lisie Hospital Kochi, Kerala, India
- Pathiyil Balagopalan Jayagopal
- Lakshmi Hospital, Palakka, Kerala, India
- Padinhare Purayil Mohanan
- Westfort High Tech Hospital, Thrishur, Kerala, India
- Venugopal Krishnan Nair
- Pushpagiri Medical College, Thrivalla, Kerala, India
- Mrinal Kanti Das
- CK Birla Hospital, Kolkatta, West Bengal, India
- Manoranjan Mandal
- Department of Cardiology, Nil Ratan Sircar Medical College, Kolkatta, West Bengal, India
- Debabrata Roy
- Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India
- Seemala Saikrishna Reddy
- All India Institute of Medical Sciences, New Delhi, India
- Amit Malviya
- Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong, Meghalaya, India
- Bateshwar Prasad Singh
- Patna Medical College, Patna, Bihar, India
- Bishwa Bhushan Bharti
- Ford Hospital, Patna, Bihar, India
- Biswajit Majumder
- Department of Cardiology, RG Kar Medical College, Kolkata, West Bengal, India
- Chakkalakkal Prabhakaran Karunadas
- Government Medical College, Thrishur, Kerala, India
- Chandra Bhan Meena
- SMS Medical College, Jaipur, Rajasthan, India
- Meennahalli Palleda Girish
- Department of Cardiology, GB Pant Hospital, New Delhi, India
- Janakiraman Ezhilan
- Madras Medical Mission, Chennai, Tamil Nadu, India
- Karthik Tummala
- Help Hospital, Vijayawada, Andhra Pradesh, India
- Virender Kumar Katyal
- Department of Medicine Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
- Kodangala Subramanyam
- Department of Cardiology, K.S Hegde Medical Academy, Mangalore, Karnataka, India
- Krishna Kishore Goyal
- Apollo CVHF Hospital, Ahmedabad, Gujarat, India
- Kumar Kenchappa
- Sparsh Hospital, Bangalore, Karnataka, India
- Mohit Dayal Gupta
- Department of Cardiology, GB Pant Hospital, New Delhi, India
- Natesh Bangalore Hanumanthappa
- Sri Jayadeva Institute of Cardiovascular Science and Research, Bangalore, Karnataka, India
- Neil Bardoloi
- Excelcare Hospitals, Assam, India
- Nitin Modi
- Convenient Hospitals Ltd, Indore, Madhya Pradesh, India
- Pranab Jyoti Bhattacharyya
- Gauhati Medical College and Hospital, Guwahati, Assam, India
- Pushkraj Gadkari
- Srikrishna Hrudayalaya & Critical Care Centre, Nagpur, Maharashtra, India
- Rahul Raosaheb Patil
- Cardiology, Pune, India
- Rambhatla Suryanarayana Murty
- Capital Hospital, Bhuvaneswar, Odissa, India
- Rituparna Baruah
- Apollo Hospital, Guwahati, Assam, India
- Santhosh Krishnappa
- Sri Jayadeva Institute of Cardiovascular Science and Research, Mysore, Karnataka, India
- Satish Kumar
- Bokaro General Hospital, Jharkhand, India
- Satyanarayan Routray
- Department of Cardiology, Srirama Chandra Bhanja Medical College and Hospital, Odissa, India
- Satyendra Tewari
- Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
- Shashi Bhushan Gupta
- Asian Heart Institute & Ex-HOD, Medicine and Cardiology, C Rly HQ Hospital, Mumbai, Maharashtra, India
- Sivabalan Maduramuthu
- Hindusthan Hospital, Coimbatore, Tamil Nadu, India
- Sreekanth Yerram
- Department of Cardiology, Nizam’s Institute of Medical Science, Hyderabad, Telangana, India
- Sudeep Kumar
- Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
- Uday Jadhav
- MGM New Bombay Hospital, Mumbai, Maharashtra, India
- Cholenahally Nanjappa Manjunath
- Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
- Dorairaj Prabhakaran
- Centre for Chronic Disease Control, & Vice President, Public Health Foundation of India, Gurugram, India
- Prafulla Kerker
- Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
- Rakesh Yadav
- All India Institute of Medical Sciences, New Delhi, India
- Santanu Guha
- Calcutta Medical College Hospital, Kolkata, West Bengal, India
- Pradip Kumar Deb
- Daffodil Hospital, Kolkata, West Bengal, India
- Geevar Zachariah
- Mother Heart Care, Thrissur, Kerala, India; Corresponding author. Mother Heart Care, Thrissur, Kerala, 680012, India.
- Journal volume & issue
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Vol. 72,
no. 6
pp. 541 – 546
Abstract
Background: COVID-19 pandemic has affected around 20million patients worldwide and 2.0 million cases from India. The lockdown was employed to delay the pandemic. However, it had an unintentional impact on acute cardiovascular care, especially acute myocardial infarction (AMI). Observational studies have shown a decrease in hospital admissions for AMI in several developed countries during the pandemic period. We aimed to evaluate the impact of COVID-19 on the AMI admissions patterns across India. Methods: In this multicentric, retrospective, cross-sectional study, we included all AMI cases admitted to participating hospitals during the study period 15th March to 15th June 2020 and compared them using a historical control of all cases of AMI admitted during the corresponding period in the year 2019. Major objective of the study is to analyze the changes inthe number of hospital admissions for AMI in hospitals across India. In addition, we intend to evaluate the impact of COVID-19 on the weekly AMI admission rates, and other performance measures like rates of thrombolysis/primary percutaneous interventions (PCI), window period, door to balloon time, and door to needle time. Other objectives include evaluation of changes in the major complications and mortality rates of AMI and its predictors during COVID-19 pandemic. Conclusions: This CSI-AMI study will provide scientific evidence about the impact of COVID-19 on AMI care in India. Based on this study, we may be able to suggest appropriate changes to the existing MI guidelines and to educate the public regarding emergency care for AMI during COVID-19 pandemic.
