HSR&D Citation Abstract
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Rate of COVID-19 Infection in Patients With ST-Segment Elevation Myocardial Infarction.
Sud M, Qiu F, Shah R, Lee DS, Nallamothu BK, Natarajan MK, Wijeysundera HC, Ko DT. Rate of COVID-19 Infection in Patients With ST-Segment Elevation Myocardial Infarction. CJC open. 2021 Oct 1; 3(10):1214-1216.
The incidence of coronavirus disease 2019 (COVID-19) in patients with ST-segment elevation myocardial infarction (STEMI) has not been fully described.
All patients with STEMI undergoing primary percutaneous coronary intervention (PCI) in Ontario, Canada between March 1 and September 30, 2020 were included. Rates of positive COVID-19 tests from January 1, 2020 to the date of STEMI presentation were ascertained. For comparison, COVID-19 results were also evaluated in the adult Ontario population between January 1, 2020 and September 30, 2020, using provincial laboratory testing data.
There were 3606 unique patients presenting with STEMI and receiving PCI in Ontario, Canada during the study period. Sixteen patients (0.44%) tested positive for COVID-19. The background infection rate among all 12,448,541 Ontario residents was similar, at 0.34%.
The results of this population-based analysis suggest that proceeding with primary PCI with appropriate infection control practices is reasonable when community infection rates are low.