| ORIGINAL ARTICLE |
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| Year : 2021 | Volume
: 7
| Issue : 3 | Page : 219-224 |
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COVID-19 and its impact on the management of patients with acute coronary syndrome during the first COVID wave – A questionnaire-based survey among interventional cardiologists from Southern India
Thoddi Ramamurthy Muralidharan1, Balakrishnan Vinod Kumar1, Preetam Krishnamurthy2, Nagendra Boopathy Senguttuvan3, Jayanthy Venkata Balasubramaniyan2, Shanmugasundaram Sadhanandham2, Jebaraj Rathinasamy2, Ramesh Sankaran2, Manokar Panchanatham2, Jayanthy Sathyanarayana Murthy2, Thanikachalam Sadagopan2
1 Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University); C3 Research Foundation, Chennai, Tamil Nadu, India
2 Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
3 Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University); C3 Research Foundation; Adjunct Faculty, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
Correspondence Address:
Nagendra Boopathy Senguttuvan
Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai - 600 116, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpcs.jpcs_43_21
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Background: The COVID-19 pandemic has transformed the medical society in many ways. With significant drain on the resources and altered healthcare priorities, there is a greater need for redeployment of the resources from noncommunicable diseases to COVID-19-related healthcare services. To understand the impact of the COVID-19 pandemic on the management of acute coronary syndrome (ACS) in Tamil Nadu, a survey was administered across cardiologists in Tamil Nadu. Methods: A survey was done using an electronic questionnaire administered regarding the change of patterns of acute coronary syndromes during the COVID through Google Forms with responses collected in excel format. Results: Among 256 cardiologists contacted, 101 responded to the survey. Among cardiologists who responded, all were interventional cardiologists– with most of them performing primary percutaneous coronary intervention (PCI) (95%) regularly during pre-COVID times. Most of them have noticed a significant reduction in the number of patients with ACS seeking health care (94%) and another 61% of respondents felt that there was a reduction in the number of patients with acute coronary syndrome. There was a significant delay in ST-segment elevation myocardial infarction presentation to the hospital (88%) and significant reduction in the number of primary PCI (47%). Only 19% of respondents did primary PCI for COVID-positive patients. Conclusions: COVID pandemic has emerged as a big challenge to the global health care system. Optimal acute coronary care could not be delivered in a timely manner due to multiple social, patient, and physician-related factors. The emerging techniques in rapid diagnosis of COVID-19 and protective measures of COVID infection are expected to improve the situation. Trial Registration: Clinical Trials Registry – India (CTRI), CTRI/2020/09/027517, Registered September 1, 2020 http://CTRI. nic. In/Clinicaltrials/pmaindet2. php? trialid = 47025 and EncHid = and user Name =.
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