Managing acute myocardial infarction in patients with COVID-19 at a cardiac catheterisation laboratory

The Chinese Society of Cardiology, for example, recommends a conservative approach including thrombolytic therapy and guideline-directed medical therapies for patients with STEMI unless clinically unstable4; in contrast, the American College of Cardiology recommends the PPCI approach where possible....

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2021-04, Vol.27 (2), p.152
Main Authors: Alan KC Chan, Tsang, C F, Chui, S F, Wong, Eric CY, Au, SY, George WY Ng, Chan, K T, Lee, Michael KY
Format: Article
Language:chi ; eng
Subjects:
Angioplasty
Cardiac arrhythmia
Cardiac catheterization
Cardiology
Cardiopulmonary resuscitation
Cardiovascular disease
Coronaviruses
COVID-19
CPR
Disease transmission
Epidemics
Heart attacks
Hospitals
Intensive care
Intervention
Intubation
Laboratories
Medical imaging
Pandemics
Patients
Personal protective equipment
Ventilators
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Summary:The Chinese Society of Cardiology, for example, recommends a conservative approach including thrombolytic therapy and guideline-directed medical therapies for patients with STEMI unless clinically unstable4; in contrast, the American College of Cardiology recommends the PPCI approach where possible.5 There have been advances in treating patients with cardiogenic shock using invasive mechanical circulatory support devices.6 Furthermore, during the severe acute respiratory syndrome outbreak in 2003, doctors in Hong Kong described their approach to treating patients with the CCL using full personal protective equipment and portable machines to simulate a negative pressure environment.7 More recently, the American College of Cardiology's Interventional Council and Society for Cardiovascular Angiography and Interventions have described CCL preparation during the COVID-19 pandemic.8 Change in practice In our unit, PPCI is offered to all patients with STEMI unless contra-indicated. The CCL environment has been check
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj209046