Pandémie COVID-19 : impact sur le systeme cardiovasculaire. Données disponibles au 1er avril 2020

Boussadani, B. El; Benajiba, Chakib; Aajal, A.; Brik, Abdessamad Ait; Ammour, O.; Hangouch, J El; Ourahou, Oussama; Oussama, B.; Tahiri, Najoua; Raissuni, Zainab

doi:10.1016/j.ancard.2020.04.001

Cited by 6 publications

(4 citation statements)

References 38 publications

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“…This difference could be explained by diagnostic errors due to Covid-19 delaying ECG recording. The recommended delay between PCM and ECG recording should be less than 10 min according to ESC recommendations [17]. Measures should be taken to reduce this first step of the system delay that is more easily improved than the patient delay.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Covid-19 Pandemic on the Prolongation of the Management of Myocardial Infarctions Seen Late: A Cross-Sectional Study of 25 Cases Collected in the Cardiology Department of the Aristide Le Dantec Hospital in Dakar (Senegal)

Mingou¹,

Akanni²,

Diop³

et al. 2021

WJCD

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Background: Timely management determines the prognosis of patients admitted for acute coronary syndrome with persistent ST-segment elevation (STEMI). Coronavirus COVID-19 appeared in China, in Wuhan in December 2019, which has spread at a lightning speed across the planet earth, becoming a pandemic. Senegal, as well as countries around the world, has also been affected by this pandemic, which has had a strong impact on all its sectors of activity, particularly the health system. The objective of this study was to identify and evaluate the factors that increase the time required to treat myocardial infarctions, received late at Hôpital Aristide le Dantec and to assess the impact of the Covid-19 pandemic on these delays. Results: A total of 25 patients were included: 17 patients in pre-pandemic period and 8 patients in pandemic period. The predominance was male with a sex ratio of 2.5. The mean age was 59.20 years. Hypertension was the leading risk factor with a prevalence of 60% followed by sedentary lifestyle (48%). Typical chest pain was the most frequent clinical symptom found on admission (80%) followed by nausea and vomiting (40%). The first medical contact took place in a hospital in most patients (44%) and was made by a general practitioner (64%).

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Section: Discussionmentioning

confidence: 99%

Impact of the Covid-19 Pandemic on the Prolongation of the Management of Myocardial Infarctions Seen Late: A Cross-Sectional Study of 25 Cases Collected in the Cardiology Department of the Aristide Le Dantec Hospital in Dakar (Senegal)

Mingou¹,

Akanni²,

Diop³

et al. 2021

WJCD

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“…And perhaps the most important one, can lives be saved without killing the economy? There are also many unknown unknowns, such as the recent understanding that the lungs are not the only target organ (El Boussadani et al, 2020;Magro et al, 2020;Matías-Guiu et al, 2020;Yao et al, 2020). This raises the question of whether Covid-19 is a systemic disease, something supported by reports of cardiac involvement, embolism and hypotension, which has changed about 5% of all cases into life-threatening emergencies (Wadman et al, 2020).…”

Section: Critical Questionsmentioning

confidence: 99%

COVID-19: End of the beginning?

Bergquist

Stengaard

2020

Geospat Health

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The limited case cluster of atypical pneumonia detected in central China in December 2019, now known as Coronavirus Disease 2019 (Covid-19), converted into a million confirmed cases worldwide in only 10 weeks. Declared a pandemic by the World Health Organization (WHO) on 11 March 2020 (WHO, 2020) and passing the 3 million mark on 27 April, the world is under formidable strain with respect to public health, economy and personal life. Time and again we are alerted about unforeseen, new effects of this disease, which brings to mind the terms “known unknowns” and “unknown unknowns” used by former U.S. Secretary of Defense Donald Rumsfield when referring to the lack of evidence of weapons of mass destruction in Iraq ahead of the second Gulf war, a fitting vocabulary as we again are faced with mass destruction, though this time of a different kind.

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“…Elderly patients with a cardiovascular history appear to be more affected with a poor prognosis than in the absence of cardiovascular disease as reported in the literature. Indeed, SARS-CoV-2 has a dual effect at the cardiovascular level: the infection will be more intense if the host has cardiovascular comorbidities and the virus itself can cause potentially fatal cardiovascular damage [18]. In a study of 138 cases of SARS-CoV-2 infection in the Wuhan region of China, 64 patients (46.4%) had at least one predominantly CV comorbidity, hypertension was present in 31.2% of subjects, diabetes in 10.1% of subjects and cardiovascular infection in 14.5% of patients [19].…”

Section: The Patient's Clinical Symptomatology and Medical Historymentioning

confidence: 99%

Clinical Case with Negative Polymerase Chain Reaction (PCR) and Suspicious Chest Computed Tomography (CT) Images SARS-CoV-2 Infection or Not

Mahouna¹,

Sonia²,

Murielle³

et al. 2020

AJIM

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Background: The SARS-CoV-2 infection has polymorphic clinical presentations. The real time PCR is the reference diagnostic test; however, it can only detect presence of virus for a specific window of time. Case: We report a clinical case in a patient aged 66 years. His clinical history included known hypertension for 10 years and ischemic stroke. He had no known contact with infected persons. He initially presented with a productive cough, fever, shortness of breath on exertion, intense asthenia and palpitations. The real time PCR with upper airway samples was conducted on days 18 and 20 of the onset of symptoms and was negative. Despite chest CT abnormalities, the patient was not considered to be infected SARS-CoV-2 according to national recommendations for diagnosis and treatment in Benin. He was discharged from the treatment centre. Readmitted 7 days later to the emergency room for respiratory distress, the patient died. Conclusion. Diagnosis of SARS-CoV-2 infection can be difficult. In the context of typical clinical presentation, chest CT features of viral pneumonia may be strongly suspicious for SARS-CoV-2 despite negative real time PCR results. In order to improve the diagnostic and therapeutic strategy for SARS-CoV-2 infection in Benin, chest CT and other diagnostic tests/ criteria should be adopted.

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Pandémie COVID-19 : impact sur le systeme cardiovasculaire. Données disponibles au 1er avril 2020

Cited by 6 publications

References 38 publications

Impact of the Covid-19 Pandemic on the Prolongation of the Management of Myocardial Infarctions Seen Late: A Cross-Sectional Study of 25 Cases Collected in the Cardiology Department of the Aristide Le Dantec Hospital in Dakar (Senegal)

Impact of the Covid-19 Pandemic on the Prolongation of the Management of Myocardial Infarctions Seen Late: A Cross-Sectional Study of 25 Cases Collected in the Cardiology Department of the Aristide Le Dantec Hospital in Dakar (Senegal)

COVID-19: End of the beginning?

Clinical Case with Negative Polymerase Chain Reaction (PCR) and Suspicious Chest Computed Tomography (CT) Images SARS-CoV-2 Infection or Not

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