Abstract

In recent years, there has been increasing interest in the frailty as a prognostic factor of acute myocardial infarction in elderly patients. Frailty is an important prognostic marker of frequent complications, readmission to hospital, high hospital mortality and major cardiovascular events in elderly patients with acute myocardial infarction. This category of persons is often not allowed to undergo invasive interventions and are often excluded from the recommended treatment, and they tolerate cardiac surgery worse, recovery from illness is slower, functionality decreases, then disability and death develop. The present review aims to investigate the impact of frailty on management of elderly patients with acute myocardial infarction (AMI). To analyze the literature, we searched for information on this issue in PubMed / MEDLINE, PMC, Web of Science, Scopus, The Сochrane[AA1] [П2] Library. The search depth was 15 years: from 2006 to 2021. One of the important factors in improving clinical outcomes, improving the quality of life in elderly patients with acute myocardial infarction is the early detection of frailty. Frailty assessment is a valuable tool for risk stratification that can be helpful to clinicians in deciding the optimal pathway for management and treatment strategies. Risk prediction is also important for deciding secondary prevention and cardiac rehabilitation measures in the elderly with acute myocardial infarction. Key words: acute myocardial infarction, advanced age, frailty, prognosis, risk assessment

Highlights

  • COVID-19 (Coronavirus Disease – 2019) has spread across the 213 countries and territories across the world

  • Considering the relevance of these conditions, this study aimed at assessing COVID-19 related factors amongst students such as attitudes, perception, anxiety and coping strategies of students during the COVID-19 pandemic in Pakistan

  • This study investigated and analyzed the mental health status of students during the COVID-19 pandemic outbreak in Pakistan: a) to evaluate the psychological situation of medical and emergency and critical care nursing students; b) to provide a theoretical framework for psychological intervention with medical and emergency and critical care nursing students; c) and provide a ground for the promulgation of local and global medical and emergency and critical care nursing student mental health policies

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Summary

Introduction

COVID-19 (Coronavirus Disease – 2019) has spread across the 213 countries and territories across the world. National Institute of Health (NIH) has implemented health care initiatives in the wake of COVID-19 outbreak in Pakistan [3,4]. Material and methods: This cross-sectional study aimed to examine undergraduate medical and emergency and critical care nursing students’ mental health through attitudes, perception, anxiety, and coping strategies during COVID-19 outbreak. COVID-19 has led to instigate strong reactions amongst medical and emergency and critical care nursing student population (N=330). Participants utilized a wide range of coping strategies to manage mental health problems during the COVID-19 related lockdown period. Conclusion: It is highly imperative to address medical and emergency and critical care nursing students’ mental health needs during and post-COVID-19 period.

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