Abstract
The necessity of timely management of ST-elevation myocardial infarction (STEMI) is now disrupted by the Covid-19 pandemic. This paper discussed the challenge to manage STEMI in Indonesia due to Covid-19. It also discussed the alternative strategies for solution. Challenge can occur in term of the healthcare safety as well as STEMI patient safety. Healthcare safety potentially impaired by the problem of STEMI mimicry due to cardiovascular complication of Covid-10, inaccuracy of Covid-19 screening, lack of effective personal protection equipment for the healthcare and appropriate catheterisation laboratory to anticipate virus contamination. The safety of STEMI patient is potentially impaired due to prolonged ischemia time, and the risk of cross-infection. Solution for this challenge should include mass screening, rapid and accurate test to rule-out Covid-19, dual system of hospital units - Covid and non-Covid, and algorithm for triage patients with STEMI and Covid-19.
Highlights
Indonesian Journal of CardiologyAbstrak Penatalaksanaan ST-elevation myocardial infarction (STEMI). yang sangat dipengaruhi kecepatan waktu revaskularisasi mendapat tantangan yang kompleksi akibat COVID-19 yang mewabah saat ini.
Tulisan ini mengulas tantangan yang dihadapi dalam tatalaksana STEMI di Indonesia berkaitan COVID-19 dan strategi solusinya.
Tantangan yang dihadapi bisa terkait keamanan tenaga kesehatan maupun pasien STEMI.
Summary
Abstrak Penatalaksanaan ST-elevation myocardial infarction (STEMI). yang sangat dipengaruhi kecepatan waktu revaskularisasi mendapat tantangan yang kompleksi akibat COVID-19 yang mewabah saat ini. Tulisan ini mengulas tantangan yang dihadapi dalam tatalaksana STEMI di Indonesia berkaitan COVID-19 dan strategi solusinya. Tantangan yang dihadapi bisa terkait keamanan tenaga kesehatan maupun pasien STEMI. Potensi masalah dapat terjadi akibat adanya manifestasi COVID-19 pada sistim kardiovaskular yang dapat menyerupai STEMI, proses skrining COVID-19 yang tidak akurat, ketersediaan alat pelindung diri dan ruang kateterisasi yang sesuai untuk antisipasi penyebaran virus. Strategi solusi untuk menghadapi masalah tersebut antara lain skrining massal, triase rule-out COVID-19 yang baik dan cepat, pemilahan unit menjadi COVID dan non-COVID, dan algoritme untuk triase pasien dengan STEMI dan COVID-19. Tulisan ini bertujuan membahas tantangan yang dihadapi dalam penatalaksanaan STEMI di saat pandemi COVID-19. Tantangan ini bisa terkait aspek keamanan tenaga kesehatan dan maupun terkait keselamatan pasien dengan STEMI.
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