What drove the reduction in myocardial infarction admissions during COVID-19? Reasons and implications

Abstract

COVID-19 represents a major public health threat. With the emphasis on self-isolation and the implementation of social restrictions such as lockdowns to reduce disease transmission, significant changes in health practices have occurred worldwide. This includes a substantial reduction in the number of patients being admitted for acute coronary syndrome and acute myocardial infarction, particularly among patients with non-ST elevation myocardial infarction. A combination of patient- and system-related factors have contributed to this decline, including human behaviour, the delivery of healthcare services and changes in the prevalence of risk factors and environmental conditions. This article reviews current knowledge regarding admission rates for acute coronary syndrome and acute myocardial infarction during the COVID-19 pandemic and explores the reasons for this decline, as well as the potential impact on patients and implications for nursing and healthcare practice.