Modified STEMI protocol for Primary PCI during COVID-19 Pandemic:Does it prolong Door-To-Balloon performance?

Abstract Funding Acknowledgements Type of funding sources: Private hospital(s). Main source(s): Jakarta Heart Center Background COVID-19 became a main health problem and causes heavy impact, especially for healthcare system. Managing ST-Segment Elevation Myocardial Infarction (STEMI) patients before pandemic was already challenging enough Healthcare Professionals (HCP) to pursue time-sensitive treatment. After pandemic, the treatment pursuing door-to-balloon (DTB) time put lot more burden HCP. In this study, We sought analyze how change in protocol Primary PCI (PPCI) STEMI during influence performance DTB hospital. Methods This is single-centered retrospective observational study among which treated by PPCI. Secondary data from medical record were collected consecutively April 2018 January 2022 (46 months). compared performances pandemic. Result During 46 months period, total population research 880 patients. There 358 underwent PPCI 522 after Modified with addition step prevent spread had been implemented since 2020. increased significantly (90 (70-124) minutes vs 97 (76-135) minutes, p 0.002). The proportion who achieved under 90 min also decreasing (56.4% 47.9%, 0.0013). Conclusion It necessary center modify workflow A decent should consider practicality simplicity without compromising HCP patient safety. Implementing modified but it still within limit being reasonable acceptable benefit