PMID- 35368974 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220405 IS - 2470-752X (Electronic) IS - 2470-7511 (Print) IS - 2470-7511 (Linking) VI - 6 IP - 4 DP - 2021 Oct 1 TI - Challenges in management of ST elevation myocardial infarction during COVID-19 pandemic. PG - 218-230 LID - 10.4103/2470-7511.334400 [doi] AB - The coronavirus disease-2019 (COVID-19) pandemic has brought unprecedented changes to our world and health-care system. Its high virulence and infectiousness directly infect people's respiratory system and indirectly disrupt our health-care infrastructure. In particular, ST elevation myocardial infarction (STEMI) is a clinical emergency emphasizes on the establishment of care system to minimize delay to reperfusion. As such, the impact of COVID-19 on STEMI care, ranging from disease severity, patient delay, diagnostic difficulty, triage to selection of reperfusion strategy and postoperative care, is immense. Importantly, not only we have to save our patients, but we must also need to protect all health-care workers and prevent environmental contamination. Otherwise, in-hospital transmission can quickly evolve into nosocomial outbreak with staff infection and quarantine which lead to health-care system collapse. In this article, we will discuss the challenges in various aspects of STEMI management during COVID-19, as well as the mitigation measures we can take to optimize outcome and our future. CI - Copyright (c) 2021 Cardiology Plus. Published by Wolters Kluwer - Medknow. FAU - Tam, Chor-Cheung Frankie AU - Tam CF AD - Department of Medicine, Division of Cardiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong. FAU - Siu, Chung-Wah David AU - Siu CD AD - Department of Medicine, Division of Cardiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong. FAU - Tse, Hung Fat AU - Tse HF AD - Department of Medicine, Division of Cardiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong. LA - eng PT - Journal Article PT - Review DEP - 20211230 PL - United States TA - Cardiol Plus JT - Cardiology plus JID - 101772864 PMC - PMC8951676 OTO - NOTNLM OT - COVID-19 OT - Percutaneous coronary intervention OT - ST-elevation myocardial infarction COIS- There are no conflicts of interest. EDAT- 2022/04/05 06:00 MHDA- 2022/04/05 06:01 PMCR- 2021/12/30 CRDT- 2022/04/04 05:15 PHST- 2021/09/15 00:00 [received] PHST- 2021/12/06 00:00 [accepted] PHST- 2022/04/04 05:15 [entrez] PHST- 2022/04/05 06:00 [pubmed] PHST- 2022/04/05 06:01 [medline] PHST- 2021/12/30 00:00 [pmc-release] AID - 10.4103/2470-7511.334400 [doi] PST - ppublish SO - Cardiol Plus. 2021 Oct 1;6(4):218-230. doi: 10.4103/2470-7511.334400. Epub 2021 Dec 30.