Evidence map›Paper›PMID 32330544›Full record

GuidelineJournal of the American College of Cardiology2020

Management of Acute Myocardial Infarction During the COVID-19 Pandemic: A Position Statement From the Society for Cardiovascular Angiography and Interventions (SCAI), the American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP).

Ehtisham Mahmud, Harold L Dauerman, Frederick G P Welt, John C Messenger, Sunil V Rao, Cindy Grines, Amal Mattu, Ajay J Kirtane, Rajiv Jauhar, Perwaiz Meraj and 3 more

Registry-linked trialOpen access · greenAbstract readPractice Guideline
In one paragraph

Guideline in Journal of the American College of Cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04628104 (CMR Findings in COVID-19 Patients Presenting With Myocardial Infarction), which is not on this map. Cited by 188 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
188citing papers in PubMed, 8 pooled it
30.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04628104 unknown statusnot on this mapstarted 2021, after this paper: background citation

CMR Findings in COVID-19 Patients Presenting With Myocardial Infarction

Typeobservational_patient_registrySponsorAssiut UniversityRan2021 to 2023Enrolled60ConditionsMyocardial InfarctionArmscardiac magnetic resonance
3 · Its place in the literature

Who cites it

188 citing papers in PubMed, 8 syntheses or guidelines pooled it, 390 citations in OpenAlex.

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128 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 1 country.

Ehtisham MahmudSulpizio Cardiovascular Center, University of California-San Diego, La Jolla, California. Electronic address: emahmud@health.ucsd.edu.
Harold L DauermanUniversity of Vermont, Burlington, Vermont.
Frederick G P WeltUniversity of Utah Medical Center, Salt Lake City, Utah.
John C MessengerUniversity of Colorado School of Medicine, Aurora, Colorado.
Sunil V RaoDuke University Hospital, Durham, North Carolina.
Cindy GrinesNorthside Cardiovascular Institute, Atlanta, Georgia.
Amal MattuUniversity of Maryland School of Medicine, Baltimore, Maryland.
Ajay J KirtaneColumbia University Medical Center, Center for Interventional Vascular Therapy, New York, New York.
Rajiv JauharNorthwell Health, Manhasset, New York.
Perwaiz MerajHofstra North Shore-LIJ School of Medicine, Manhasset, New York.
Ivan C RokosUCLA-Olive View, Los Angeles, California.
John S RumsfeldUniversity of Colorado Medical School, Denver, Colorado.
Timothy D HenryThe Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio.
University of Colorado Denver · USChrist Hospital · USColumbia University Irving Medical Center · USDuke University Hospital · USHofstra University · USNorthside Hospital · USNorthwell Health · USOlive View-UCLA Medical Center · USUC San Diego Health System · USUniversity of Maryland, Baltimore · USUniversity of Utah · USUniversity of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 has resulted in a new and lethal disease termed coronavirus disease-2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with this novel coronavirus. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating an ST-elevation myocardial infarction (STEMI) presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury, and the prevalence of COVID-19 disease in the U.S. population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.

Indexed as

Coronavirus InfectionsInfection ControlMyocardial InfarctionPandemicsPercutaneous Coronary InterventionPneumonia, ViralThrombolytic TherapyBetacoronavirusCardiology Service, HospitalCOVID-19Diagnosis, DifferentialEmergency Service, HospitalHumansOrganizational InnovationRisk AssessmentSARS-CoV-2acute myocardial infarctionCOVID-19emergency medical systemfibrinolysispercutaneous coronary interventionSTEMI

Identifiers

PMID32330544
PMCPMC7173829
OpenAlexW3017319019

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.