• Sivasubramanian Ramakrishnan, Abdullakutty Jabir, Pathiyil Balagopalan Jayagopal, Padinhare Purayil Mohanan, Venugopal Krishnan Nair, DasMrinal KantiMKCK Birla Hospital, Kolkatta, West Bengal, India., Manoranjan Mandal, Debabrata Roy, Seemala Saikrishna Reddy, Amit Malviya, Bateshwar Prasad Singh, Bishwa Bhushan Bharti, Biswajit Majumder, Chakkalakkal Prabhakaran Karunadas, Chandra Bhan Meena, Meennahalli Palleda Girish, Janakiraman Ezhilan, Karthik Tummala, Virender Kumar Katyal, Kodangala Subramanyam, Krishna Kishore Goyal, Kumar Kenchappa, Mohit Dayal Gupta, Natesh Bangalore Hanumanthappa, Neil Bardoloi, Nitin Modi, Pranab Jyoti Bhattacharyya, Pushkraj Gadkari, Rahul Raosaheb Patil, Rambhatla Suryanarayana Murty, Rituparna Baruah, Santhosh Krishnappa, Satish Kumar, Satyanarayan Routray, Satyendra Tewari, Shashi Bhushan Gupta, Sivabalan Maduramuthu, Sreekanth Yerram, Sudeep Kumar, Uday Jadhav, Cholenahally Nanjappa Manjunath, Dorairaj Prabhakaran, Prafulla Kerker, Rakesh Yadav, Santanu Guha, Pradip Kumar Deb, and Geevar Zachariah.
• All India Institute of Medical Sciences, New Delhi, India.
• Indian Heart J. 2020 Nov 1; 72 (6): 541-546.

BackgroundCOVID-19 pandemic has affected around 20million patients worldwide and 2.0 million cases from India. The lockdown was employed to delay the pandemic. However, it had an unintentional impact on acute cardiovascular care, especially acute myocardial infarction (AMI). Observational studies have shown a decrease in hospital admissions for AMI in several developed countries during the pandemic period. We aimed to evaluate the impact of COVID-19 on the AMI admissions patterns across India.MethodsIn this multicentric, retrospective, cross-sectional study, we included all AMI cases admitted to participating hospitals during the study period 15th March to 15th June 2020 and compared them using a historical control of all cases of AMI admitted during the corresponding period in the year 2019. Major objective of the study is to analyze the changes inthe number of hospital admissions for AMI in hospitals across India. In addition, we intend to evaluate the impact of COVID-19 on the weekly AMI admission rates, and other performance measures like rates of thrombolysis/primary percutaneous interventions (PCI), window period, door to balloon time, and door to needle time. Other objectives include evaluation of changes in the major complications and mortality rates of AMI and its predictors during COVID-19 pandemic.ConclusionsThis CSI-AMI study will provide scientific evidence about the impact of COVID-19 on AMI care in India. Based on this study, we may be able to suggest appropriate changes to the existing MI guidelines and to educate the public regarding emergency care for AMI during COVID-19 pandemic.Copyright © 2020 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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