Assiut University Registry for ACS Patients During COVID-19 Pandemic

In the face of the quickly evolving coronavirus disease 2019 (COVID-19) pandemic, many
health-care systems around the globe have modified their routine management of patients
presenting with acute cardiovascular emergencies including patients with ACS.A unifying
theme in the new management strategies is the adoption of new restrictive measures to
meet the challenges of increased risk of infection of health-care workers; limited
numbers of beds, shortage of personal protective equipment (PPE), inadequate number of
protected catheterization rooms; and the clinical overlap between ACS and COVID-19
infection in some of patients.

In developing countries, with an already strained health system due to economic problems,
the situation is more challenging and needs the formulation of efficient protocols that
can accommodate several medical and socioeconomic challenges.

Egypt, with an estimated population of 100 million, is facing exceptional challenges
during the COVID-19 crisis. Because large scale use of polymerase chain reaction (PCR)
test for SARS-CoV-2 in a large population is a problem, the prevalence of COVID-19
infection in Egypt is unknown. Furthermore, the supply of PPE falls far short of demands
with lack of professionally protected cardiac catheterization rooms. With progression of
the pandemic in such a large population, care of COVID-19 patients is expected to rapidly
overwhelm the supplies, beds, and staff available in Egyptian hospitals.

The Cardiology Department in Assiut university hospital has revised the management
protocols for ACS patients and implemented new management protocols both for patients
with ST-segment elevation myocardial infarction (STEMI) and Non-ST-segment elevation
acute coronary syndromes (NSTE-ACS).