id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-011637-1ojind95	Roffi, Marco	The Obstacle Course of Reperfusion for ST-Segment–Elevation Myocardial Infarction in the COVID-19 Pandemic	2020-04-21		.txt	text/plain	1419	72	46	In addition, shared experiences estimate an up to 60-minute increase in intrinsic delay from diagnosis to reperfusion with primary percutaneous coronary intervention (PCI) in regions deeply affected by the COVID-19 pandemic, because of suboptimal EMS availability and the implementation of personal protective equipment at any level of care (prehospital, emergency department, and cardiac catheterization laboratory). Key Words: COVID-19 ◼ emergency medical services ◼ reperfusion ◼ ST elevation myocardial infarction treated successfully with no complications, the additional coronary lesions are easily accessible, and the patient is hemodynamically stable, immediate complete revascularization may be an attractive guideline-conforming option to avoid a staged procedure, which would prolong the hospital stay or require a second admission and additional personnel exposure if the patient is COVID-19 positive. The regional STEMI network was quickly changed into a model of macrohubs to concentrate personnel and urgent activities, such as primary PCI for STEMI or interventional stroke management, while expanding health resources for patients with COVID-19 in all remaining hospitals.	./cache/cord-011637-1ojind95.txt	./txt/cord-011637-1ojind95.txt