Where Have All the Heart Attacks Gone?
"The hospitals are eerily quiet, except for Covid-19.
I have heard this sentiment from fellow doctors across the United States and in many other countries.
We are all asking: Where are all the patients with heart attacks and stroke?
They are missing from our hospitals.
Yale New Haven Hospital, where I work, has almost 300 people stricken with Covid-19, and the numbers keep rising — and yet we are not yet at capacity because of a marked decline in our usual types of patients...
...What is striking is that many of the emergencies have disappeared.
Heart attack and stroke teams, always poised to rush in and save lives, are mostly idle...
...The most concerning possible explanation is that people stay home and suffer rather than risk coming to the hospital and getting infected with coronavirus...
...We actually expected to see more heart attacks during this time. Respiratory infections typically increase the risk of heart attacks...
...Also, times of stress increase the risk of heart attacks and strokes.
Depression, anxiety and frustration, feelings that the pandemic might exacerbate, are all associated with a doubling or more of heart attack risks."