CARDIOVASCULAR JOURNAL OF AFRICA • PAFCIC 2021 Abstracts December 2021 49 AFRICA Submission ID: 1231 MANAGEMENT OF CHEST PAIN IN COVID-19 PATIENTS IN THE EMERGENCY DEPARTMENT SALMA BEN SAID, OUSSEMA ACHECHE, MEHDI SLIM, RIM YOUSSEF, HAJER YAACOUBI, HOUDA BEN SALAH, LOTFI BOUKADIDA, ASMA ZORGATI, RIADH BOUKEF Emergency department Sahloul Sousse, Tunisia Introduction: The emergence of the SARS-CoV-2 virus responsible for the COVID-19 outbreak has given rise to a new disease whose outlines are still not perfectly known. While the first data suggested that the virus was primarily affecting the lungs, the most recent publications highlight a large pleomorphism of the disease, responsible for multiple organ failure, the first of which is cardiac involvement mainly manifested in chest pain. The objective of this study is to assess the management of chest pain in patients with COVID 19 infection. Materials & Methods: This is a monocentric observational study carried out in the emergency department including patients consulting the COVID unit for chest pain and having a positive COVID PCR. Results: We included 439 patients with a mean age of 49.86 ± 12. Sex ratio (M / F) of 1.2. The most frequent cardiovascular risk factors in our population are hypertension in 16.3% then smoking in 16%, coronary heart disease in 12.5% and diabetes in 7.3%. 8.6% of patients consulting for chest pain were admitted. Of those patients, 9.8% presented with acute respiratory distress syndrome ARD and 0.3% had pulmonary embolism. The outcome was favorable in the majority of cases; 21% get worse and the course was fatal in 7.8% of patients. On Day 15, 12.3% of patients still had chest pain. Conclusion: Chest pain in COVID19 infection is a frequent symptom that requires a well-conducted diagnostic approach that can hide a lifethreatening condition. MODERATED POSTER SESSION 3 Submission ID: 1238 PERFORMANCE OF TIMI SCORE TO PREDICT MAJOR ADVERSE CARDIAC IN PATIENTS WITH ACUTE CORONARY SYNDROME (ABOUT 500 CASES) AHMED MH, SALMA BEN SAID, RAHMA JABALLAJ, MEHDI SLIM, RIM YOUSSEF, HAJER YAACOUBI, HOUDA BEN SALAH, LOTFI BOUKADIDA, ASMA ZORGATI, RIADH BOUKEF Emergency department Sahloul Sousse, Tunisia Introduction: It is currently known that in cases with potential diagnosis of ischemic chest pain, screening high risk patients for adverse outcomes would be very helpful. The objective of this work is to determine the Performance of the TIMI score in the prediction of occurrence of major cardiovascular events (death, myocardial infarction, anginal recurrence, other embolic complication) in our emergency patient population for an ACS ST- in the short and medium term. Methods: Transverse descriptive study. N = 500 NSTEMI patients in the Emergency Department. General data, as well as clinical and biological data, were collected. The TIMI score was calculated on admission. Patients were supported according to the protocol of the service. Follow-up at 6 months and 1 year was performed. Results: Mean age = 62 years.sex ratio = 1.5. The low risk group (TIMI 0 - 2) included 79 patients (16%), intermediate risk (TIMI between 3-4) 247 patients or 49.4% and the high-risk group (TIMI> 4) 174 patients or 34.6%. For the low-risk group MACE occurred at 6 months in 12% of cases, and for the high-risk group 25.8% with a significant difference (p = 0.014). At 12 months, the values were respectively 11.4% and 32.7% (p = 0.045). It was noted that raising the TIMI score by 1 point increases the risk of occurrence of MACE by 10.4%. Conclusion: The results of this work suggest that the TIMI score plays an important role in predicting the occurrence of MACE in the short and medium term.
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