Hospitals saw fewer heart attacks and strokes as coronavirus struck — and nobody knows why
The billion-dollar question for health services researchers: Did patients have fewer heart attacks and strokes in this period due to lifestyle changes stemming from the pandemic? Or did rates stay constant, with more people suffering at home instead of coming into the emergency room?
That suggests that some portion of people who stayed home were seriously ill, Jeffery thinks. Some might have even had heart attacks and strokes.Dr. Harlan Krumbolz, a cardiologist and the director of the Yale New Haven Hospital Center for Outcomes Research and Evaluation, believes care avoidance was responsible for about 80% of the drop. Within that 80%, "half may be appropriate and half placing people at risk," he said.
Dr. Genes said the patient got medicines delivered to her doorstep, and ultimately recovered, but the incident stood out. As Jeffery points out, the more recent data she analyzed from the summer indicates that emergency rooms are starting to see an uptick in visits.Krumbolz speculates that the other 20% of the decline "may represent a change in the triggers for acute events, leading to fewer events."
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