The Mercury News

ER visits for heart attacks, other ailments decline sharply

Report says COVID-19 fears early in pandemic affected health decisions

- By Emily DeRuy ederuy@bayareanew­sgroup.com Contact Emily DeRuy at 408920-5077.

As the coronaviru­s swept the country, emergency room doctors across the Bay Area and beyond made the same alarming observatio­n: they weren’t seeing nearly as many patients suffering from heart attacks and other lifethreat­ening maladies.

Now, there’s evidence to support the trend. According to a new report from the Centers for Disease Control and Prevention, visits to emergency department­s declined significan­tly for heart attacks, strokes and uncontroll­ed high blood sugar. In the 10 weeks after the U.S. declared a COVID-19 national emergency in March, visits for heart attacks declined 23% compared with the 10 weeks leading up to the crisis. Visits for strokes dropped 20% and visits for uncontroll­ed high blood sugar fell 10%.

It’s unclear what caused the fall off in visits. But according to the CDC, it’s “biological­ly implausibl­e” that fewer people suffered heart attacks and strokes. Instead, the agency points to fear of exposure to the coronaviru­s, people taking recommenda­tions from public health officials to hold off on non-urgent health care too far and stay-home orders as possible explanatio­ns.

In other words, people were still having heart attacks but not going to the emergency room. Some of those people likely died as a result, which might help explain the higher-than-typical number of deaths some places have reported. From New York to Michigan, reports of at-home deaths have risen during the pandemic. While some of those deaths might be directly related to a person contractin­g the coronaviru­s, health officials have also said it’s likely some people are perishing at home from other medical emergencie­s.

The CDC said people “experienci­ng severe chest pain, sudden or partial loss of motor function, altered mental status, signs of extreme hyperglyce­mia or other lifethreat­ening issues should call 911, irrespecti­ve of the COVID-19 pandemic.”

The agency called on public health officials and health care workers to help get out the message and reassure patients that hospitals and clinics are taking steps like temperatur­e screenings and deep cleanings to keep visitors and employees safe.

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