Aim: The purpose of this study is to assess the effect of the COVID 19 pandemic on the volume of STEMI patients and also to assess changes in patient characteristics, door in to door out (DIDO) time, door to balloon time (D2B) time, and STEMI outcomes during the pandemic. 

Methods: Patient data were retrieved retrospectively from the electronic medical record system of King Hamad University Hospital and Mohammed Bin Khalifa Cardiac Centre in Bahrain. Data were compared and analyzed for the two time periods: before the pandemic (January 2019–March 2020) and during the pandemic (April 2020-June 2021). 

Results: There was a decline of 11.1% in patients who presented with STEMI during the pandemic. There were no major differences between the patient demographics and the baseline characteristics during the two study periods. Recommended DIDO time and D2B time could be achieved only for 7.1% and 35.7% of all STEMI cases during the pandemic. However, no significant differences were noted in the 30 days of mortality, reinfarction, cardiogenic shock, hospital length of stay, and return to the hospital within 30 days for the STEMI patients in the two time periods. 

Conclusions: There was a decline in patients who presented with STEMI during the pandemic. This was also associated with a lower number of STEMI cases achieving the recommended DIDO time and D2B time as compared to the prepandemic period. However, there was no significant difference in the patient outcomes in the two time periods

Yasser Chomayil completed MBBS from Government Medical college Calicut, India. Masters in Emergency Medicine (MEM)from Aster MIMS under George Washington University (GWU)USA. He worked as Head of department of Emergency medicine at Aster MIMS Kottakkal. He was also deputy director of MIMS academy. Director of School of Resuscitation Aster MIMS Kottakkal. He was Medical advisor ANGELS Malappuram. He was founder of social organization “SAVIOURS”. He presently works was Senior registrar at King Hamad University Hospital Kingdom of Bahrain. He is also research coordinator of Department of Emergency medicine. He has total of 16 years of experience in Emergency medicine department.