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A care pathway for the cardiovascular complications of COVID-19: Insights from an institutional response

Rahul S Loungani1, Michael R Rehorn1, L Kristin Newby1

  • 1Division of Cardiology and Duke Heart Center, Duke University Medical Center, Durham, NC.

American Heart Journal
|May 18, 2020
PubMed

Insights

COVID-19 can cause heart problems. This article outlines a framework for managing cardiovascular complications in COVID-19 patients, balancing care with resource and personnel safety.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • COVID-19 infection frequently leads to myocardial injury, heart failure, and arrhythmias.
  • Investigational COVID-19 therapies can also impact the cardiovascular system.
  • Cardiovascular services are critical in managing COVID-19 patients.

Purpose of the Study:

  • To present a structured approach for managing cardiovascular complications in COVID-19 patients.
  • To balance optimal patient care with resource utilization and personnel safety.
  • To offer a adaptable framework for other institutions.

Main Methods:

  • Division-organized management strategy.
  • Focus on balancing resource allocation and risk mitigation.
  • Development of a flexible care model.

Main Results:

  • Established a systematic approach to cardiovascular care during the pandemic.
  • Facilitated risk-benefit analysis for patient management.
  • Created a scalable model for diverse healthcare settings.

Conclusions:

  • A structured, adaptable framework is essential for managing COVID-19's cardiovascular impact.
  • Balancing patient care, resources, and safety is achievable.
  • This model supports institutions in developing their own management strategies.

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