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Published on: June 12, 2021
[Managing cardiac patients post-COVID-19 pandemic: a proposal by the ANMCO Veneto Region]
Claudio Bilato1, Loris Roncon2, Maurizio Anselmi3
1U.O.C. Cardiologia, Ospedali dell'Ovest Vicentino, Azienda ULSS 8 Berica, Vicenza.
Insights
This guide details safety measures for resuming cardiac patient care post-COVID-19. It outlines risk stratification, personal protective equipment, and telehealth strategies to protect patients and healthcare providers.
Area of Science:
- Cardiology
- Infectious Disease Control
- Public Health
Background:
- The COVID-19 pandemic necessitated the suspension of routine clinical activities, including cardiac patient evaluations.
- Resuming these activities requires stringent measures to mitigate infection risks, particularly given asymptomatic or mildly symptomatic COVID-19 cases.
- Cardiac patients, though generally at low risk for severe COVID-19, still require careful management to prevent transmission.
Purpose of the Study:
- To provide guidance on safely resuming clinical activities for cardiac patients in the post-COVID-19 era.
- To detail risk stratification protocols for identifying and managing potential COVID-19 infections in cardiac settings.
- To outline essential personal protective equipment (PPE), diagnostic procedures, and management strategies for patient and provider safety.
Main Methods:
- Discussion of common diagnostic procedures and therapeutic activities relevant to cardiac care.
- Analysis of appropriate personal protective equipment (PPE) requirements based on specific tests and procedures.
- Review of scheduling for diagnostic examinations, telehealth integration, and alternative care strategies.
- Examination of structural and management modifications needed in healthcare facilities.
Main Results:
- Identification of key areas requiring attention for safe clinical resumption: risk assessment, PPE, testing protocols, and facility management.
- Emphasis on the need for a structured approach to minimize COVID-19 transmission risks in cardiac patient care.
- Highlighting the importance of adapting diagnostic and therapeutic workflows to the post-pandemic environment.
Conclusions:
- Implementing comprehensive safety protocols is crucial for the safe resumption of cardiac clinical activities post-COVID-19.
- A multi-faceted strategy involving risk stratification, appropriate PPE, optimized scheduling, and telehealth is essential.
- These measures will protect both vulnerable cardiac patients and healthcare professionals from potential COVID-19 exposure.
Abstract:
The COVID-19 post-lockdown period and the subsequent progressive withdrawal of the quarantine measures are currently allowing the gradual resumption of the ordinary clinical activities, which have been suppressed during the COVID-19 pandemic. In this phase, it is crucial to minimize the risk of infection to limit COVID-19-related morbidity and mortality and the number of new cases. Indeed, COVID-19 manifestations may be equivocal, including asymptomatic or mildly symptomatic patients. In order to ensure the safety of patients and healthcare providers, therefore, it is mandatory to stratify the risk of post-COVID-19 pandemic infection during the clinical and instrumental evaluation of cardiac patients, who are at low risk for COVID-19. Here we discuss the most common diagnostic procedures and therapeutic activities, the type of personal protective equipment according to the different tests, the timetable of the different diagnostic examinations, the tele-health services or alternative strategies, and the structural and management requirements, that should be applied to protect patients and healthcare providers in the post-COVID-19 era.
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