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Published on: September 26, 2018
Management of Cardiovascular Disease During Coronavirus Disease (COVID-19) Pandemic
Sarju Ganatra1, Sourbha S Dani2, Sachin Shah2
1Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA, USA..
Insights
This guidance addresses cardiovascular disease management during the COVID-19 pandemic. It offers standardized approaches for patients with and without prior heart conditions, ensuring optimal care and worker safety.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Patients with pre-existing cardiovascular disease (CVD) face higher risks from novel coronavirus disease-2019 (COVID-19).
- Emerging reports indicate cardiac injury and new-onset heart complications (myocarditis, arrhythmia, heart failure) in COVID-19 patients, potentially from immune responses.
- The COVID-19 pandemic strains healthcare systems, creating a need for standardized cardiovascular care protocols.
Purpose of the Study:
- To provide consensus guidance for managing cardiovascular conditions during the COVID-19 pandemic.
- To ensure optimal patient care for both COVID-19-related and traditional cardiovascular issues.
- To minimize exposure risks for frontline healthcare workers.
Main Methods:
- Development of consensus-based recommendations.
- Review of current literature on COVID-19 and cardiovascular complications.
- Integration of established cardiovascular care principles with pandemic-specific considerations.
Main Results:
- Standardized management strategies are proposed for various cardiovascular conditions amidst the pandemic.
- Guidance addresses the unique challenges posed by COVID-19's impact on cardiac health.
- Recommendations aim to balance effective treatment with infection control measures.
Conclusions:
- A standardized approach is crucial for managing cardiovascular disease during the COVID-19 pandemic.
- This guidance supports healthcare providers in delivering safe and effective care to all cardiovascular patients.
- Proactive management strategies are essential to mitigate adverse outcomes and protect healthcare resources.
Abstract:
Patients with pre-existing cardiovascular disease and risk factors are more likely to experience adverse outcomes associated with the novel coronavirus disease-2019 (COVID-19). Additionally, consistent reports of cardiac injury and de novo cardiac complications, including possible myocarditis, arrhythmia, and heart failure in patients without prior cardiovascular disease or significant risk factors, are emerging, possibly due to an accentuated host immune response and cytokine release syndrome. As the spread of the virus increases exponentially, many patients will require medical care either for COVID-19 related or traditional cardiovascular issues. While the COVID-19 pandemic is dominating the attention of the healthcare system, there is an unmet need for a standardized approach to deal with COVID-19 associated and other traditional cardiovascular issues during this period. We provide consensus guidance for the management of various cardiovascular conditions during the ongoing COVID-19 pandemic with the goal of providing the best care to all patients and minimizing the risk of exposure to frontline healthcare workers.
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