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Managing Severe Aortic Stenosis in the COVID-19 Era
Varsha K Tanguturi1, Brian R Lindman2, Philippe Pibarot3
1Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
JACC. Cardiovascular Interventions
|June 3, 2020
Summary
Strategies for managing severe aortic stenosis during the COVID-19 pandemic focus on reducing patient exposure and healthcare resource use. Innovations include remote monitoring and virtual care to maintain patient outcomes during this public health crisis.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presents challenges for managing severe aortic stenosis.
- Patients with severe aortic stenosis have high mortality risk, often overlapping with high-risk COVID-19 populations.
- Treatment delays for aortic stenosis can lead to adverse outcomes.
Purpose of the Study:
- To outline management strategies for severe aortic stenosis patients during the COVID-19 pandemic.
- To balance patient safety, resource allocation, and clinical outcomes.
- To adapt cardiovascular care during a public health emergency.
Main Methods:
- Transitioning to virtual patient assessments and consultations.
- Optimizing and streamlining diagnostic testing.
- Reducing hospital admission frequency and duration.
- Implementing remote monitoring and telehealth services.
Main Results:
- Proposed strategies aim to minimize COVID-19 exposure for patients and healthcare workers.
- Resource utilization is optimized without compromising patient outcomes.
- Innovations facilitate remote patient monitoring and virtual rehabilitation.
Conclusions:
- Effective management of severe aortic stenosis is achievable during the COVID-19 pandemic.
- Virtual care and remote monitoring are key innovations.
- These strategies preserve patient outcomes while conserving resources.
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