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Recommendations for the care of patients with heart failure and COVID-19

José A Cigarroa-López1,2,3, José A Magaña-Serrano1,2,3, Amada Álvarez-Sangabriel2,4

  • 1Asociación Nacional de Cardiólogos de México.

Archivos De Cardiologia De Mexico
|June 12, 2020
PubMed

Insights

Patients with heart failure (HF) and transplant recipients are at high risk for severe COVID-19 complications. These recommendations guide medical personnel in caring for these vulnerable cardiovascular patients during the pandemic.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic presents significant global health and economic challenges.
  • Cardiovascular conditions, particularly heart failure (HF), place patients at higher risk for severe COVID-19 outcomes.
  • Immunosuppressed transplant recipients are also highly susceptible to severe infections.

Purpose of the Study:

  • To provide recommendations for the medical care of vulnerable cardiovascular patients during the COVID-19 pandemic.
  • To address the specific risks faced by patients with heart failure, heart transplants, and pulmonary arterial hypertension.
  • To guide healthcare professionals in managing these patients in various clinical settings, regardless of COVID-19 status.

Main Methods:

  • Development of clinical recommendations by the National Association of Cardiologists of Mexico (ANCAM) and the Mexican Society of Cardiology (SMC).
  • Consensus-based guidelines drawing on expertise in cardiology and infectious disease management.
  • Focus on high-risk patient groups including those with heart failure, ventricular assist devices, heart transplants, and pulmonary arterial hypertension.

Main Results:

  • Heart failure is a frequent complication of COVID-19, increasing severity.
  • Patients with advanced HF and transplant recipients on immunosuppressants face heightened risks.
  • Cardiological symptoms are observed in some COVID-19 patients, indicating complex interactions.

Conclusions:

  • Specific guidance is crucial for managing vulnerable cardiovascular patients during the COVID-19 pandemic.
  • Proactive care strategies are needed to mitigate risks in heart failure and transplant populations.
  • Collaboration between cardiology societies ensures comprehensive recommendations for patient care.

Keywords:
Asociación Nacional de Cardiólogos de MéxicoCOVID-19CardiologyCardiologíaHeart failureHipertensión arterial pulmonarInsuficiencia cardiacaMexican Society of CardiologyNational Association of Cardiologists of MexicoPandemiaPandemicPulmonary arterial hypertensionSociedad Mexicana de Cardiología

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