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Prioritizing cardiovascular surgical care in COVID-19 pandemic: Shall we operate or defer?

Surendra Patel1, Atul Kaushik2, Alok Kumar Sharma3

  • 1Department of Trauma and Emergency Cardiothoracic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Journal of Cardiac Surgery
|July 16, 2020
PubMed

Insights

During the COVID-19 pandemic, prioritize essential cardiovascular surgeries that cannot be deferred. This approach reduces healthcare burdens and protects patients and staff from the virus.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Infectious Diseases

Background:

  • Coronavirus disease (COVID-19) significantly increases morbidity and mortality in patients with pre-existing cardiovascular disease.
  • The global pandemic places a substantial burden on healthcare systems.
  • Optimal care for both COVID-19 patients and those requiring emergent cardiovascular interventions is a challenge.

Purpose of the Study:

  • To review existing guidelines on performing cardiovascular procedures during the COVID-19 pandemic.
  • To provide recommendations for managing cardiovascular surgery amidst the global health crisis.

Main Methods:

  • A review of published guidelines concerning cardiovascular surgery during COVID-19 pandemics was conducted.
  • Analysis focused on identifying procedures that could be deferred versus those that were essential.

Main Results:

  • Limited data exists on specific cardiovascular procedures to perform or defer during the pandemic.
  • Guidelines suggest a selective approach to cardiovascular surgery.

Conclusions:

  • Only perform cardiovascular surgeries that are time-sensitive and cannot be postponed.
  • This strategy aims to alleviate healthcare system strain, ensure optimal COVID-19 patient care, and safeguard healthcare workers and cardiovascular patients.
Abstract

Keywords:
COVID-19 pandemiccardiac surgerycoronavirus diseaseelective cardiovascular proceduresemergency cardiovascular proceduresvascular surgery

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