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Published on: November 7, 2020
[Being cardiologist at the time of SARS-CoV-2: what do not forget during the post-pandemic phase?]
Luigi Tarantini1, Pompilio Faggiano2, Alessandro Navazio3
1U.O. Cardiologia, Ospedale Civile San Martino, Belluno.
Insights
The COVID-19 epidemic in Italy has subsided, but risks remain. Maintaining cardiovascular health requires adapting prevention and rehabilitation strategies, emphasizing telehealth for lifestyle changes and remote patient care.
Area of Science:
- Cardiology
- Public Health
- Infectious Diseases
Background:
- The COVID-19 epidemic's acute phase in Italy appears to be over, but the virus persists, necessitating ongoing vigilance.
- Cardiovascular risk factors, including obesity, diabetes, and smoking, are linked to severe COVID-19 outcomes.
- The pandemic necessitates changes in cardiovascular prevention and rehabilitation due to risks of crowding and close contact.
Purpose of the Study:
- To address the challenges posed by the ongoing COVID-19 pandemic to cardiovascular health.
- To highlight the need for adapting cardiovascular prevention and rehabilitation strategies.
- To advocate for the integration of telehealth in managing cardiovascular risk factors.
Main Methods:
- Review of the current COVID-19 situation in Italy and its implications for public health.
- Analysis of cardiovascular risk factors associated with severe COVID-19.
- Discussion of the necessary reorganization of cardiovascular prevention and rehabilitation services.
Main Results:
- The persistence of COVID-19 requires sustained public health measures and surveillance.
- Unhealthy lifestyle-driven cardiovascular risk factors significantly increase COVID-19 severity.
- Traditional cardiovascular care models require adaptation to minimize transmission risks.
Conclusions:
- Telehealth initiatives are crucial for promoting healthy lifestyles in primary prevention.
- Tele-monitoring and tele-rehabilitation programs are essential for secondary prevention in the new phase.
- Adapting cardiovascular care is vital to mitigate the risk of worsening cardiovascular risk factor control.
Abstract:
In Italy, the epidemic explosion stage of COVID-19 seems to have been overcome; however, the virus has not been eradicated and the re-emergence of some outbreaks of infection substantiates the danger that the disease may persist. It is therefore necessary to keep the level of surveillance high, to maintain social distancing measures and to act in the control of disease risk factors of a serious or complicated course. Among the risk factors of severe COVID-19 in addition to age, male gender, hypertension and cardiovascular diseases, a major role seems to be played by other cardiovascular risk factors conditioned by an unhealthy lifestyle such as obesity, metabolic syndrome, diabetes and smoking. The new phase requires the maintenance of measures that avoid crowding and close interpersonal contact especially during exercise, in addition to controlled access to hospitals. This will require the reorganization of the traditional methods of cardiovascular prevention and rehabilitation activities, such as gyms and collective educational sessions, and the dilution of outpatient checks. The risk that this scenario may worsen the already suboptimal control of cardiovascular risk factors is therefore real. We do not currently know how long this new phase will last, therefore it is necessary to give impetus to new tele-health initiatives to stimulate the adoption of a healthy lifestyle in primary prevention and tele-monitoring and tele-rehabilitation programs in secondary prevention.
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