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Management of acute cardiovascular events in patients with COVID-19

Chia-Te Liao1,2,3, Wei-Ting Chang1,4,5, Wen-Liang Yu6,7

  • 1Department of Cardiology, Chi Mei Medical Center, 71004, Tainan, Taiwan.

Reviews in Cardiovascular Medicine
|January 3, 2021
PubMed

Insights

This review offers guidance for managing critical cardiovascular diseases during the COVID-19 pandemic. It addresses ST-elevation myocardial infarction (STEMI) and other emergencies, prioritizing patient and clinician safety.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents significant morbidity and mortality.
  • COVID-19 can lead to cardiovascular damage, worsening patient prognosis.
  • Managing critical cardiovascular events during the pandemic requires balancing infectious disease control with optimal patient care.

Purpose of the Study:

  • To provide comprehensive guidance for managing critical cardiovascular diseases during the COVID-19 epidemic.
  • To address specific conditions including ST-segment elevation myocardial infarction (STEMI), non-STEMI acute coronary syndrome, cardiogenic shock, acute heart failure, cardiopulmonary resuscitation, and advanced care planning.
  • To ensure prompt and optimal treatments while considering clinician safety and healthcare capacity.

Main Methods:

  • This is a review article.
  • It synthesizes current knowledge and expert recommendations.
  • Focuses on critical cardiovascular conditions and their management during the COVID-19 pandemic.

Main Results:

  • Cardiovascular injury is a significant complication of COVID-19, impacting prognosis.
  • Effective management strategies must integrate infectious control measures.
  • The review outlines approaches for STEMI, non-STEMI ACS, cardiogenic shock, acute heart failure, CPR, and care planning.

Conclusions:

  • Integrated management protocols are crucial for critical cardiovascular diseases amidst the COVID-19 pandemic.
  • Guidance addresses the unique challenges posed by SARS-CoV-2 infection.
  • Optimizing care requires a multi-faceted approach considering patient outcomes and healthcare system constraints.

Keywords:
COVID-19advanced care planningcritical cardiovascular diseasesresuscitation

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