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Preventive Cardiology in the Digital and COVID-19 Era: A Brave New World within the Veterans Health Administration

Sohil Khanna1, Arash Harzand2,3

  • 1School of Osteopathic Medicine, Rowan University, Stratford, NJ 08084, USA.

Healthcare (Basel, Switzerland)
|December 24, 2021
PubMed

Insights

The COVID-19 pandemic disrupted cardiovascular care, accelerating the adoption of virtual cardiac rehabilitation (CR). This shift offers a promising path to improve cardiovascular disease treatment and accessibility.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • The COVID-19 pandemic significantly impacted healthcare delivery, particularly cardiovascular care.
  • Patients delayed routine and acute cardiac care due to fear of infection and social distancing measures.
  • The pandemic necessitated rapid adaptation in healthcare, including a shift towards virtual solutions.

Purpose of the Study:

  • To examine the impact of the COVID-19 pandemic on cardiovascular care accessibility and delivery.
  • To highlight the rapid adoption and efficacy of virtual care modalities, specifically virtual cardiac rehabilitation (CR).
  • To explore the potential of leveraging pandemic-induced virtual care expansion for future cardiovascular disease management.

Main Methods:

  • Review of healthcare system adaptations during the COVID-19 pandemic.
  • Analysis of the expansion and utilization of virtual care, including specialty care and rehabilitation.
  • Assessment of virtual cardiac rehabilitation (CR) as an alternative to traditional on-site programs.

Main Results:

  • The pandemic led to widespread delays in seeking cardiovascular care.
  • Virtual care solutions, including virtual CR, were rapidly implemented and embraced.
  • The U.S. Department of Veterans Affairs (VA) notably expanded virtual modalities to ensure treatment continuity.
  • Virtual CR proved to be an efficacious alternative, enabling remote patient care.

Conclusions:

  • The pandemic accelerated the integration of virtual CR into cardiovascular care paradigms.
  • Lessons learned from the pandemic-driven virtual care expansion can refine CR and improve cardiovascular disease treatment.
  • Continued development and implementation of virtual CR hold significant potential for future cardiovascular patient management.

Keywords:
COVID-19cardiac rehabilitationcardiovascular diseasestelemedicinetelerehabilitation

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