Related Experiment Video
Updated: Jun 12, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Surviving the Struggle of COVID-19: Practical Recommendations for Pediatric/Adult Cardiology and Cardiac Surgical
Kevin Pilarczyk1,2, Vinicius Nina3,4, Lynn Boshkov5
1RobinAid Foundation, Hamburg, Germany.
Insights
This systematic review offers perioperative strategies to maintain cardiovascular services during the COVID-19 pandemic. Implementing protective measures and patient triage is crucial for safe cardiac surgery resumption.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Healthcare Management
Background:
- The COVID-19 pandemic significantly impacted healthcare services, including cardiology and cardiac surgery.
- Reduced services led to increased mortality for patients with COVID-19.
- Healthcare workers faced high infection risks during the pandemic.
Purpose of the Study:
- To provide perioperative strategies for preserving cardiovascular services.
- To address financial and personnel constraints during the COVID-19 pandemic.
- To ensure the safe resumption of cardiological and cardiac surgical activities.
Main Methods:
- Systematic literature search of databases like MEDLINE, EMBASE, and CCTR.
- Inclusion of search terms related to cardiac procedures and COVID-19.
- Screening of relevant medical society webpages for additional information.
Main Results:
- Cardiac surgery and cardiology practices decreased by 50-75% during the pandemic.
- Significant increase in mortality observed in COVID-19 patients.
- Healthcare workers are identified as a high-risk group for COVID-19 infection.
Conclusions:
- Hospitals must prioritize protective equipment and training for healthcare workers.
- Recommended patient triage based on clinical status and available resources.
- Reorganization of hospital resources and protective measures is essential for safe resumption of cardiovascular services.
Introduction:
The primary aim of this systematic review is to provide perioperative strategies to help restore or preserve cardiovascular services under threat from financial and personnel constraints imposed by the coronavirus disease 2019 (COVID-19) pandemic.
Methods:
The Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, Cochrane Central Register of Controlled Trials/CCTR, and Google Scholar were systematically searched using the search terms "(cardiac OR cardiology OR cardiothoracic OR surgery) AND (COVID-19 or coronavirus OR SARS-CoV-2 OR 2019-nCoV OR 2019 novel coronavirus OR pandemic)". Additionally, the webpages of relevant medical societies, including the World Federation Society of Anesthesiologists, the Cardiothoracic Surgery Network, and the Society of Thoracic Surgeons, were screened for relevant information.
Results:
Whereas cardiac surgery and cardiology practices were reduced by 50-75% during the pandemic, mortality of patients with COVID-19 increased significantly. Healthcare workers are among those at high risk of infection with COVID-19.
Conclusion:
Hospitals must provide maximum protective equipment and training on how to use it to healthcare workers for their mutual protection. Triage management of patients - which accounts for patient's clinical status and risk-factor profile relatable to which services are available during the COVID-19 pandemic - is recommended. A strict reorganization of the hospital resources including preoperative, intraoperative, and postoperative detailed protective measures is necessary to reduce probability of vector contamination, to protect patients and the cardiovascular teams, and to permit safe resumption of cardiological and cardiac surgical activity.
Related Concept Videos
Acute Coronary Syndrome IV: Interprofessional Care
Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Heart Failure VI: Adjunct Therapies
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy V: Interprofessional Care

