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Impact of COVID-19 on Management Strategies for Coronary and Structural Heart Disease Interventions
Lina Ya'Qoub1, Mohammad Alqarqaz1, Vaikom S Mahadevan2
1Division of Interventional Cardiology, Henry Ford Hospital, Detroit, MI, USA.
Insights
The COVID-19 pandemic challenged healthcare systems, impacting cardiac interventions and research. This review examines these effects and proposes solutions for structural heart disease and coronary syndromes.
Area of Science:
- Cardiology
- Public Health
- Healthcare Management
Background:
- The COVID-19 pandemic presented unprecedented global healthcare challenges.
- Significant strain was placed on healthcare systems in the United States and worldwide.
- Limited resources and system burden necessitated changes in patient care delivery.
Purpose of the Study:
- To review the impact of COVID-19 on percutaneous coronary interventions and structural heart disease practices.
- To assess the pandemic's effect on clinical research and trials in cardiology.
- To discuss consensus recommendations and propose strategies to overcome challenges.
Main Methods:
- Literature review of the impact of COVID-19 on cardiovascular interventions.
- Analysis of changes in management for acute and chronic coronary syndromes.
- Examination of pandemic effects on structural heart disease procedures and research.
Main Results:
- The COVID-19 crisis significantly altered the management of patients with coronary syndromes and structural heart disease.
- Practice evolved to prioritize high-risk patients and minimize exposure during procedures.
- Pandemic conditions impacted the progression of related clinical research and trials.
Conclusions:
- Healthcare systems adapted to provide essential cardiac care during the pandemic.
- Strategies were developed to manage patients with complex cardiovascular conditions amidst resource limitations.
- The review offers insights and recommendations for future preparedness in cardiovascular medicine.
Purpose Of Review:
The COVID-19 pandemic has created unprecedented challenges globally, with significant strain on the healthcare system in the United States and worldwide. In this article, we review the impact of COVID-19 on percutaneous coronary interventions and structural heart disease practices, as well as the impact of the pandemic on related clinical research and trials. We also discuss the consensus recommendations from the scientific societies and suggest potential solutions and strategies to overcome some of these challenges.
Findings:
With the limited resources and significant burden on the healthcare system during the pandemic, changes have evolved in practice to provide care to the highest risk patients while minimizing unnecessary exposure during elective surgical or transcatheter procedures. The COVID-19 crisis has significantly impacted the management of patients with acute coronary syndromes, chronic coronary syndromes, and structural heart disease.
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