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Cardiovascular considerations during the COVID-19 pandemic: A focused review for practice in Japan
Daiki Tomidokoro1, Yukio Hiroi1
1Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan.
Insights
COVID-19 significantly impacts the cardiovascular system in Japan, similar to global findings. However, secondary effects on cardiovascular services in Japan were minimal during the pandemic.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic has profound global health consequences.
- Cardiovascular implications of COVID-19 are increasingly recognized.
- Original research from Japan regarding COVID-19's cardiovascular impact is limited.
Purpose of the Study:
- To review and validate overseas findings on COVID-19's cardiovascular implications within the Japanese clinical context.
- To clarify the specific impacts of the pandemic on cardiovascular health in Japan.
- To assess the secondary effects of COVID-19 on cardiovascular practice in Japan.
Main Methods:
- Systematic review of available literature.
- Analysis of studies focusing on Japanese patients and clinical settings.
- Evaluation of cardiovascular complications associated with COVID-19.
- Assessment of changes in cardiovascular service delivery and practice.
Main Results:
- A significant association between COVID-19 and cardiovascular complications was confirmed in Japanese patients.
- Cardiovascular manifestations in Japanese COVID-19 patients align with international observations.
- Secondary impacts on Japanese cardiovascular practice, such as service disruptions and telemedicine adoption, were relatively minor.
Conclusions:
- COVID-19 poses a direct threat to the cardiovascular system in Japan, necessitating awareness and tailored care.
- International findings regarding COVID-19's cardiovascular effects are largely applicable to the Japanese healthcare setting.
- The Japanese cardiovascular practice demonstrated resilience to secondary disruptions caused by the pandemic.
Abstract:
The COVID-19 pandemic is continuing to have drastic consequences for patients, healthcare workers, and the health system. Its cardiovascular implications have been well described in previous studies, but original reports from Japan are sparse. Validating overseas findings in the Japanese clinical settings is crucial to improve local COVID-19 care and to clarify the pandemic's impacts in the country. This review of available literature demonstrates that in Japanese patients and clinical settings too, there is a close relationship between COVID-19 and the cardiovascular system including cardiovascular complications. On the contrary, secondary effects on cardiovascular practice including service disruptions, telemedicine, and epidemiological changes in Japan have been relatively small.
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