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Temporal trends in cardiovascular care: Insights from the COVID-19 pandemic
Matthew Kodsi1, Aditya Bhat1,2,3
1Department of Cardiology, Blacktown Hospital, Sydney, NSW, Australia.
Insights
The COVID-19 pandemic reduced cardiovascular admissions but worsened outcomes, suggesting underdiagnosis. Cardiovascular services were reallocated, risking future cardiovascular disease burdens.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Public health measures during the COVID-19 pandemic impacted healthcare resource allocation.
- Observed changes in cardiovascular conditions occurred independently of COVID-19 infection.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on cardiovascular disease (CVD) incidence and outcomes.
- To assess the consequences of healthcare resource reallocation on cardiovascular services.
Main Methods:
- Observational analysis of cardiovascular admissions and outcomes during the pandemic.
- Review of changes in cardiovascular service provision and investigation rates.
Main Results:
- Reduced admissions for acute coronary syndrome, heart failure, and arrhythmia.
- Worsened outcomes for patients diagnosed with these cardiovascular conditions.
- Decreased cardiovascular services and investigations due to COVID-19 prioritization.
Conclusions:
- The pandemic may have led to underdiagnosis of cardiovascular diseases.
- Reallocation of resources poses a risk of increased future cardiovascular morbidity.
- Virtual platforms show promise but require adequate resources for vulnerable populations.
Abstract:
In response to the ongoing COVID-19 pandemic, public health care measures have been implemented to limit spread of the contagion and ensure adequate healthcare resource allocation. Correlating with these measures are observed changes in the incidence and outcomes of cardiovascular conditions in the absence of COVID-19 infection. The pandemic has resulted in a reduction in acute coronary syndrome, heart failure and arrhythmia admissions but with worsened outcomes in those diagnosed with these conditions. This is concerning of an underdiagnosis of cardiovascular diseases during the pandemic. Furthermore, cardiovascular services and investigations have decreased to provide healthcare allocation to COVID-19 related services. This threatens an increasing future prevalence of cardiovascular morbidity in healthcare systems that are still adapting to the challenges of a continuing pandemic. Adaption of virtual training and patient care delivery platforms have been shown to be useful, but adequate resources allocation is needed to ensure effectiveness in vulnerable populations.
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