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Published on: September 26, 2018
Cardiovascular Health Care Implications of the COVID-19 pandemic
Zahra Raisi-Estabragh1, Mamas A Mamas2
1William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University, London EC1M 6BQ, United Kingdom; Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, United Kingdom.
Insights
The COVID-19 pandemic disrupted cardiovascular care, leading to increased deaths and highlighting health inequalities. This review examines these impacts and long-term consequences for cardiovascular health.
Area of Science:
- Cardiology
- Public Health
- Health Services Research
Background:
- The COVID-19 pandemic significantly strained global healthcare systems.
- Disruptions impacted various aspects of cardiovascular care delivery.
- Existing health inequalities were exacerbated by the pandemic.
Purpose of the Study:
- To review the multifaceted implications of the COVID-19 pandemic on cardiovascular health care.
- To analyze excess cardiovascular mortality and changes in acute and elective care.
- To explore long-term public health consequences and health disparities in cardiovascular care.
Main Methods:
- This study employed a narrative review methodology.
- It synthesized existing literature and data on the pandemic's effects on cardiovascular services.
- The review considered impacts across primary and secondary care settings.
Main Results:
- The pandemic led to excess cardiovascular mortality and significant disruptions in cardiovascular care.
- Both acute and elective cardiovascular services experienced substantial challenges.
- The review identified and discussed key factors contributing to health care inequalities.
Conclusions:
- The COVID-19 pandemic has profound and lasting effects on cardiovascular health care systems.
- Addressing health inequalities is crucial for mitigating future cardiovascular health crises.
- Strategic planning is needed to ensure resilient cardiovascular care delivery.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has challenged the capacity of health care systems around the world, including substantial disruptions to cardiovascular care across key areas of health care delivery. In this narrative review, we examine the implications of the COVID-19 pandemic for cardiovascular health care, including excess cardiovascular mortality, acute and elective cardiovascular care, and disease prevention. Additionally, we consider the long-term public health consequences of disruptions to cardiovascular care across both primary and secondary care settings. Finally, we review health care inequalities and their driving factors, as highlighted by the pandemic, and consider their importance in the context of cardiovascular health care.
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