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J Am Coll Cardiol. Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the Coronavirus Disease 2019 (COVID-19) Pandemic

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  • J Am Coll Cardiol. Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the Coronavirus Disease 2019 (COVID-19) Pandemic


    J Am Coll Cardiol. 2020 Mar 18. pii: S0735-1097(20)34637-4. doi: 10.1016/j.jacc.2020.03.031. [Epub ahead of print]
    Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the Coronavirus Disease 2019 (COVID-19) Pandemic.


    Driggin E1, Madhavan MV2, Bikdeli B3, Chuich T1, Laracy J1, Bondi-Zoccai G4, Brown TS5, Nigoghossian C1, Zidar DA6, Haythe J1, Brodie D1, Beckman JA7, Kirtane AJ2, Stone GW8, Krumholz HM9, Parikh SA10.

    Author information




    Abstract

    The coronavirus disease-2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 that has significant implications for the cardiovascular care of patients. First, those with COVID-19 and preexisting cardiovascular disease (CVD) have an increased risk of severe disease and death. Second, infection has been associated with multiple direct and indirect cardiovascular complications including acute myocardial injury, myocarditis, arrhythmias and venous thromboembolism. Third, therapies under investigation for COVID-19 may have cardiovascular side effects. Fourth, the response to COVID-19 can compromise the rapid triage of non-COVID-19 patients with cardiovascular conditions. Finally, the provision of cardiovascular care may place health care workers in a position of vulnerability as they become host or vectors of virus transmission. We hereby review the peer-reviewed and preprint literature pertaining to cardiovascular considerations related to COVID-19 and highlight gaps in knowledge that require further study pertinent to patients, health care workers, and health systems.
    Copyright 2020. Published by Elsevier Inc.



    KEYWORDS:

    cardiovascular therapy; coronavirus; health system


    PMID:32201335DOI:10.1016/j.jacc.2020.03.031

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