Shiloh
Editor, Senior Moderator
Source: https://news.hangzhou.com.cn/gnxw/content/2020-02/15/content_7677010.htm
Huo Yong: Key Points for Prevention and Treatment of Cardiovascular Diseases in the Background of New Crown Pneumonia
2020-02-15 23:10:12; Hangzhou Network
Guangming News. Since the occurrence of the new type of coronavirus pneumonia in December 2019, after joint efforts across the country, the number of confirmed cases of new coronary pneumonia has declined, but prevention and control should not be slackened. At the same time, a series of problems caused by the epidemic have also affected the treatment and management of patients with cardiovascular disease to a certain extent. To this end, the reporter interviewed Professor Huo Yong, Department of Cardiology, Peking University First Hospital, and comprehensively analyzed the key points of prevention and treatment of cardiovascular disease in special periods.
Treatment process of acute myocardial infarction under special circumstances
Professor Huo Yong said that for the treatment of acute myocardial infarction, our country has established a comprehensive chest pain center treatment system. In order to adapt to the new epidemic prevention situation, led by Academician Ge Junbo, the Cardiovascular Physicians Branch of the Chinese Medical Association specifically released the "Coronary Virus (2019-nCoV) Diagnosis and Treatment Process and Pathway for Acute Myocardial Infarction in the Situation of Prevention and Control of New Coronary Virus (2019-nCoV). Version)". The general principle is to take into account both the epidemic situation of new coronary pneumonia and the treatment of fatal cardiovascular diseases, such as acute myocardial infarction. Second, the principle of strengthening protection is emphasized. Especially in the case of patients with acute myocardial infarction who need emergency PCI or more intensive medical contact, they must be upgraded to Level 3 medical protection. Third, it is emphasized that if such patients are hemodynamically stable, thrombolysis is more likely. The principle of priority; fourth, emphasis on the principle of immediate treatment, and do not promote long-distance transfer; fifth, emphasize the use of modern means of telemedicine to achieve remote consultation. These five principles have played an important role in guiding and regulating the current treatment process of chest pain centers.
Professor Huo Yong believes that from the current data, patients who die from neocoronary pneumonia often have basic diseases such as cardiovascular and cerebrovascular diseases. If the prevention and treatment of cardiovascular disease are done while preventing new coronary pneumonia, the mortality rate may be effectively reduced. Only in this way can we be truly sure to win the battle against the new crown pneumonia epidemic without smoke.
Long prescription + telemedicine to help patients with chronic cardiovascular disease
On February 2, 2020, the National Medical Insurance Bureau issued the "Notice on Optimizing Medical Insurance Management Services to Promote the Prevention and Control of Pneumonia Epidemic of New Coronavirus Infection", expressing support for medical institutions to rationally increase the amount of single prescription medications based on the actual situation of patients. , Reduce the number of patients visiting the medical institutions to dispense medicine; for patients with chronic diseases such as hypertension, after evaluation of the doctors in the diagnosis and treatment hospitals, support to reduce the prescription medication to 3 months. Professor Huo Yong pointed out that for cardiovascular diseases such as coronary heart disease, two major classes of drugs are particularly emphasized. One is antiplatelet drugs to prevent thrombosis. It is mainly aimed at patients with acute coronary syndrome within one year of onset, or interventional therapy for coronary heart disease. Patients within one year; another important category is statins. These two types of drugs must be used for a long period of time, and can not be reduced or even discontinued by themselves due to epidemic situation or inconvenience. In addition, whether a long prescription is issued requires the doctor to make a judgment based on the patient's condition. If the condition is stable, the drug prescription period can be appropriately extended.
With the development of Internet medical treatment, online consultation and drug purchase are also feasible options. In the formal channels with Internet hospital licenses and prescription drug e-commerce qualifications, patients can not only go online without going home to have an online consultation with a specialist, but also directly complete the renewal of chronic medicines online and bring the medicines to Patient hands. Professor Huo Yong urged that many patients may not be familiar with Internet medical platforms due to their older age, and family members such as children should take the initiative to care and help patients complete the operation. The Chinese Medical Doctors Association, the China Cardiovascular Health Alliance, and the Guangming Health Channel have jointly launched a telemedicine platform for the diagnosis and prevention of cardiovascular diseases of public interest, which has achieved very satisfactory results. Professor Huo Yong hopes that more cardiovascular specialists can join in, and the people of the whole country will unite and work together to overcome the new crown pneumonia.
(original title
Source: Guangming Wang Author: Zhu beautiful Editor: Tube Peng Wei Editor: Fong Chi Wah
Huo Yong: Key Points for Prevention and Treatment of Cardiovascular Diseases in the Background of New Crown Pneumonia
2020-02-15 23:10:12; Hangzhou Network
Guangming News. Since the occurrence of the new type of coronavirus pneumonia in December 2019, after joint efforts across the country, the number of confirmed cases of new coronary pneumonia has declined, but prevention and control should not be slackened. At the same time, a series of problems caused by the epidemic have also affected the treatment and management of patients with cardiovascular disease to a certain extent. To this end, the reporter interviewed Professor Huo Yong, Department of Cardiology, Peking University First Hospital, and comprehensively analyzed the key points of prevention and treatment of cardiovascular disease in special periods.
Treatment process of acute myocardial infarction under special circumstances
Professor Huo Yong said that for the treatment of acute myocardial infarction, our country has established a comprehensive chest pain center treatment system. In order to adapt to the new epidemic prevention situation, led by Academician Ge Junbo, the Cardiovascular Physicians Branch of the Chinese Medical Association specifically released the "Coronary Virus (2019-nCoV) Diagnosis and Treatment Process and Pathway for Acute Myocardial Infarction in the Situation of Prevention and Control of New Coronary Virus (2019-nCoV). Version)". The general principle is to take into account both the epidemic situation of new coronary pneumonia and the treatment of fatal cardiovascular diseases, such as acute myocardial infarction. Second, the principle of strengthening protection is emphasized. Especially in the case of patients with acute myocardial infarction who need emergency PCI or more intensive medical contact, they must be upgraded to Level 3 medical protection. Third, it is emphasized that if such patients are hemodynamically stable, thrombolysis is more likely. The principle of priority; fourth, emphasis on the principle of immediate treatment, and do not promote long-distance transfer; fifth, emphasize the use of modern means of telemedicine to achieve remote consultation. These five principles have played an important role in guiding and regulating the current treatment process of chest pain centers.
Professor Huo Yong believes that from the current data, patients who die from neocoronary pneumonia often have basic diseases such as cardiovascular and cerebrovascular diseases. If the prevention and treatment of cardiovascular disease are done while preventing new coronary pneumonia, the mortality rate may be effectively reduced. Only in this way can we be truly sure to win the battle against the new crown pneumonia epidemic without smoke.
Long prescription + telemedicine to help patients with chronic cardiovascular disease
On February 2, 2020, the National Medical Insurance Bureau issued the "Notice on Optimizing Medical Insurance Management Services to Promote the Prevention and Control of Pneumonia Epidemic of New Coronavirus Infection", expressing support for medical institutions to rationally increase the amount of single prescription medications based on the actual situation of patients. , Reduce the number of patients visiting the medical institutions to dispense medicine; for patients with chronic diseases such as hypertension, after evaluation of the doctors in the diagnosis and treatment hospitals, support to reduce the prescription medication to 3 months. Professor Huo Yong pointed out that for cardiovascular diseases such as coronary heart disease, two major classes of drugs are particularly emphasized. One is antiplatelet drugs to prevent thrombosis. It is mainly aimed at patients with acute coronary syndrome within one year of onset, or interventional therapy for coronary heart disease. Patients within one year; another important category is statins. These two types of drugs must be used for a long period of time, and can not be reduced or even discontinued by themselves due to epidemic situation or inconvenience. In addition, whether a long prescription is issued requires the doctor to make a judgment based on the patient's condition. If the condition is stable, the drug prescription period can be appropriately extended.
With the development of Internet medical treatment, online consultation and drug purchase are also feasible options. In the formal channels with Internet hospital licenses and prescription drug e-commerce qualifications, patients can not only go online without going home to have an online consultation with a specialist, but also directly complete the renewal of chronic medicines online and bring the medicines to Patient hands. Professor Huo Yong urged that many patients may not be familiar with Internet medical platforms due to their older age, and family members such as children should take the initiative to care and help patients complete the operation. The Chinese Medical Doctors Association, the China Cardiovascular Health Alliance, and the Guangming Health Channel have jointly launched a telemedicine platform for the diagnosis and prevention of cardiovascular diseases of public interest, which has achieved very satisfactory results. Professor Huo Yong hopes that more cardiovascular specialists can join in, and the people of the whole country will unite and work together to overcome the new crown pneumonia.
(original title
Source: Guangming Wang Author: Zhu beautiful Editor: Tube Peng Wei Editor: Fong Chi Wah