COVID-19 and its impact on cardiology service

Main Article Content

Amer Harky
Cheryl Yan Ting Chor
Yuti Khare

Keywords

COVID-19, Cardiology, Service provision, PCI

Abstract

COVID-19 has impacted the primary management of cardiac conditions, decreasing the number of interventions of coronary diseases. Elective coronary treatments and imaging have been largely cancelled across the world to make way for increased resources for COVID-19 patients. The impact on these cardiac patients during these times may be drastic. The number of hospital patients presenting with coronary symptoms during the outbreak has also decreased internationally. In this review, we discuss how COVID-19 has affected primary cardiac intervention globally and our service, possible reasons why, and how morbidity rates can be reduced by introducing scoring systems and telemedicine.  

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References

[1] Zhang S. What It Really Means to Cancel Elective Surgeries. The Atlantic 2020. https://www.theatlantic.com/science/archive/2020/03/patients-whose-surgeries-are-canceled-because-coronavirus/608176/ (accessed April 25, 2020).
[2] Garcia SS, Albaghdadi MM, Meraj PA, Schmidt CJ, Garberich RP, Jaffer FD, et al. Reduction in ST-Segment Elevation Cardiac Catheterization Laboratory Activations in the United States during COVID-19 Pandemic. J Am Coll Cardiol 2020. doi:10.1016/j.jacc.2020.04.011.
[3] Rodríguez-Leor O, Cid-Álvarez B, Ojeda S, Martín-Moreiras J, Rumoroso JR, López-Palop R, et al. Impacto de la pandemia de COVID-19 sobre la actividad asistencial en cardiología intervencionista en España. REC Interv Cardiol. 2020. doi:10.24875/recic.m20000120.
[4] Metzler B, Siostrzonek P, Binder RK, Bauer A, Reinstadler SJ. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J 2020. doi:10.1093/eurheartj/ehaa314.
[5] Zeng J, Huang J, Pan L. How to balance acute myocardial infarction and COVID-19: the protocols from Sichuan Provincial People’s Hospital. Intensive Care Med 2020. doi:10.1007/s00134-020-05993-9.
[6] Tam C-CF, Cheung K-S, Lam S, Wong A, Yung A, Sze M, et al. Impact of Coronavirus Disease 2019 (COVID-19) Outbreak on ST-Segment–Elevation Myocardial Infarction Care in Hong Kong, China. Circ Cardiovasc Qual Outcomes 2020;13. doi:10.1161/circoutcomes.120.006631.
[7] NHS England and NHS Improvement. Letter to chief executives of all NHS trusts and foundation trusts, CCG accountable officers, GP practices and primary care networks, and providers of community health services. 17 Mar 2020. https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/urgent-next-steps-on-nhs-response-to-covid-19-letter-simon-stevens.pdf. (accessed April 25, 2020).
[8] Shafi AMA, Hewage S, Harky A. The impact of COVID‐19 on the provision of cardiac surgical services. J Card Surg 2020. doi:10.1111/jocs.14631.
[9] Madjid M, Miller CC, Zarubaev VV, Marinich IG, Kiselev OI, Lobzin YV, et al. Influenza epidemics and acute respiratory disease activity are associated with a surge in autopsy-confirmed coronary heart disease death: results from 8 years of autopsies in 34 892 subjects. Eur Heart J 2007;28:1205–10. doi:10.1093/eurheartj/ehm035.
[10] Khan IH, Zahra SA, Zaim S, Harky A. At the heart of COVID‐19. J Card Surg 2020. doi:10.1111/jocs.14596.
[11] Haft JW, Atluri P, Ailawadi G, Engelman DT, Grant MC, Hassan A, et al. Adult cardiac surgery during the COVID-19 pandemic: A tiered patient triage guidance statement. J Thorac Cardiovasc Surg 2020. doi:10.1016/j.jtcvs.2020.04.011.
[12] Wood DA, Sathananthan J, Gin K, Mansour S, Ly HQ, Quraishi A-U-R, et al. Precautions and Procedures for Coronary and Structural Cardiac Interventions During the COVID-19 Pandemic: Guidance from Canadian Association of Interventional Cardiology. Can J Cardiol 2020;36:780–3. doi:10.1016/j.cjca.2020.03.027.
[13] Curzen N, Ray S. Cardiology Services During the COVID-19 Pandemic. 2020. https://www.bcis.org.uk/news/cardiology-services-during-the-covid-19-pandemic/ (accessed April 25, 2020).
[14] Mavioglu HL, Unal EU. Cardiovascular surgery in the COVID‐19 pandemic. J Card Surg 2020. doi:10.1111/jocs.14559.
[15] Patel V, Jimenez E, Cornwell L, Tran T, Paniagua D, Denktas AE, et al. Cardiac Surgery during the COVID‐19 Pandemic: Perioperative Considerations and Triage Recommendations. J Am Heart Assoc 2020. doi:10.1161/jaha.120.017042.
[16] Matt P., Maisano F. Cardiac Surgery and the COVID-19 outbreak: what does it mean? PCR Online 2020. https://www.pcronline.com/News/Whats-new-on-PCRonline/2020/Cardiac-Surgery-and-the-COVID-19-outbreak-what-does-it-mean (accessed April 25, 2020).
[17] Romaguera R, Cruz-González I, Ojeda S, Jiménez-Candil J, Calvo D, Seara JG, et al. Consensus document of the Interventional Cardiology and Heart Rhythm Associations of the Spanish Society of Cardiology on the management of invasive cardiac procedure rooms during the COVID-19 coronavirus outbreak. REC Interv Cardiol. (English Edition) 2020. doi:10.24875/recice.m20000116.
[18] Adams JG, Walls RM. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. Jama 2020;323:1439. doi:10.1001/jama.2020.3972.
[19] Stahel PF. How to risk-stratify elective surgery during the COVID-19 pandemic? Patient Saf Surg 2020;14. doi:10.1186/s13037-020-00235-9.
[20] Ren S-Y, Gao R-D, Chen Y-L. Fear can be more harmful than the severe acute respiratory syndrome coronavirus 2 in controlling the corona virus disease 2019 epidemic. World J Clin Cases 2020;8:652–7. doi:10.12998/wjcc.v8.i4.652.
[21] Singh M, Agarwal A, Sinha V, Kumar RM, Jaiswal N, Jindal I, et al. Application of Handheld Tele-ECG for Health Care Delivery in Rural India. Int J Telemed Appl 2014;2014:1–6. doi:10.1155/2014/981806.
[22] Kapoor A, Pandurangi U, Arora V, Gupta A, Jaswal A, Nabar A, et al. Cardiovascular risks of hydroxychloroquine in treatment and prophylaxis of COVID-19 patients: A scientific statement from the Indian Heart Rhythm Society. Indian Pacing Electrophysiol J doi:10.1016/j.ipej.2020.04.003