Management of Structural Heart Disease and Acute Coronary Syndromes in the COVID-19 Pandemic

Current Atherosclerosis Reports
Arturo GiordanoAntonio L Bartorelli

Abstract

Transcatheter interventions for structural heart disease (SHD) now represent an effective alternative to surgery in selected patients. A clear premise is that delay in or neglect of treating patients in need of SHD intervention is associated with unavoidable morbidity and mortality because many of them have life-threatening conditions. However, the recent outbreak of coronavirus-associated disease-2019 (COVID-19) is placing an unprecedented strain on patients, physicians and world healthcare systems that resulted in deferral of elective and semi-elective procedures, such as SHD, and delay in the treatment of patients with acute coronary syndrome (ACS). We hereby present the case for a focused resumption of transcatheter SHD interventions in selected centers, in order to preserve patient safety and avoid that death rate will extend far beyond that directly associated with COVID-19. A similar approach should be applied to the invasive management of ACS. Indeed, a proactive and vigilant stance on managing SHD and ACS is crucial, especially in the context of the COVID-19 pandemic, when the risk of overlooking severely sick patients or postponing life-saving treatments is high. If such corrective measures are not put into effect, we...Continue Reading

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Apr 20, 2020·Journal of the American College of Cardiology·Jason N KatzSean van Diepen

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Citations

Mar 4, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Antonino Salvatore RubinoUNKNOWN Italian Society for Cardiac Surgery Task Force on COVID-19 Pandemic
Apr 27, 2021·International Journal of Cardiology·Martino PepeArturo Giordano
Aug 14, 2021·Current Problems in Cardiology·Koyenum ObiTamunoinemi Bob-Manuel

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