Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers.

COVID-19 acute coronary syndrome angioplasty safety thrombolysis

Journal

Interventional cardiology (London, England)
ISSN: 1756-1485
Titre abrégé: Interv Cardiol
Pays: England
ID NLM: 101559687

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 18 06 2020
accepted: 22 09 2020
entrez: 15 12 2020
pubmed: 16 12 2020
medline: 16 12 2020
Statut: epublish

Résumé

Coronavirus disease 2019 (COVID-19) is forcing cardiology departments to rapidly adapt existing clinical guidelines to a new reality and this is especially the case for acute coronary syndrome pathways. In this focused review, the authors discuss how COVID-19 is affecting acute cardiology care and propose pragmatic guideline modifications for the diagnosis and management of acute coronary syndrome patients, particularly around the appropriateness of invasive strategies as well as length of hospital stay. The authors also discuss the use of personal protective equipment for healthcare workers in cardiology. Based on shared global experiences and growing peer-reviewed literature, it is possible to put in place modified acute coronary syndrome treatment pathways to offer safe pragmatic decisions to patients and staff.

Identifiants

pubmed: 33318752
doi: 10.15420/icr.2020.21
pmc: PMC7726851
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e16

Subventions

Organisme : British Heart Foundation
ID : FS/17/16/32560
Pays : United Kingdom

Informations de copyright

Copyright © 2020, Radcliffe Cardiology.

Déclaration de conflit d'intérêts

Disclosure: HS has received research funding from Amgen. SS has received speaking fees from AstraZeneca, Pfizer and Philips Volcano, and an educational grant from Medtronic. SN has received speaking fees from Philips Volcano. RAL has received speaking fees from Philips Volcano. RP has acted as a consultant for Philips. All other authors have no conflicts of interest to declare.

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Auteurs

Henry Seligman (H)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Sayan Sen (S)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Sukhjinder Nijjer (S)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Rasha Al-Lamee (R)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Piers Clifford (P)

Imperial College Healthcare NHS Trust London, UK.

Amarjit Sethi (A)

Imperial College Healthcare NHS Trust London, UK.

Nearchos Hadjiloizou (N)

Imperial College Healthcare NHS Trust London, UK.

Raffi Kaprielian (R)

Imperial College Healthcare NHS Trust London, UK.

Punit Ramrakha (P)

Imperial College Healthcare NHS Trust London, UK.

Michael Bellamy (M)

Imperial College Healthcare NHS Trust London, UK.

Masood A Khan (MA)

Imperial College Healthcare NHS Trust London, UK.

Jaspal Kooner (J)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Rodney A Foale (RA)

Imperial College Healthcare NHS Trust London, UK.

Ghada Mikhail (G)

Imperial College Healthcare NHS Trust London, UK.

Christopher S Baker (CS)

Imperial College Healthcare NHS Trust London, UK.

Jamil Mayet (J)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Iqbal Malik (I)

Imperial College Healthcare NHS Trust London, UK.

Ramzi Khamis (R)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Darrel Francis (D)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Ricardo Petraco (R)

Imperial College Healthcare NHS Trust London, UK.
National Heart and Lung Institute Imperial College London, UK.

Classifications MeSH