Management of Cardiovascular Disease Patients With Confirmed or Suspected COVID-19 in Limited Resource Settings.

Prabhakaran, Dorairaj; Perel, PabloORCID logo; Roy, Ambuj; Singh, Kavita; Raspail, Lana; Faria-Neto, José Rocha; Gidding, Samuel S; Ojji, Dike; Hakim, Ferdous; Newby, L Kristin; +13 more...Stępińska, Janina; Lam, Carolyn SP; Jobe, ModouORCID logo; Kraus, Sarah; Chuquiure-Valenzuela, Eduardo; Piñeiro, Daniel; Khaw, Kay-Tee; Bahiru, Ehete; Banerjee, Amitava; Narula, Jagat; Pinto, Fausto J; Wood, David A; and Sliwa, Karen (2020) Management of Cardiovascular Disease Patients With Confirmed or Suspected COVID-19 in Limited Resource Settings. GLOBAL HEART, 15 (1). 44-. ISSN 2211-8160 DOI: 10.5334/gh.823
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In this paper, we provide recommendations on the management of cardiovascular disease (CVD) among patients with confirmed or suspected coronavirus disease (COVID-19) to facilitate the decision making of healthcare professionals in low resource settings. The emergence of novel coronavirus disease, also known as Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2), has presented an unprecedented global challenge for the healthcare community. The ability of SARS-CoV-2 to get transmitted during the asymptomatic phase and its high infectivity have led to the rapid transmission of COVID-19 beyond geographic regions, leading to a pandemic. There is concern that COVID-19 is cardiotropic, and it interacts with the cardiovascular system on multiple levels. Individuals with established CVD are more susceptible to severe COVID-19. Through a consensus approach involving an international group this WHF statement summarizes the links between cardiovascular disease and COVID-19 and present some practical recommendations for the management of hypertension and diabetes, acute coronary syndrome, heart failure, rheumatic heart disease, Chagas disease, and myocardial injury for patients with COVID-19 in low-resource settings. This document is not a clinical guideline and it is not intended to replace national clinical guidelines or recommendations. Given the rapidly growing burden posed by COVID-19 illness and the associated severe prognostic implication of CVD involvement, further research is required to understand the potential mechanisms linking COVID-19 and CVD, clinical presentation, and outcomes of various cardiovascular manifestations in COVID-19 patients.


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