Continuity of cardiovascular care

Given the dramatic impact on patient outcomes, cardiologists and all other healthcare practitioners should advocate for continuous invasive and non-invasive cardiac treatment during the pandemic. This can be achieved by adapting healthcare facilities to the new ‘normality’, building dedicated cardiac pathways, and ensuring patient and healthcare provider protection against COVID transmission.

Work group and methodology

Leveraging their respective network and experience, Dr Ribichini et al. concentrated their efforts on identifying and stratifying examples of best-practice solutions implemented by physicians and hospitals around the world. They focused on those who sought to sustain an acceptable standard of treatment for cardiac patients – both acute and chronic – despite the COVID pandemic’s constraints.

The aim was to extract and clarify general principles from these examples, which included patient and personnel safety, hospital organisations, and outpatient care, and to stratify solutions based on needs, resources, and pandemic stages.

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Complete presentation of WE CARE @EUROPCR2021

Video summary by Flavio Ribichini @EUROPCR2021

US (ACC-SCAI) – Triage considerations for patients referred for SHD interventions during the COVID-19 pandemic

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US (ACC-SCAI-ACEP) – Management of AMI during the COVID-19 pandemic

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Managing severe aortic stenosis in COVID-19 era

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Management of ACS during the MERS-CoV outbreak

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ITALY – ISIC position statement for cath-lab preparedness recommendations in case of suspected, probable or confirmed cases of COVID-19

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EU (ESC) nursing – Facilitating transcather aortic valve implantation in the era of COVID-19 – recommendations for programmes

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EU (EAPCI) – Position statement on invasive management of ACS during the COVID-19 pandemic

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CHINA – CSC expert consensus on principles of clinical management of patients with severe emergent CVD during the COVID-19 pandemic

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CANADA – Precautions & procedures for coronary and structural cardiac interventions during the COVID-19 pandemic

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AUSTRALIA/NEW ZEALAND – Consensus guidelines for international cardiology services delivery during COVID-19 pandemic

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ASIA – Transcatheter aortic valve implantation during the COVID-19 pandemic – clinical expert opinion and consensus statement

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Airway management in the OR and interventional suites in known or suspected COVID-19 adult patients – a practical review

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Regional, national, international regulations and clinical guidelines

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Advocating for continuity of cardiac care during pandemics – Dr Flavio Ribichini

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Continuity care chronic cardiac patient infographics

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