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Title: | Cardiovascular disease and COVID-19: Australian and New Zealand consensus statement. | Authors: | Chow C.K.;Wong S.;Lund M.;Chew D.P.;Kritharides L.;Bhindi R.;Zaman S. ;MacIsaac A.I.;Jennings G.L.R.;Schlaich M.P.;Inglis S.C.;Arnold R. ;Kumar S.;Thomas L.;Wahi S.;Lo S.;Naismith C.;Duffy S.J.;Nicholls S.J.;Newcomb A.;Almeida A.A. | Monash Health Department(s): | Cardiology (MonashHeart) | Institution: | (Zaman, Nicholls) MonashHeart, Monash Health, Melbourne, VIC, Australia (Zaman, Nicholls) Monash Cardiovascular Research Centre, Monash University, Melbourne, VIC, Australia (MacIsaac) St Vincent's Hospital, Melbourne, VIC, Australia (Jennings, Thomas) University of Sydney, Sydney, NSW, Australia (Jennings, Schlaich) Baker Heart and Diabetes Institute, Melbourne, VIC, Australia (Schlaich) Dobney Hypertension Centre, University of Western Australia, Perth, WA, Australia (Inglis) University of Technology, Sydney, NSW, Australia (Arnold) Orange Health Service, Orange, NSW, Australia (Kumar, Thomas, Chow) Westmead Hospital, Sydney, NSW, Australia (Kumar, Chow) Westmead Applied Research Centre, University of Sydney, Sydney, NSW, Australia (Wahi) Princess Alexandra Hospital, Brisbane, QLD, Australia (Lo) Liverpool Hospital, Sydney, NSW, Australia (Naismith) Austin Hospital, Melbourne, VIC, Australia (Duffy) Alfred Hospital, Melbourne, VIC, Australia (Duffy) Centre of Cardiovascular Research and Education in Therapeutics, Monash University, Melbourne, VIC, Australia (Newcomb) St Vincent's Clinical School, Melbourne, VIC, Australia (Almeida) Cardiac Sciences Clinical Institute, Epworth Richmond Hospital, Melbourne, VIC, Australia (Almeida) Monash Health, Melbourne, VIC, Australia (Wong, Lund) Middlemore Hospital, Auckland, New Zealand (Chew) Flinders University, Adelaide, SA, Australia (Kritharides) Concord Hospital, Sydney, NSW, Australia (Kritharides) ANZAC Research Institute, Sydney, NSW, Australia (Bhindi) Royal North Shore Hospital, Sydney, NSW, Australia | Issue Date: | 28-Aug-2020 | Copyright year: | 2020 | Publisher: | John Wiley and Sons Inc. (P.O.Box 18667, Newark NJ 07191-8667, United States) | Place of publication: | Australia | Publication information: | Medical Journal of Australia. 213 (4) (pp 182-187), 2020. Date of Publication: 01 Aug 2020. | Journal: | Medical Journal of Australia | Abstract: | Introduction: The coronavirus 2019 disease (COVID-19) pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Pre-existing cardiovascular disease (CVD) increases the morbidity and mortality of COVID-19, and COVID-19 itself causes serious cardiac sequelae. Strategies to minimise the risk of viral transmission to health care workers and uninfected cardiac patients while prioritising high quality cardiac care are urgently needed. We conducted a rapid literature appraisal and review of key documents identified by the Cardiac Society of Australia and New Zealand Board and Council members, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, and key cardiology, surgical and public health opinion leaders. Main recommendations: Common acute cardiac manifestations of COVID-19 include left ventricular dysfunction, heart failure, arrhythmias and acute coronary syndromes. The presence of underlying CVD confers a five- to tenfold higher case fatality rate with COVID-19 disease. Special precautions are needed to avoid viral transmission to this population at risk. Adaptive health care delivery models and resource allocation are required throughout the health care system to address this need. Changes in management as a result of this statement: Cardiovascular health services and cardiovascular health care providers need to recognise the increased risk of COVID-19 among CVD patients, upskill in the management of COVID-19 cardiac manifestations, and reorganise and innovate in service delivery models to meet demands. This consensus statement, endorsed by the Cardiac Society of Australia and New Zealand, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, the National Heart Foundation of Australia and the High Blood Pressure Research Council of Australia summarises important issues and proposes practical approaches to cardiovascular health care delivery to patients with and without SARS-CoV-2 infection.Copyright © 2020 AMPCo Pty Ltd | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.5694/mja2.50714 | PubMed URL: | 32734645 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32734645] | ISSN: | 0025-729X | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/29181 | Type: | Article | Subjects: | exercise test health care personnel health service heart electrophysiology heart infarction heart injury heart pacing human New Zealand nonhuman pandemic community care coronary angiography *coronavirus disease 2019/dt [Drug Therapy] *coronavirus disease 2019/ep [Epidemiology] troponin/ec [Endogenous Compound] article Australia cardiac imaging *cardiovascular disease/di [Diagnosis] *cardiovascular disease/dt [Drug Therapy] *cardiovascular disease/su [Surgery] *cardiovascular disease/th [Therapy] *consensus primary medical care resuscitation Severe acute respiratory syndrome coronavirus 2 telehealth thorax surgery transesophageal echocardiography transthoracic echocardiography angiotensin receptor antagonist/dt [Drug Therapy] azithromycin/dt [Drug Therapy] chloroquine/dt [Drug Therapy] dipeptidyl carboxypeptidase inhibitor/dt [Drug Therapy] hydroxychloroquine/dt [Drug Therapy] lopinavir plus ritonavir/dt [Drug Therapy] exercise test health care personnel health service heart electrophysiology heart infarction heart injury heart pacing New Zealand pandemic community care coronary angiography coronavirus disease 2019 troponin Australia cardiac imaging cardiovascular disease [Surgery] cardiovascular disease primary medical care resuscitation Severe acute respiratory syndrome coronavirus 2 telehealth thorax surgery transesophageal echocardiography transthoracic echocardiography angiotensin receptor antagonist azithromycin chloroquine dipeptidyl carboxypeptidase inhibitor hydroxychloroquine lopinavir plus ritonavir Severe acute respiratory syndrome coronavirus 2 Article Australia cardiac imaging *cardiovascular disease / *diagnosis / *drug therapy / *surgery / *therapy community care *consensus coronary angiography *coronavirus disease 2019 / *drug therapy / *epidemiology exercise test health care personnel health service heart electrophysiology heart infarction heart injury heart pacing human New Zealand nonhuman pandemic primary medical care resuscitation telehealth thorax surgery transesophageal echocardiography transthoracic echocardiography |
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