Wilhelminen Hosp, Dept Med Cardiol & Intens Care Med 3, Vienna, Austria.;Sigmund Freud Univ, Med Sch, Vienna, Austria.,Wilhelminen Hosp, Dept Med Cardiol & Intens Care Med 3, Vienna, Austria; Sigmund Freud Univ, Sch Med, Vienna, Austria
James, Stefan, 1964- (författare)
Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
Neumann, Franz-Josef (författare)
Univ Heart Ctr Freiburg, Div Cardiol & Angiol 2, Bad Krozingen, Germany.,Univ Heart Ctr Freiburg, Div Cardiol & Angiol 2, Bad Krozingen, Germany
Mollmann, Helge (författare)
St Johannes Hosp, Dept Cardiol, Klin Innere Med 1, Dortmund, Germany.
Roffi, Marco (författare)
Univ Hosp, Div Cardiol, Geneva, Switzerland.,Univ Hosp, Div Cardiol, Geneva, Switzerland
Tavazzi, Guido (författare)
Fdn Policlin San Matteo Hosp IRCCS, Dept Clin Surg Diagnost & Pediat Sci, Unit Anaesthesia & Intens Care, Pavia, Italy.,San Matteo Hosp, Fdn Policlin, Dept Clin Surg Diagnost & Pediat Sci, Unit Anaesthesia & Intens Care, IRCCS, Pavia, Italy
Queen Mary Univ London, Ctr Cardiovasc Med & Devices, Barts Heart Ctr, William Harvey Res Inst, London, England.;Yale Univ, Sch Med, New Haven, CT USA.,Queen Mary Univ London, William Harvey Res Inst, Ctr Cardiovasc Med & Devices, Charterhouse Sq, London EC1M 6BQ, England; Yale Univ, Sch Med, New Haven, CT USA
The coronavirus disease 2019 (COVID-19) pandemic poses an unprecedented challenge to healthcare worldwide. The infection can be life threatening and require intensive care treatment. The transmission of the disease poses a risk to both patients and healthcare workers. The number of patients requiring hospital admission and intensive care may overwhelm health systems and negatively affect standard care for patients presenting with conditions needing emergency interventions. This position statements aims to assist cardiologists in the invasive management of acute coronary syndrome (ACS) patients in the context of the COVID-19 pandemic. To that end, we assembled a panel of interventional cardiologists and acute cardiac care specialists appointed by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and from the Acute Cardiovascular Care Association (ACVC) and included the experience from the first and worst affected areas in Europe. Modified diagnostic and treatment algorithms are proposed to adapt evidence-based protocols for this unprecedented challenge. Various clinical scenarios, as well as management algorithms for patients with a diagnosed or suspected COVID-19 infection, presenting with ST- and non-ST-segment elevation ACS are described. In addition, we address the need for re-organization of ACS networks, with redistribution of hub and spoke hospitals, as well as for in-hospital reorganization of emergency rooms and cardiac units, with examples coming from multiple European countries. Furthermore, we provide a guidance to reorganization of catheterization laboratories and, importantly, measures for protection of healthcare providers involved with invasive procedures.
Ämnesord
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)