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About:
Guidelines for balancing priorities in structural heart disease during the COVID-19 pandemic
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Guidelines for balancing priorities in structural heart disease during the COVID-19 pandemic
Creator
Waksman, Ron
Bch, B
Case, Brian
Chezar-Azerrad, Chava
Forrestal, Brian
Khalid, Nauman
Khan, Jaffar
Musallam, Anees
Rogers, Toby
Shlofmitz, Evan
Yerasi, Charan
Chava Chezar-Azerrad, ;
source
Elsevier; Medline; PMC
abstract
During the novel coronavirus disease 2019 (COVID-19) pandemic, many hospitals have been asked to postpone elective and surgical cases. This begs the question, “What is elective in structural heart disease intervention?” The recently proposed Society for Cardiovascular Angiography and Interventions/American College of Cardiology consensus statement is, unfortunately, non-specific and insufficient in its scope and scale of response to the COVID-19 pandemic. We propose guidelines that are practical, multidisciplinary, implementable, and urgent. We believe that this will provide a helpful framework for our colleagues to manage their practice during the surge and peak phases of the pandemic. General principles that apply across structural heart disease interventions include tracking and reporting cardiovascular outcomes, “healthcare distancing,” preserving vital resources and personnel, shared decision-making between the heart team and hospital administration on resource-intensive cases, and considering delaying research cases. Specific guidance for transcatheter aortic valve replacement and MitraClip procedures varies according to pandemic phase. During the surge phase, treatment should broadly be limited to those at increased risk of complications in the near term. During the peak phase, treatment should be limited to inpatients for whom it may facilitate discharge. Keeping our patients and ourselves safe is paramount, as well as justly rationing resources.
has issue date
2020-05-30
(
xsd:dateTime
)
bibo:doi
10.1016/j.carrev.2020.05.040
bibo:pmid
32736981
has license
no-cc
sha1sum (hex)
ec6b6d4db29297f4082f17f019d40ab8b4b1a80a
schema:url
https://doi.org/10.1016/j.carrev.2020.05.040
resource representing a document's title
Guidelines for balancing priorities in structural heart disease during the COVID-19 pandemic
has PubMed Central identifier
PMC7261108
has PubMed identifier
32736981
schema:publication
Cardiovasc Revasc Med
resource representing a document's body
covid:ec6b6d4db29297f4082f17f019d40ab8b4b1a80a#body_text
is
schema:about
of
named entity 'COVID-19'
named entity 'Balancing'
named entity 'Structural Heart Disease'
named entity 'COVID-19 Pandemic'
named entity 'TAVR'
named entity 'aortic stenosis'
named entity 'TAVR'
named entity 'severe acute respiratory syndrome coronavirus 2'
named entity 'Ontario'
named entity 'heart disease'
named entity 'heart failure'
named entity 'MitraClip'
named entity 'asymptomatic patients'
named entity 'aortic stenosis'
named entity 'ventilator'
named entity 'prognosis'
named entity 'MitraClip'
named entity 'MitraClip'
named entity 'heart failure'
named entity 'heart failure'
named entity 'Cardiovascular'
named entity 'transesophageal echocardiography'
named entity 'echocardiographic'
named entity 'transcatheter aortic valve replacement'
named entity 'TAVR'
named entity 'NYHA'
named entity 'mmHg'
named entity 'systolic pressure'
named entity 'coronavirus disease 2019'
named entity 'NYHA class'
named entity 'TAVR'
named entity 'aortic stenosis'
named entity 'aortic stenosis'
named entity 'mitral valve repair'
named entity 'asymptomatic patients'
named entity 'aortic stenosis'
named entity 'MitraClip'
named entity 'syncope'
named entity 'aortic stenosis'
named entity 'intensive care unit'
named entity 'heart failure'
named entity 'American College of Cardiology'
named entity 'TAVR'
named entity 'TAVR'
named entity 'chronic kidney disease'
named entity 'mortality rate'
named entity 'heart failure'
named entity 'TAVR'
named entity 'elective surgeries'
named entity 'aortic stenosis'
named entity 'New York Heart Association'
named entity 'aortic stenosis'
named entity 'surgical aortic valve replacement'
named entity 'COVID'
named entity 'United States'
named entity 'aortic stenosis'
named entity 'resource allocation'
named entity 'pulmonary artery'
named entity 'ACC'
named entity 'TAVR'
named entity 'ICU'
named entity 'CMS'
named entity 'Angiography'
named entity 'patient outcomes'
named entity 'SARS-CoV-2'
named entity 'heart failure'
named entity 'aortic stenosis'
named entity 'mortality rate'
named entity 'virus'
named entity 'mitral valve repair'
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