About: Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement #

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About: Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement # Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement #
Creator	Sydney, Wang, William Arnold, Ruth Bannon, Paul Brown, Alex Carroll, Gerard Coffey, Sean Devlin, Gerard Elder, Alex Faddy, Steven Inglis, Sally Juergens, Craig Lowe, Harry Macdonald, Peter Mariani, Justin Mcguire, Mark Tideman, Philip Vincent's Hospital Sydney, St
Source	Elsevier; Medline; PMC
abstract	Abstract The Challenges Rural and remote Australians and New Zealanders have a higher rate of adverse outcomes due to acute myocardial infarction (AMI), driven by many factors. The prevalence of cardiovascular disease (CVD) is also higher in regional and remote populations, and people with known CVD have increased morbidity and mortality from coronavirus disease 2019 (COVID-19). In addition, COVID-19 is associated with serious cardiac manifestations, potentially placing additional demand on limited regional services at a time of diminished visiting metropolitan support with restricted travel. Inter-hospital transfer is currently challenging as receiving centres enact pandemic protocols, creating potential delays, and cardiovascular resources are diverted to increasing intensive care unit (ICU) and emergency department (ED) capacity. Regional and rural centres have limited staff resources, placing cardiac services at risk in the event of staff infection or quarantine during the pandemic. Main recommendations Health districts, cardiologists and government agencies need to minimise impacts on the already vulnerable cardiovascular health of regional and remote Australians and New Zealanders throughout the COVID-19 pandemic. Changes in management should include: • Improved access to telehealth consultation for regional and rural outpatients. Specialist-led 24/7 ECG reading and acute cardiology services, uniformly covering all rural inpatients, to minimise potential impacts on acute care. • Transfer models incorporating discussion between clinicians and ambulance, balancing urgency with considerations of ambulance capacity in rural locations. • Protection of the role of specialist cardiovascular nurses, avoiding COVID-19 redeployment to maintain rural cardiac service capacity. • An urgent shift to regional models for pacing services, utilising remote monitoring supported by local device implantation and local technicians..
has issue date	2020-05-07(xsd:dateTime)
bibo:doi	10.1016/j.hlc.2020.05.001
bibo:pmid	32487432
has license	els-covid
sha1sum (hex)	16ba4fb2e66504e4d5cbb29ef8f2607525a77b09
schema:url	https://doi.org/10.1016/j.hlc.2020.05.001
resource representing a document's title	Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement #
has PubMed Central identifier	PMC7203036
has PubMed identifier	32487432
schema:publication	Heart Lung Circ
resource representing a document's body	covid:16ba4fb2e66504e4d5cbb29ef8f2607525a77b09#body_text
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