The pandemic of coronavirus disease 2019 (COVID-19) caused by the newly discovered virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had been noticed to have high morbidity and mortality. Apart from pneumonia, COVID-19 can also cause damage to the cardiovascular system, and co-occurring with cardiovascular injury leads to a poorer prognosis. Besides, amid the pandemic of COVID-19, the management of critical cardiovascular events needs to further account for the highly infectious coronavirus, prompt and optimal treatments, clinician’s safety, and healthcare provider’s capacity. This review article aims to provide more comprehensive and appropriate guidance for the management of critical cardiovascular disease, including ST-segment elevation myocardial infarction (STEMI), non-STEMI acute coronary syndrome, cardiogenic shock, acute heart failure, cardiopulmonary resuscitation, and advanced care planning, during the COVID-19 epidemic.
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Management of acute cardiovascular events in patients with COVID-19
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1
Department of Cardiology, Chi Mei Medical Center, 71004, Tainan, Taiwan
2
Department of Public Health, College of Medicine, National Cheng Kung University, 70101, Tainan, Taiwan
3
Department of Electrical Engineer, Southern Taiwan University of Science and Technology, 71005, Tainan, Taiwan
4
Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, 70101, Tainan, Taiwan
5
Department of Biotechnology, Southern Taiwan University of Science and Technology, 71005, Tainan, Taiwan
6
Department of Intensive Care Medicine, Chi Mei Medical Center, 71004, Tainan, Taiwan
7
Department of Medicine, School of Medicine, College of Medicine, Taipei Medical University, 110, Taipei, Taiwan
*Correspondence: kampungths@gmail.com (Han Siong Toh)
Rev. Cardiovasc. Med. 2020, 21(4), 577–581;
https://doi.org/10.31083/j.rcm.2020.04.140
Submitted: 17 July 2020 | Revised: 6 November 2020 | Accepted: 8 November 2020 | Published: 30 December 2020
Copyright: © 2020 Liao et al. Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
COVID-19
critical cardiovascular diseases
resuscitation
advanced care planning