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10.1016/j.jcin.2020.05.045

http://scihub22266oqcxt.onion/10.1016/j.jcin.2020.05.045
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32484159!7263810!32484159
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suck abstract from ncbi

pmid32484159      JACC+Cardiovasc+Interv 2020 ; 13 (16): 1937-1944
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  • Managing Severe Aortic Stenosis in the COVID-19 Era #MMPMID32484159
  • Tanguturi VK; Lindman BR; Pibarot P; Passeri JJ; Kapadia S; Mack MJ; Inglessis I; Langer NB; Sundt TM; Hung J; Elmariah S
  • JACC Cardiovasc Interv 2020[Aug]; 13 (16): 1937-1944 PMID32484159show ga
  • The novel coronavirus disease-2019 (COVID-19) pandemic has created uncertainty in the management of patients with severe aortic stenosis. This population experiences high mortality from delays in treatment of valve disease but is largely overlapping with the population of highest mortality from COVID-19. The authors present strategies for managing patients with severe aortic stenosis in the COVID-19 era. The authors suggest transitions to virtual assessments and consultation, careful pruning and planning of necessary testing, and fewer and shorter hospital admissions. These strategies center on minimizing patient exposure to COVID-19 and expenditure of human and health care resources without significant sacrifice to patient outcomes during this public health emergency. Areas of innovation to improve care during this time include increased use of wearable and remote devices to assess patient performance and vital signs, devices for facile cardiac assessment, and widespread use of clinical protocols for expedient discharge with virtual physical therapy and cardiac rehabilitation options.
  • |*Pandemics[MESH]
  • |Aortic Valve Stenosis/complications/mortality/*surgery[MESH]
  • |Aortic Valve/*surgery[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/epidemiology[MESH]
  • |Global Health[MESH]
  • |Hospital Mortality/trends[MESH]
  • |Humans[MESH]
  • |Pneumonia, Viral/*complications/epidemiology[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]


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