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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arch+Cardiovasc+Dis
2020 ; 113
(5
): 303-307
Nephropedia Template TP
gab.com Text
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English Wikipedia
One train may hide another: Acute cardiovascular diseases could be neglected
because of the COVID-19 pandemic
#MMPMID32362433
Huet F
; Prieur C
; Schurtz G
; Gerbaud E
; Manzo-Silberman S
; Vanzetto G
; Elbaz M
; Tea V
; Mercier G
; Lattuca B
; Duflos C
; Roubille F
Arch Cardiovasc Dis
2020[May]; 113
(5
): 303-307
PMID32362433
show ga
BACKGROUND: Coronavirus disease 2019 (COVID-19) is likely to have significant
implications for the cardiovascular care of patients. In most countries,
containment has already started (on 17 March 2020 in France), and self-quarantine
and social distancing are reducing viral contamination and saving lives. However,
these considerations may only be the tip of the iceberg; most resources are
dedicated to the struggle against COVID-19, and this unprecedented situation may
compromise the management of patients admitted with cardiovascular conditions.
AIM: We aimed to assess the effect of COVID-19 containment measures on
cardiovascular admissions in France. METHODS: We asked nine major cardiology
centres to give us an overview of admissions to their nine intensive cardiac care
units for acute myocardial infarction or acute heart failure, before and after
containment measures. RESULTS: Before containment (02-16 March 2020), the nine
participating intensive cardiac care units admitted 4.8±1.6 patients per day,
versus 2.6±1.5 after containment (17-22 March 2020) (rank-sum test P=0.0006).
CONCLUSIONS: We confirm here, for the first time, a dramatic drop in the number
of cardiovascular admissions after the establishment of containment. Many
hypotheses might explain this phenomenon, but we feel it is time raise the alarm
about the risk for patients presenting with acute cardiovascular disease, who may
suffer from lack of attention, leading to severe consequences (an increase in the
number of ambulatory myocardial infarctions, mechanical complications of
myocardial infarction leading to an increase in the number of cardiac arrests,
unexplained deaths, heart failure, etc.). Similar consequences can be feared for
all acute situations, beyond the cardiovascular disease setting.