Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner.
Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner.
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DOI：
10.1016/j.cjca.2022.11.014
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发表时间：
2023-06
影响因子：
6.2
通讯作者：
Wijeysundera, Harindra C.
中科院分区：
文献类型：
--
作者：
McAlister, Finlay A.;Parikh, Harsh;Lee, Douglas S.;Wijeysundera, Harindra C.
COVID-19 大流行期间，发病率和死亡率显着过高，并非所有这些都直接归因于 SARS-CoV-2 感染，许多非 COVID-19 死亡是心血管疾病。这一流行病的间接影响是深远的，导致心血管疾病和心血管危险因素的负担大幅增加，无论是在 SARS-CoV-2 感染后幸存的个体还是从未感染过的人。在本报告中，我们回顾了 SARS-CoV-2 感染对 COVID-19 幸存者心血管和心脏代谢疾病负担的直接影响，以及 COVID-19 大流行对从未感染 SARS-CoV-2 的人心血管健康的间接影响。我们还研究了大流行对医疗保健系统的影响，特别是在 COVID-19 大流行期间因医疗保健延迟或放弃而造成（或加剧）的医疗赤字。我们审查以下后果：(1) 推迟/推迟对紧急情况的急性护理； (2) 转向虚拟提供门诊护理； (3) 药物和设备短缺，以及获得以下服务的机会减少：(4) 诊断测试、(5) 心脏康复和 (6) 家庭护理服务。随着我们进入大流行的下一阶段，我们讨论了 COVID-19 大流行对心血管健康和心血管从业者的更广泛影响。
There has been substantial excess morbidity and mortality during the COVID-19 pandemic, not all of which was directly attributable to SARS-CoV-2 infection, and many non-COVID-19 deaths were cardiovascular. The indirect effects of the pandemic have been profound, resulting in a substantial increase in the burden of cardiovascular disease and cardiovascular risk factors, both in individuals who survived SARS-CoV-2 infection and in people never infected. In this report, we review the direct effect of SARS-CoV-2 infection on cardiovascular and cardiometabolic disease burden in COVID-19 survivors as well as the indirect effects of the COVID-19 pandemic on the cardiovascular health of people who were never infected with SARS-CoV-2. We also examine the pandemic effects on health care systems and particularly the care deficits caused (or exacerbated) by health care delayed or foregone during the COVID-19 pandemic. We review the consequences of: (1) deferred/delayed acute care for urgent conditions; (2) the shift to virtual provision of outpatient care; (3) shortages of drugs and devices, and reduced access to: (4) diagnostic testing, (5) cardiac rehabilitation, and (6) homecare services. We discuss the broader implications of the COVID-19 pandemic for cardiovascular health and cardiovascular practitioners as we move forward into the next phase of the pandemic.
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DOI：
10.1016/s1470-2045(21)00396-x
发表时间：
2021-08
期刊：
The Lancet. Oncology
影响因子：
--
作者：
Das M
通讯作者：
Das M
DOI：
10.1136/bmj.n1135
发表时间：
2021-05-24
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Bodilsen J;Nielsen PB;Søgaard M;Dalager-Pedersen M;Speiser LOZ;Yndigegn T;Nielsen H;Larsen TB;Skjøth F
通讯作者：
Skjøth F
影响因子：
3.7
作者：
Clement J;Jacobi M;Greenwood BN
通讯作者：
Greenwood BN
影响因子：
3.4
作者：
Copur S;Berkkan M;Basile C;Tuttle K;Kanbay M
通讯作者：
Kanbay M
影响因子：
24
作者：
Behrouzi B;Araujo Campoverde MV;Liang K;Talbot HK;Bogoch II;McGeer A;Fröbert O;Loeb M;Vardeny O;Solomon SD;Udell JA
通讯作者：
Udell JA