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Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner

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 i...

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Autores principales: McAlister, Finlay A., Parikh, Harsh, Lee, Douglas S., Wijeysundera, Harindra C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Cardiovascular Society. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9721374/
https://www.ncbi.nlm.nih.gov/pubmed/36481398
http://dx.doi.org/10.1016/j.cjca.2022.11.014
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author McAlister, Finlay A.
Parikh, Harsh
Lee, Douglas S.
Wijeysundera, Harindra C.
author_facet McAlister, Finlay A.
Parikh, Harsh
Lee, Douglas S.
Wijeysundera, Harindra C.
author_sort McAlister, Finlay A.
collection PubMed
description 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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spelling pubmed-97213742022-12-06 Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner McAlister, Finlay A. Parikh, Harsh Lee, Douglas S. Wijeysundera, Harindra C. Can J Cardiol Review 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. Canadian Cardiovascular Society. Published by Elsevier Inc. 2023-06 2022-12-05 /pmc/articles/PMC9721374/ /pubmed/36481398 http://dx.doi.org/10.1016/j.cjca.2022.11.014 Text en © 2022 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Review
McAlister, Finlay A.
Parikh, Harsh
Lee, Douglas S.
Wijeysundera, Harindra C.
Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title_full Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title_fullStr Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title_full_unstemmed Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title_short Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner
title_sort health care implications of the covid-19 pandemic for the cardiovascular practitioner
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9721374/
https://www.ncbi.nlm.nih.gov/pubmed/36481398
http://dx.doi.org/10.1016/j.cjca.2022.11.014
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