Austin Health

Title
Cardiovascular disease and COVID-19: Australian and New Zealand consensus statement.
Publication Date
2020-07-31
Author(s)
Zaman, Sarah
MacIsaac, Andrew I
Jennings, Garry Lr
Schlaich, Markus P
Inglis, Sally C
Arnold, Ruth
Kumar, Saurabh
Thomas, Liza
Wahi, Sudhir
Lo, Sidney
Naismith, Carolyn
Duffy, Stephen J
Nicholls, Stephen J
Newcomb, Andrew
Almeida, Aubrey A
Wong, Selwyn
Lund, Mayanna
Chew, Derek P
Kritharides, Leonard
Chow, Clara K
Bhindi, Ravinay
Subject
COVID-19
Delivery of healthcare
Heart failure
Infection control
Infectious diseases
Myocardial infarction
Respiratory tract infections
Type of document
Journal Article
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DOI
10.5694/mja2.50714
Abstract
The coronavirus 2019 disease (COVID-19) pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Pre-existing cardiovascular disease (CVD) increases the morbidity and mortality of COVID-19, and COVID-19 itself causes serious cardiac sequelae. Strategies to minimise the risk of viral transmission to health care workers and uninfected cardiac patients while prioritising high quality cardiac care are urgently needed. We conducted a rapid literature appraisal and review of key documents identified by the Cardiac Society of Australia and New Zealand Board and Council members, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, and key cardiology, surgical and public health opinion leaders. Common acute cardiac manifestations of COVID-19 include left ventricular dysfunction, heart failure, arrhythmias and acute coronary syndromes. The presence of underlying CVD confers a five- to tenfold higher case fatality rate with COVID-19 disease. Special precautions are needed to avoid viral transmission to this population at risk. Adaptive health care delivery models and resource allocation are required throughout the health care system to address this need. Cardiovascular health services and cardiovascular health care providers need to recognise the increased risk of COVID-19 among CVD patients, upskill in the management of COVID-19 cardiac manifestations, and reorganise and innovate in service delivery models to meet demands. This consensus statement, endorsed by the Cardiac Society of Australia and New Zealand, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, the National Heart Foundation of Australia and the High Blood Pressure Research Council of Australia summarises important issues and proposes practical approaches to cardiovascular health care delivery to patients with and without SARS-CoV-2 infection.
Link
Citation
Medical Journal of Australia 2020; online first: 31 July
Jornal Title
Medical Journal of Australia

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