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Title: Optimising Secondary Prevention and Cardiac Rehabilitation for Atherosclerotic Cardiovascular Disease During the COVID-19 Pandemic: A Position Statement From the Cardiac Society of Australia and New Zealand (CSANZ)
Austin Authors: Nicholls, Stephen J;Nelson, Mark;Astley, Carolyn;Briffa, Tom;Brown, Alex;Clark, Robyn;Colquhoun, David;Gallagher, Robyn;Hare, David L ;Inglis, Sally;Jelinek, Michael;O'Neil, Adrienne;Tirimacco, Rosy;Vale, Margarite;Redfern, Julie
Affiliation: Monash University, Melbourne, Vic, Australia
University of Tasmania, Hobart, Tas, Australia
St. Vincent's Hospital, Melbourne, Vic, Australia
University of Melbourne, Melbourne, Vic, Australia
Flinders University, Adelaide, SA, Australia
University of Western Australia, Perth, WA, Australia
South Australian Health and Medical Research Institute and University of Adelaide, Adelaide, SA, Australia
Flinders University, Adelaide, SA, Australia
University of Queensland, Brisbane, Qld, Australia
University of Sydney, Sydney, NSW, Australia
University of Melbourne, Melbourne, Vic, Australia
University of Technology Sydney, Sydney, NSW, Australia
Deakin University, Melbourne, Vic, Australia
Country Health SA Local Health Network, Adelaide, SA, Australia
The COACH Program, Melbourne, Vic, Australia
University of Sydney, Sydney, NSW, Australia
Austin Health
Issue Date: Jul-2020
Date: 2020-07
Publication information: Heart, Lung & Circulation 2020; 29(7): e99-e104
Abstract: Background: The coronavirus disease 2019 (COVID-19) pandemic has introduced a major disruption to the delivery of routine health care across the world. This provides challenges for the use of secondary prevention measures in patients with established atherosclerotic cardiovascular disease (CVD). The aim of this Position Statement is to review the implications for effective delivery of secondary prevention strategies during the COVID-19 pandemic. Challenges: The COVID-19 pandemic has introduced limitations for many patients to access standard health services such as visits to health care professionals, medications, imaging and blood tests as well as attendance at cardiac rehabilitation. In addition, the pandemic is having an impact on lifestyle habits and mental health. Taken together, this has the potential to adversely impact the ability of practitioners and patients to adhere to treatment guidelines for the prevention of recurrent cardiovascular events. Recommendations: Every effort should be made to deliver safe, ongoing access to health care professionals and the use of evidenced based therapies in individuals with CVD. An increase in use of a range of electronic health platforms has the potential to transform secondary prevention. Integrating research programs that evaluate the utility of these approaches may provide important insights into how to develop more optimal approaches to secondary prevention beyond the pandemic.
Journal: Heart, Lung & Circulation
PubMed URL: 32473781
Type: Journal Article
Subjects: Atherosclerosis
Cardiac rehabilitation
Cardiovascular disease
Secondary prevention
Appears in Collections:Journal articles

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