ABSTRACT
Compared with face-to-face consultations, telemedicine has many advantages, including more efficient use of healthcare resources, partial relief of the burden of care, reduced exposure to COVID-19, treatment adjustment, organization of more efficient healthcare circuits and patient empowerment. Ensuring optimal anticoagulation in atrial fibrillation patients is mandatory if we want to reduce the thromboembolic risk. Of note, telemedicine is an excellent option for the long-term management of atrial fibrillation patients. Moreover, direct oral anticoagulants may provide an added value in telemedicine (versus vitamin K antagonists), as it is not necessary to monitor anticoagulant effect or make continuous dosage adjustments. In this multidisciplinary consensus document, the role of telemedicine in anticoagulation of this population is discussed and practical recommendations are provided.
Subject(s)
Atrial Fibrillation , COVID-19 , Stroke , Telemedicine , Administration, Oral , Anticoagulants , Atrial Fibrillation/complications , Atrial Fibrillation/drug therapy , COVID-19/complications , HumansABSTRACT
La pandemia provocada por el coronavirus del síndrome respiratorio agudo grave de tipo 2 (SARS-CoV-2) ha sido la protagonista del último año. Esta pandemia ha provocado gran mortalidad en todo el planeta. En este artículo revisamos los aspectos más destacados de la enfermedad provocada por el coronavirus de 2019 (COVID-19) para el cardiólogo clínico, como la afectación cardiovascular, la COVID persistente, el tratamiento con fármacos bloqueadores del sistema renina-angiotensina, la trombosis, el tratamiento antitrombótico, las estatinas y su papel antiinflamatorio en la infección y las vacunas para conseguir la inmunidad de la población. Durante este año la telemedicina ha ayudado a atender a los pacientes de manera remota, pero también ha supuesto un cambio en la práctica clínica. El cardiólogo clínico ha presenciado grandes avances científicos en el conocimiento de la COVID-19 y ha tenido que adaptarse a esta nueva situación, modificando su práctica clínica. Por tanto, abordamos el tema COVID y corazón en esta selección de lo mejor de 2021 en cardiología clínica y COVID.
ABSTRACT
Resumen La pandemia provocada por el coronavirus del síndrome respiratorio agudo grave de tipo 2 (SARS-CoV-2) ha sido la protagonista del último año. Esta pandemia ha provocado gran mortalidad en todo el planeta. En este artículo revisamos los aspectos más destacados de la enfermedad provocada por el coronavirus de 2019 (COVID-19) para el cardiólogo clínico, como la afectación cardiovascular, la COVID persistente, el tratamiento con fármacos bloqueadores del sistema renina-angiotensina, la trombosis, el tratamiento antitrombótico, las estatinas y su papel antiinflamatorio en la infección y las vacunas para conseguir la inmunidad de la población. Durante este año la telemedicina ha ayudado a atender a los pacientes de manera remota, pero también ha supuesto un cambio en la práctica clínica. El cardiólogo clínico ha presenciado grandes avances científicos en el conocimiento de la COVID-19 y ha tenido que adaptarse a esta nueva situación, modificando su práctica clínica. Por tanto, abordamos el tema COVID y corazón en esta selección de lo mejor de 2021 en cardiología clínica y COVID. The pandemic caused by the SARS-Cov-2 coronavirus (severe acute respiratory syndrome, coronavirus type 2) has been the protagonist last year. This pandemic has caused great mortality throughout the planet. In this article we review the highlights of coronavirus disease (COVID-19) for the clinical cardiologist, such as cardiovascular disease, long-COVID, treatment with renin-angiotensin system blocking drugs, thrombosis, the antithrombotic therapy, statins and their anti-inflammatory role in infection, and vaccines to achieve the immunity of the population. During this year, telemedicine has helped doctors to remotely attend their patients, but it has also meant a change in clinical practices. clinical cardiologists have seen great scientific advances in the knowledge of COVID-19 and have had to adapt to this new situation, modifying their clinical practice. We address these aspects in this selection of the best topics of 2021 in clinical cardiology and COVID.
Subject(s)
COVID-19 , Cardiologists , Cardiology , Telemedicine , Consensus , Humans , Referral and Consultation , SARS-CoV-2Subject(s)
Aortic Diseases , COVID-19 , Cardiologists , Cardiology , Heart Valve Diseases , Telemedicine , Consensus , Heart Valve Diseases/diagnosis , Humans , Referral and Consultation , SARS-CoV-2ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has changed how we view our consultations. To reduce the risk of spread in the most vulnerable patients (those with heart disease) and health personnel, most face-to-face consultations have been replaced by telemedicine consultations. Although this change has been rapidly introduced, it will most likely become a permanent feature of clinical practice. Nevertheless, there remain serious doubts about organizational and legal issues, as well as the possibilities for improvement etc. In this consensus document of the Spanish Society of Cardiology, we attempt to provide some keys to improve the quality of care in this new way of working, reviewing the most frequent heart diseases attended in the cardiology outpatient clinic and proposing some minimal conditions for this health care process. These heart diseases are ischemic heart disease, heart failure, and arrhythmias. In these 3 scenarios, we attempt to clarify the basic issues that must be checked during the telephone interview, describe the patients who should attend in person, and identify the criteria to refer patients for follow-up in primary care. This document also describes some improvements that can be introduced in telemedicine consultations to improve patient care.
Subject(s)
COVID-19 , Cardiologists , Cardiology , Telemedicine , Consensus , Humans , Referral and Consultation , SARS-CoV-2ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has changed how we view our consultations. To reduce the risk of spread in the most vulnerable patients (those with heart disease) and health personnel, most face-to-face consultations have been replaced by telemedicine consultations. Although this change has been rapidly introduced, it will most likely become a permanent feature of clinical practice. Nevertheless, there remain serious doubts about organizational and legal issues, as well as the possibilities for improvement etc. In this consensus document of the Spanish Society of Cardiology, we attempt to provide some keys to improve the quality of care in this new way of working, reviewing the most frequent heart diseases attended in the cardiology outpatient clinic and proposing some minimal conditions for this health care process. These heart diseases are ischemic heart disease, heart failure, and arrhythmias. In these 3 scenarios, we attempt to clarify the basic issues that must be checked during the telephone interview, describe the patients who should attend in person, and identify the criteria to refer patients for follow-up in primary care. This document also describes some improvements that can be introduced in telemedicine consultations to improve patient care.