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1.
JACC Clin Electrophysiol ; 6(8): 1053-1066, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-597505

RESUMEN

Coronavirus disease 2019 (COVID-19) has presented substantial challenges to patient care and impacted health care delivery, including cardiac electrophysiology practice throughout the globe. Based upon the undetermined course and regional variability of the pandemic, there is uncertainty as to how and when to resume and deliver electrophysiology services for arrhythmia patients. This joint document from representatives of the Heart Rhythm Society, American Heart Association, and American College of Cardiology seeks to provide guidance for clinicians and institutions reestablishing safe electrophysiological care. To achieve this aim, we address regional and local COVID-19 disease status, the role of viral screening and serologic testing, return-to-work considerations for exposed or infected health care workers, risk stratification and management strategies based on COVID-19 disease burden, institutional preparedness for resumption of elective procedures, patient preparation and communication, prioritization of procedures, and development of outpatient and periprocedural care pathways.


Asunto(s)
Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/terapia , Cardiología , Infecciones por Coronavirus/epidemiología , Atención a la Salud , Técnicas Electrofisiológicas Cardíacas , Neumonía Viral/epidemiología , Atención Ambulatoria , American Heart Association , Betacoronavirus , COVID-19 , Prueba de COVID-19 , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/prevención & control , Toma de Decisiones Conjunta , Personal de Salud , Humanos , Tamizaje Masivo , Política Organizacional , Pandemias/prevención & control , Selección de Paciente , Equipo de Protección Personal/provisión & distribución , Neumonía Viral/diagnóstico , Neumonía Viral/prevención & control , Reinserción al Trabajo , Medición de Riesgo , SARS-CoV-2 , Telemedicina , Estados Unidos/epidemiología
2.
Circulation ; 141(21): e823-e831, 2020 05 26.
Artículo en Inglés | MEDLINE | ID: covidwho-827449

RESUMEN

Coronavirus disease 2019 (COVID-19) is a global pandemic that is wreaking havoc on the health and economy of much of human civilization. Electrophysiologists have been impacted personally and professionally by this global catastrophe. In this joint article from representatives of the Heart Rhythm Society, the American College of Cardiology, and the American Heart Association, we identify the potential risks of exposure to patients, allied healthcare staff, industry representatives, and hospital administrators. We also describe the impact of COVID-19 on cardiac arrhythmias and methods of triage based on acuity and patient comorbidities. We provide guidance for managing invasive and noninvasive electrophysiology procedures, clinic visits, and cardiac device interrogations. In addition, we discuss resource conservation and the role of telemedicine in remote patient care along with management strategies for affected patients.


Asunto(s)
Arritmias Cardíacas/etiología , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Electrocardiografía , Pandemias , Neumonía Viral/epidemiología , Guías de Práctica Clínica como Asunto , American Heart Association , Arritmias Cardíacas/terapia , COVID-19 , Cardiología , Reanimación Cardiopulmonar , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/fisiopatología , Humanos , Neumonía Viral/complicaciones , Neumonía Viral/diagnóstico , Neumonía Viral/fisiopatología , SARS-CoV-2 , Sociedades Médicas , Telemedicina , Triaje , Estados Unidos
3.
Heart Rhythm ; 17(9): e233-e241, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: covidwho-656387

RESUMEN

Coronavirus disease 2019 (COVID-19) is a global pandemic that is wreaking havoc on the health and economy of much of human civilization. Electrophysiologists have been impacted personally and professionally by this global catastrophe. In this joint article from representatives of the Heart Rhythm Society, the American College of Cardiology, and the American Heart Association, we identify the potential risks of exposure to patients, allied healthcare staff, industry representatives, and hospital administrators. We also describe the impact of COVID-19 on cardiac arrhythmias and methods of triage based on acuity and patient comorbidities. We provide guidance for managing invasive and noninvasive electrophysiology procedures, clinic visits, and cardiac device interrogations. In addition, we discuss resource conservation and the role of telemedicine in remote patient care along with management strategies for affected patients.


Asunto(s)
Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/terapia , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Electrocardiografía , Técnicas Electrofisiológicas Cardíacas , Pandemias/prevención & control , Neumonía Viral/prevención & control , Arritmias Cardíacas/etiología , COVID-19 , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Humanos , Control de Infecciones/organización & administración , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , SARS-CoV-2 , Telemedicina/organización & administración , Triaje/organización & administración
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