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Cardiovascular Disease Prevention and Implications of Coronavirus Disease 2019: An Evolving Case Study in the Crescent City.
Razavi, Alexander C; Kelly, Tanika N; He, Jiang; Fernandez, Camilo; Whelton, Paul K; Krousel-Wood, Marie; Bazzano, Lydia A.
  • Razavi AC; Department of Epidemiology Tulane University School of Public Health and Tropical Medicine New Orleans LA.
  • Kelly TN; Department of Medicine Tulane University School of Medicine New Orleans LA.
  • He J; Department of Epidemiology Tulane University School of Public Health and Tropical Medicine New Orleans LA.
  • Fernandez C; Department of Epidemiology Tulane University School of Public Health and Tropical Medicine New Orleans LA.
  • Whelton PK; Department of Medicine Tulane University School of Medicine New Orleans LA.
  • Krousel-Wood M; Department of Epidemiology Tulane University School of Public Health and Tropical Medicine New Orleans LA.
  • Bazzano LA; Department of Medicine Tulane University School of Medicine New Orleans LA.
J Am Heart Assoc ; 9(13): e016997, 2020 07 07.
Article in English | MEDLINE | ID: covidwho-683343
ABSTRACT
Medicine and public health have traditionally separated the prevention and treatment of communicable and noncommunicable diseases. The coronavirus disease 2019 (COVID-19) pandemic has challenged this paradigm, particularly in the setting of cardiovascular disease (CVD). Overall, individuals with underlying CVD who acquire severe acute respiratory syndrome coronavirus 2 experience up to a 10-fold higher case-fatality rate compared with the general population. Although the impact of the pandemic on cardiovascular health continues to evolve, few have defined this association from a frontline, public health perspective of populations disproportionately affected by CVD and COVID-19. Louisiana is ranked within the bottom 5 states for cardiovascular health, and it is home to several parishes that have experienced among the highest COVID-19 case-fatality rates nationally. Herein, we review CVD prevention and implications of COVID-19 in New Orleans, LA, a city holding a sobering yet resilient history with previous public health disasters. In particular, we discuss potential pandemic-driven changes in access to health care, preventive pharmacotherapy, and lifestyle behaviors, all of which may adversely affect CVD prevention and management, while amplifying racial disparities. Through this process, we highlight proposed recommendations for how CVD prevention efforts can be improved in the midst of the current COVID-19 pandemic and future public health crises.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cardiovascular Diseases / Public Health / Coronavirus Infections / Delivery of Health Care / Pandemics / Betacoronavirus / Life Style Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: J Am Heart Assoc Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cardiovascular Diseases / Public Health / Coronavirus Infections / Delivery of Health Care / Pandemics / Betacoronavirus / Life Style Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: J Am Heart Assoc Year: 2020 Document Type: Article