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Insights into heart failure hospitalizations, management, and services during and beyond COVID-19.
Charman, Sarah J; Velicki, Lazar; Okwose, Nduka C; Harwood, Amy; McGregor, Gordon; Ristic, Arsen; Banerjee, Prithwish; Seferovic, Petar M; MacGowan, Guy A; Jakovljevic, Djordje G.
  • Charman SJ; Cardiovascular Research Division, Translational and Biosciences Research Institutes, Newcastle University, Newcastle upon Tyne, UK.
  • Velicki L; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
  • Okwose NC; Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
  • Harwood A; Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia.
  • McGregor G; Cardiovascular Research Division, Translational and Biosciences Research Institutes, Newcastle University, Newcastle upon Tyne, UK.
  • Ristic A; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
  • Banerjee P; Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
  • Seferovic PM; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
  • MacGowan GA; Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
  • Jakovljevic DG; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
ESC Heart Fail ; 8(1): 175-182, 2021 02.
Article in English | MEDLINE | ID: covidwho-959153
Semantic information from SemMedBD (by NLM)
1. 2019 novel coronavirus CAUSES COVID-19
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
COVID-19
2. Virus CAUSES Complication
Subject
Virus
Predicate
CAUSES
Object
Complication
3. Heart failure PROCESS_OF Patients
Subject
Heart failure
Predicate
PROCESS_OF
Object
Patients
4. new onset PROCESS_OF Patients
Subject
new onset
Predicate
PROCESS_OF
Object
Patients
5. 2019 novel coronavirus CAUSES COVID-19
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
COVID-19
6. Virus CAUSES Complication
Subject
Virus
Predicate
CAUSES
Object
Complication
7. Heart failure PROCESS_OF Patients
Subject
Heart failure
Predicate
PROCESS_OF
Object
Patients
8. new onset PROCESS_OF Patients
Subject
new onset
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2. The clinical presentation of this virus mainly manifests in the respiratory system but may also lead to severe complications in the cardiovascular system. The global burden of COVID-19 has led to an unprecedented need to gain further insight into patient outcomes, management, and clinical practice. This review aims to provide an overview of the current literature on heart failure (HF) hospitalizations, management, and care pathways for supporting patients during and beyond this pandemic. A literature review of five areas of interest was conducted and included (i) HF hospitalization; (ii) recognizing the needs and supporting HF patients during COVID-19; (iii) supporting rehabilitation services; (iv) transitioning to a telehealth framework; and (v) the need for evidence. Patients with new-onset or existing HF are particularly vulnerable, but a significant reduction in HF hospital admissions has been reported. During these periods of uncertainty, the current care pathways for acute and elective cardiac patients have had to change with the relocation of HF services to protect the vulnerable and reduce transmission of COVID-19. Optimizing community HF services has the potential to reduce the pressures on secondary care during the recovery from this pandemic. Telemedicine and virtual health care are emerging technologies and overcome the risk of in-person exposure. Successful remote delivery of cardiac rehabilitation services has been reported during the pandemic. Delivery of a robust telehealth framework for HF patients will improve communication between clinician and patient. The reduction in HF admissions is a concern for the future and may result in unintended mortality. New-onset and current HF patients must understand their diagnosis and future prognosis and seek help and support using the appropriate platform when needed. Realigning HF services and the use of telemedicine and virtual health care has great potential but needs to be carefully understood to ensure engagement and approval in this population to overcome barriers and challenges.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Heart Failure / Hospitalization Type of study: Clinical Practice Guide / Reviews Limits: Humans Language: English Journal: ESC Heart Fail Year: 2021 Document Type: Article Affiliation country: Ehf2.13061

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Heart Failure / Hospitalization Type of study: Clinical Practice Guide / Reviews Limits: Humans Language: English Journal: ESC Heart Fail Year: 2021 Document Type: Article Affiliation country: Ehf2.13061