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Management of Acute Myocardial Infarction During the COVID-19 Pandemic: A Position Statement From the Society for Cardiovascular Angiography and Interventions (SCAI), the American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP).
Mahmud, Ehtisham; Dauerman, Harold L; Welt, Frederick G P; Messenger, John C; Rao, Sunil V; Grines, Cindy; Mattu, Amal; Kirtane, Ajay J; Jauhar, Rajiv; Meraj, Perwaiz; Rokos, Ivan C; Rumsfeld, John S; Henry, Timothy D.
  • Mahmud E; Sulpizio Cardiovascular Center, University of California-San Diego, La Jolla, California. Electronic address: emahmud@health.ucsd.edu.
  • Dauerman HL; University of Vermont, Burlington, Vermont.
  • Welt FGP; University of Utah Medical Center, Salt Lake City, Utah.
  • Messenger JC; University of Colorado School of Medicine, Aurora, Colorado.
  • Rao SV; Duke University Hospital, Durham, North Carolina.
  • Grines C; Northside Cardiovascular Institute, Atlanta, Georgia.
  • Mattu A; University of Maryland School of Medicine, Baltimore, Maryland.
  • Kirtane AJ; Columbia University Medical Center, Center for Interventional Vascular Therapy, New York, New York.
  • Jauhar R; Northwell Health, Manhasset, New York.
  • Meraj P; Hofstra North Shore-LIJ School of Medicine, Manhasset, New York.
  • Rokos IC; UCLA-Olive View, Los Angeles, California.
  • Rumsfeld JS; University of Colorado Medical School, Denver, Colorado.
  • Henry TD; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio.
J Am Coll Cardiol ; 76(11): 1375-1384, 2020 09 15.
Artículo en Inglés | MEDLINE | ID: covidwho-764912
ABSTRACT
The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 has resulted in a new and lethal disease termed coronavirus disease-2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with this novel coronavirus. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating an ST-elevation myocardial infarction (STEMI) presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury, and the prevalence of COVID-19 disease in the U.S. population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Terapia Trombolítica / Control de Infecciones / Servicio de Cardiología en Hospital / Infecciones por Coronavirus / Servicio de Urgencia en Hospital / Pandemias / Intervención Coronaria Percutánea / Infarto del Miocardio Tipo de estudio: Estudios diagnósticos / Estudio experimental / Estudio observacional / Estudio pronóstico / Revisión sistemática/Meta análisis Límite: Humanos País/Región como asunto: America del Norte Idioma: Inglés Revista: J Am Coll Cardiol Año: 2020 Tipo del documento: Artículo

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Terapia Trombolítica / Control de Infecciones / Servicio de Cardiología en Hospital / Infecciones por Coronavirus / Servicio de Urgencia en Hospital / Pandemias / Intervención Coronaria Percutánea / Infarto del Miocardio Tipo de estudio: Estudios diagnósticos / Estudio experimental / Estudio observacional / Estudio pronóstico / Revisión sistemática/Meta análisis Límite: Humanos País/Región como asunto: America del Norte Idioma: Inglés Revista: J Am Coll Cardiol Año: 2020 Tipo del documento: Artículo