Out of hospital management of LVAD patients during COVID-19 outbreak

Artif Organs. 2020 Aug;44(8):873-876. doi: 10.1111/aor.13744. Epub 2020 Jul 19.

Abstract

Coronavirus disease 2019 (COVID-19) is a pandemic touching thousands of people all around the world. Patients supported with left ventricular assist devices (LVADs) are affected by long-standing cardiovascular diseases and subjected to variations of the normal cardiovascular physiology, thus requiring an even closer monitoring during the COVID-19 outbreak. Nevertheless, the COVID-19 pandemic led to a drastic reduction in routine clinical activities and a consequent risk of looser connections between LVAD patients and their referring center. Potential deleterious effects of such a situation can be a delayed recognition of LVAD-related complications, misdiagnosis of COVID-19, and impaired social and psychological well-being for patients and families. As one of the largest LVAD programs worldwide, we designed a sustainable and enforceable telemonitoring algorithm which can be easily adapted to every LVAD center so as to maintain optimal quality of care for LVAD patients during the COVID-19 pandemic.

Keywords: COVID-19; coronavirus; heart failure; left ventricular assist device; mechanical circulatory support.

Publication types

  • Review

MeSH terms

  • Ambulatory Care / organization & administration
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Female
  • Global Health
  • Heart Failure / epidemiology
  • Heart Failure / therapy*
  • Heart-Assist Devices / statistics & numerical data*
  • Humans
  • Infection Control / organization & administration*
  • Male
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / statistics & numerical data
  • Outcome Assessment, Health Care*
  • Outpatients / statistics & numerical data
  • Pandemics / prevention & control
  • Pandemics / statistics & numerical data*
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Program Evaluation