Management of acute cardiovascular events in patients with COVID-19

Chia-Te Liao; Wei-Ting Chang; Wen-Liang Yu; Han Siong Toh

doi:10.31083/j.rcm.2020.04.140

Management of acute cardiovascular events in patients with COVID-19

Rev Cardiovasc Med. 2020 Dec 30;21(4):577-581. doi: 10.31083/j.rcm.2020.04.140.

Authors

Chia-Te Liao^{1

2

3}, Wei-Ting Chang^{1

4

5}, Wen-Liang Yu^{6

7}, Han Siong Toh^{4

6}

Affiliations

¹ Department of Cardiology, Chi Mei Medical Center, 71004, Tainan, Taiwan.
² Department of Public Health, College of Medicine, National Cheng Kung University, 70101, Tainan, Taiwan.
³ Department of Electrical Engineer, Southern Taiwan University of Science and Technology, 71005, Tainan, Taiwan.
⁴ Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, 70101, Tainan, Taiwan.
⁵ Department of Biotechnology, Southern Taiwan University of Science and Technology, 71005, Tainan, Taiwan.
⁶ Department of Intensive Care Medicine, Chi Mei Medical Center, 71004, Tainan, Taiwan.
⁷ Department of Medicine, School of Medicine, College of Medicine, Taipei Medical University, 110, Taipei, Taiwan.

PMID: 33388002
DOI: 10.31083/j.rcm.2020.04.140

Abstract

The pandemic of coronavirus disease 2019 (COVID-19) caused by the newly discovered virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had been noticed to have high morbidity and mortality. Apart from pneumonia, COVID-19 can also cause damage to the cardiovascular system, and co-occurring with cardiovascular injury leads to a poorer prognosis. Besides, amid the pandemic of COVID-19, the management of critical cardiovascular events needs to further account for the highly infectious coronavirus, prompt and optimal treatments, clinician's safety, and healthcare provider's capacity. This review article aims to provide more comprehensive and appropriate guidance for the management of critical cardiovascular disease, including ST-segment elevation myocardial infarction (STEMI), non-STEMI acute coronary syndrome, cardiogenic shock, acute heart failure, cardiopulmonary resuscitation, and advanced care planning, during the COVID-19 epidemic.

Keywords: COVID-19; advanced care planning; critical cardiovascular diseases; resuscitation.

Publication types

Review

MeSH terms

Acute Disease
COVID-19 / epidemiology*
Cardiovascular Diseases / epidemiology
Cardiovascular Diseases / therapy*
Disease Management*
Humans
Pandemics*
SARS-CoV-2*