Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers

Coronavirus disease 2019 (COVID-19) is forcing cardiology departments to rapidly adapt existing clinical guidelines to a new reality and this is especially the case for acute coronary syndrome pathways. In this focused review, the authors discuss how COVID-19 is affecting acute cardiology care and p...

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Main Authors: Henry Seligman, Sayan Sen, Sukhjinder Nijjer, Rasha Al-Lamee, Piers Clifford, Amarjit Sethi, Nearchos Hadjiloizou, Raffi Kaprielian, Punit Ramrakha, Michael Bellamy, Masood A Khan, Jaspal Kooner, Rodney A Foale, Ghada Mikhail, Christopher S Baker, Jamil Mayet, Iqbal Malik, Ramzi Khamis, Darrel Francis, Ricardo Petraco
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-11-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articles/management-of-acute-coronary-syndromes
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author Henry Seligman
Sayan Sen
Sukhjinder Nijjer
Rasha Al-Lamee
Piers Clifford
Amarjit Sethi
Nearchos Hadjiloizou
Raffi Kaprielian
Punit Ramrakha
Michael Bellamy
Masood A Khan
Jaspal Kooner
Rodney A Foale
Ghada Mikhail
Christopher S Baker
Jamil Mayet
Iqbal Malik
Ramzi Khamis
Darrel Francis
Ricardo Petraco
author_facet Henry Seligman
Sayan Sen
Sukhjinder Nijjer
Rasha Al-Lamee
Piers Clifford
Amarjit Sethi
Nearchos Hadjiloizou
Raffi Kaprielian
Punit Ramrakha
Michael Bellamy
Masood A Khan
Jaspal Kooner
Rodney A Foale
Ghada Mikhail
Christopher S Baker
Jamil Mayet
Iqbal Malik
Ramzi Khamis
Darrel Francis
Ricardo Petraco
author_sort Henry Seligman
collection DOAJ
description Coronavirus disease 2019 (COVID-19) is forcing cardiology departments to rapidly adapt existing clinical guidelines to a new reality and this is especially the case for acute coronary syndrome pathways. In this focused review, the authors discuss how COVID-19 is affecting acute cardiology care and propose pragmatic guideline modifications for the diagnosis and management of acute coronary syndrome patients, particularly around the appropriateness of invasive strategies as well as length of hospital stay. The authors also discuss the use of personal protective equipment for healthcare workers in cardiology. Based on shared global experiences and growing peer-reviewed literature, it is possible to put in place modified acute coronary syndrome treatment pathways to offer safe pragmatic decisions to patients and staff.
format Article
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institution Kabale University
issn 1756-1477
1756-1485
language English
publishDate 2020-11-01
publisher Radcliffe Medical Media
record_format Article
series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-e88a95b5792149a2b86944265f9974d72024-12-14T16:02:28ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852020-11-011510.15420/icr.2020.21Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare WorkersHenry Seligman0Sayan Sen1Sukhjinder Nijjer2Rasha Al-Lamee3Piers Clifford4Amarjit Sethi5Nearchos Hadjiloizou6Raffi Kaprielian7Punit Ramrakha8Michael Bellamy9Masood A Khan10Jaspal Kooner11Rodney A Foale12Ghada Mikhail13Christopher S Baker14Jamil Mayet15Iqbal Malik16Ramzi Khamis17Darrel Francis18Ricardo Petraco19Imperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; 2. National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKImperial College Healthcare NHS Trust, London, UK; National Heart and Lung Institute, Imperial College London, UKCoronavirus disease 2019 (COVID-19) is forcing cardiology departments to rapidly adapt existing clinical guidelines to a new reality and this is especially the case for acute coronary syndrome pathways. In this focused review, the authors discuss how COVID-19 is affecting acute cardiology care and propose pragmatic guideline modifications for the diagnosis and management of acute coronary syndrome patients, particularly around the appropriateness of invasive strategies as well as length of hospital stay. The authors also discuss the use of personal protective equipment for healthcare workers in cardiology. Based on shared global experiences and growing peer-reviewed literature, it is possible to put in place modified acute coronary syndrome treatment pathways to offer safe pragmatic decisions to patients and staff.https://www.icrjournal.com/articles/management-of-acute-coronary-syndromes
spellingShingle Henry Seligman
Sayan Sen
Sukhjinder Nijjer
Rasha Al-Lamee
Piers Clifford
Amarjit Sethi
Nearchos Hadjiloizou
Raffi Kaprielian
Punit Ramrakha
Michael Bellamy
Masood A Khan
Jaspal Kooner
Rodney A Foale
Ghada Mikhail
Christopher S Baker
Jamil Mayet
Iqbal Malik
Ramzi Khamis
Darrel Francis
Ricardo Petraco
Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
Interventional Cardiology: Reviews, Research, Resources
title Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
title_full Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
title_fullStr Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
title_full_unstemmed Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
title_short Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers
title_sort management of acute coronary syndromes during the coronavirus disease 2019 pandemic deviations from guidelines and pragmatic considerations for patients and healthcare workers
url https://www.icrjournal.com/articles/management-of-acute-coronary-syndromes
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