Management of heart failure patients with COVID-19: a joint position paper of the Chinese Heart Failure Association & National Heart Failure Committee and the Heart Failure Association of the European Society of Cardiology

被引:101
作者
Zhang, Yuhui [1 ]
Coats, Andrew J. S. [2 ]
Zheng, Zhe [3 ]
Adamo, Marianna [4 ,5 ]
Ambrosio, Giuseppe [6 ]
Anker, Stefan D. [7 ,8 ,9 ]
Butler, Javed [10 ]
Xu, Dingli [11 ]
Mao, Jingyuan [12 ]
Khan, Muhammad Shahzeb [13 ]
Bai, Ling [14 ]
Mebazaa, Alexandre [15 ,16 ,17 ]
Ponikowski, Piotr [18 ]
Tang, Qizhu [19 ]
Ruschitzka, Frank [20 ]
Seferovic, Petar [21 ]
Tschoepe, Carsten [22 ]
Zhang, Shuyang [23 ]
Gao, Chuanyu [24 ]
Zhou, Shenghua [25 ]
Senni, Michele [26 ]
Zhang, Jian [1 ]
Metra, Marco [4 ,5 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis,Heart Failure Ctr, State Key Lab Cardiovasc Dis,Fuwai Hosp, Beijing 100037, Peoples R China
[2] IRCCS San Raffaele Pisana, Dept Cardiol, Rome, Italy
[3] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, State Key Lab Cardiovasc Dis, Dept Cardiovasc Surg,Fuwai Hosp, Beijing, Peoples R China
[4] Univ Brescia, ASST Spedali Civili Brescia, Cardiol, Brescia, Italy
[5] Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlt, Brescia, Italy
[6] Univ Perugia, Sch Med, Div Cardiol, Perugia, Italy
[7] Charite Univ Med Berlin, Dept Cardiol, Berlin, Germany
[8] Charite Univ Med Berlin, Berlin Inst Hlth Ctr Regenerat Therapies BCRT, Berlin, Germany
[9] Charite Univ Med Berlin, German Ctr Cardiovasc Res DZHK Partner Site Berli, Berlin, Germany
[10] Univ Mississippi, Med Ctr, Dept Med, Jackson, MS 39216 USA
[11] Southern Med Univ, Nanfang Hosp, Guangzhou Regenerat Med & Hlth Guangdong Lab, Key Lab Organ Failure Res,Dept Cardiol, Guangzhou, Peoples R China
[12] Tianjin Univ Tradit Chinese Med, Teaching Hosp 1, Tianjin, Peoples R China
[13] Cook Cty Hosp, Dept Med, Chicago, IL 60612 USA
[14] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Cardiovasc Med, Xian, Peoples R China
[15] Univ Paris, Paris, France
[16] MASCOT, INSERM, U942, Paris, France
[17] Univ Hosp St Louis Lariboisiere, AP HP, Dept Anaesthesia & Crit Care, Paris, France
[18] Med Univ, Univ Hosp, Ctr Heart Dis, Wroclaw, Poland
[19] Wuhan Univ, Renmin Hosp, Cardiovasc Res Inst, Hubei Key Lab Cardiol,Dept Cardiol, Wuhan, Peoples R China
[20] Univ Hosp Zurich, Univ Heart Ctr, Zurich, Switzerland
[21] Univ Belgrade, Clin Endocrinol Diabet & Metab Dis, Med Ctr, Belgrade, Serbia
[22] Charite Univ Med Berlin, Campus Virchow Klinikum, Dept Cardiol, Berlin, Germany
[23] Peking Union Med Coll & Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Cardiol, Beijing, Peoples R China
[24] Fuwai Cent China Cardiovasc Hosp, Henan Prov Peoples Hosp, Dept Cardiol, Zhengzhou, Peoples R China
[25] Cent South Univ, Xiangya Hosp 2, Dept Cardiol, Changsha, Peoples R China
[26] Papa Giovanni XXIII Hosp, Cardiovasc Dept, Div Cardiol, Bergamo, Italy
关键词
Heart failure; Coronavirus; COVID-19; Management; SARS-CoV-2; Diagnosis; CORONAVIRUS DISEASE 2019; CLINICAL CHARACTERISTICS; ACUTE MYOCARDITIS; COMPLICATIONS; GUIDELINES; PNEUMONIA; MORTALITY; OUTCOMES; WUHAN; RISK;
D O I
10.1002/ejhf.1915
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The coronavirus disease 2019 (COVID-19) pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is causing considerable morbidity and mortality worldwide. Multiple reports have suggested that patients with heart failure (HF) are at a higher risk of severe disease and mortality with COVID-19. Moreover, evaluating and treating HF patients with comorbid COVID-19 represents a formidable clinical challenge as symptoms of both conditions may overlap and they may potentiate each other. Limited data exist regarding comprehensive management of HF patients with concomitant COVID-19. Since these issues pose serious new challenges for clinicians worldwide, HF specialists must develop a structured approach to the care of patients with COVID-19 and be included early in the care of these patients. Therefore, the Heart Failure Association of the European Society of Cardiology and the Chinese Heart Failure Association & National Heart Failure Committee conducted web-based meetings to discuss these unique clinical challenges and reach a consensus opinion to help providers worldwide deliver better patient care. The main objective of this position paper is to outline the management of HF patients with concomitant COVID-19 based on the available data and personal experiences of physicians from Asia, Europe and the United States.
引用
收藏
页码:941 / 956
页数:16
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