Challenges and the innovations in the care of advanced heart failure patients during COVID-19

被引:8
作者
Yehya, Amin [1 ,2 ]
Shah, Kevin S. [3 ]
Mitter, Sumeet S. [4 ]
Ibrahim, Nasrien E. [5 ,6 ]
Sperry, Brett [7 ]
Shah, Mahek [8 ]
Chaudhry, Sunit-Preet [9 ]
Rajagopalan, Navin [10 ]
Hernandez-Montfort, Jaime [11 ]
Mohan, Rajeev [12 ]
Alexander, Kevin M. [13 ,14 ]
Sinha, Shashank [15 ]
Butler, Javed [16 ]
Kittleson, Michelle M. [17 ]
机构
[1] Sentara Adv Heart Failure Ctr, Norfolk, VA 23507 USA
[2] Eastern Virginia Med Sch, Norfolk, VA 23501 USA
[3] Univ Utah, Hlth Sci Ctr, Salt Lake City, UT USA
[4] Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
[5] Massachusetts Gen Hosp, Boston, MA 02114 USA
[6] Harvard Med Sch, Boston, MA 02115 USA
[7] St Lukes Mid Amer Heart Inst, Kansas City, MO USA
[8] Jefferson Univ, Adv Heart Failure & Transplant Ctr, Philadelphia, PA USA
[9] Ascens St Vincent Indianapolis, Carmel, IN USA
[10] Newark Beth Israel Med Ctr, Newark, NJ USA
[11] Cleveland Clin Florida, Acute Mech Circulatory Support Program, Weston, FL USA
[12] Scripps Clin, Div Cardiol, La Jolla, CA 92037 USA
[13] Stanford Cardiovasc Inst, Div Cardiovasc Med, Stanford, CA USA
[14] Stanford Univ, Sch Med, Stanford, CA 94305 USA
[15] Inova Heart & Vasc Inst, Fairfax, VA USA
[16] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA
[17] Smidt Heart Inst Cedars Sinai, Los Angeles, CA USA
关键词
Heart failure; LVAD; Heart transplantation; COVID-19;
D O I
10.1007/s10741-021-10074-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The COVID-19 pandemic underscored our healthcare system's unpreparedness to manage an unprecedented pandemic. Heart failure (HF) physicians from 14 different academic and private practice centers share their systems' challenges and innovations to care for patients with HF, heart transplantation, and patients on LVAD support during the COVID-19 pandemic. We discuss measures implemented to alleviate the fear in seeking care, ensure continued optimization of guideline directed medical therapy (GDMT), manage the heart transplant waiting list, continue essential outpatient monitoring of anticoagulation in LVAD patients and surveillance testing post-heart transplant, and prevent physician burnout. This collaborative work can build a foundation for better preparation in the face of future challenges.
引用
收藏
页码:235 / 238
页数:4
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