Management of Acute Myocardial Infarction During the COVID-19 Pandemic.
Identifieur interne : 000340 ( Main/Corpus ); précédent : 000339; suivant : 000341Management of Acute Myocardial Infarction During the COVID-19 Pandemic.
Auteurs : Ehtisham Mahmud ; Harold L. Dauerman ; Frederick Gp Welt ; John C. Messenger ; Sunil V. Rao ; Cindy Grines ; Amal Mattu ; Ajay J. Kirtane ; Rajiv Jauhar ; Perwaiz Meraj ; Ivan C. Rokos ; John S. Rumsfeld ; Timothy D. HenrySource :
- Journal of the American College of Cardiology [ 1558-3597 ] ; 2020.
Abstract
The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating a ST-elevation MI presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury and the prevalence of COVID-19 disease in the US population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.
DOI: 10.1016/j.jacc.2020.04.039
PubMed: 32330544
PubMed Central: PMC7173829
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Dauerman</name><affiliation><nlm:affiliation>University of Vermont, Burlington VT.</nlm:affiliation></affiliation></author><author><name sortKey="Welt, Frederick Gp" sort="Welt, Frederick Gp" uniqKey="Welt F" first="Frederick Gp" last="Welt">Frederick Gp Welt</name><affiliation><nlm:affiliation>University of Utah Medical Center, Salt Lake City UT.</nlm:affiliation></affiliation></author><author><name sortKey="Messenger, John C" sort="Messenger, John C" uniqKey="Messenger J" first="John C" last="Messenger">John C. Messenger</name><affiliation><nlm:affiliation>University of Colorado School of Medicine, Aurora CO.</nlm:affiliation></affiliation></author><author><name sortKey="Rao, Sunil V" sort="Rao, Sunil V" uniqKey="Rao S" first="Sunil V" last="Rao">Sunil V. 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Henry</name><affiliation><nlm:affiliation>The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati OH.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32330544</idno><idno type="pmid">32330544</idno><idno type="doi">10.1016/j.jacc.2020.04.039</idno><idno type="pmc">PMC7173829</idno><idno type="wicri:Area/Main/Corpus">000340</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000340</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management of Acute Myocardial Infarction During the COVID-19 Pandemic.</title><author><name sortKey="Mahmud, Ehtisham" sort="Mahmud, Ehtisham" uniqKey="Mahmud E" first="Ehtisham" last="Mahmud">Ehtisham Mahmud</name><affiliation><nlm:affiliation>University of California, San Diego, Sulpizio Cardiovascular Center, La Jolla CA. Electronic address: emahmud@health.ucsd.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Dauerman, Harold L" sort="Dauerman, Harold L" uniqKey="Dauerman H" first="Harold L" last="Dauerman">Harold L. Dauerman</name><affiliation><nlm:affiliation>University of Vermont, Burlington VT.</nlm:affiliation></affiliation></author><author><name sortKey="Welt, Frederick Gp" sort="Welt, Frederick Gp" uniqKey="Welt F" first="Frederick Gp" last="Welt">Frederick Gp Welt</name><affiliation><nlm:affiliation>University of Utah Medical Center, Salt Lake City UT.</nlm:affiliation></affiliation></author><author><name sortKey="Messenger, John C" sort="Messenger, John C" uniqKey="Messenger J" first="John C" last="Messenger">John C. Messenger</name><affiliation><nlm:affiliation>University of Colorado School of Medicine, Aurora CO.</nlm:affiliation></affiliation></author><author><name sortKey="Rao, Sunil V" sort="Rao, Sunil V" uniqKey="Rao S" first="Sunil V" last="Rao">Sunil V. Rao</name><affiliation><nlm:affiliation>Duke University Hospital, Durham NC.</nlm:affiliation></affiliation></author><author><name sortKey="Grines, Cindy" sort="Grines, Cindy" uniqKey="Grines C" first="Cindy" last="Grines">Cindy Grines</name><affiliation><nlm:affiliation>Northside Cardiovascular Institute, Atlanta GA.</nlm:affiliation></affiliation></author><author><name sortKey="Mattu, Amal" sort="Mattu, Amal" uniqKey="Mattu A" first="Amal" last="Mattu">Amal Mattu</name><affiliation><nlm:affiliation>University of Maryland School of Medicine, Baltimore MD.</nlm:affiliation></affiliation></author><author><name sortKey="Kirtane, Ajay J" sort="Kirtane, Ajay J" uniqKey="Kirtane A" first="Ajay J" last="Kirtane">Ajay J. Kirtane</name><affiliation><nlm:affiliation>Columbia University Medical Center, Center for Interventional Vascular Therapy, New York NY.</nlm:affiliation></affiliation></author><author><name sortKey="Jauhar, Rajiv" sort="Jauhar, Rajiv" uniqKey="Jauhar R" first="Rajiv" last="Jauhar">Rajiv Jauhar</name><affiliation><nlm:affiliation>Northwell Health, Manhasset NY.</nlm:affiliation></affiliation></author><author><name sortKey="Meraj, Perwaiz" sort="Meraj, Perwaiz" uniqKey="Meraj P" first="Perwaiz" last="Meraj">Perwaiz Meraj</name><affiliation><nlm:affiliation>Hofstra North Shore - LIJ School of Medicine, Manhasset NY.</nlm:affiliation></affiliation></author><author><name sortKey="Rokos, Ivan C" sort="Rokos, Ivan C" uniqKey="Rokos I" first="Ivan C" last="Rokos">Ivan C. Rokos</name><affiliation><nlm:affiliation>Methodist Hospital of Southern California, Arcadia CA.</nlm:affiliation></affiliation></author><author><name sortKey="Rumsfeld, John S" sort="Rumsfeld, John S" uniqKey="Rumsfeld J" first="John S" last="Rumsfeld">John S. Rumsfeld</name><affiliation><nlm:affiliation>University of Colorado Medical School, Denver CO.</nlm:affiliation></affiliation></author><author><name sortKey="Henry, Timothy D" sort="Henry, Timothy D" uniqKey="Henry T" first="Timothy D" last="Henry">Timothy D. Henry</name><affiliation><nlm:affiliation>The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati OH.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of the American College of Cardiology</title><idno type="eISSN">1558-3597</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating a ST-elevation MI presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury and the prevalence of COVID-19 disease in the US population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32330544</PMID><DateRevised><Year>2020</Year><Month>05</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1558-3597</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Apr</Month><Day>21</Day></PubDate></JournalIssue><Title>Journal of the American College of Cardiology</Title><ISOAbbreviation>J. Am. Coll. Cardiol.</ISOAbbreviation></Journal><ArticleTitle>Management of Acute Myocardial Infarction During the COVID-19 Pandemic.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0735-1097(20)35026-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jacc.2020.04.039</ELocationID><Abstract><AbstractText>The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating a ST-elevation MI presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury and the prevalence of COVID-19 disease in the US population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.</AbstractText><CopyrightInformation>Copyright © 2020 American College of Cardiology Foundation and Wiley Periodicals, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mahmud</LastName><ForeName>Ehtisham</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>University of California, San Diego, Sulpizio Cardiovascular Center, La Jolla CA. Electronic address: emahmud@health.ucsd.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dauerman</LastName><ForeName>Harold L</ForeName><Initials>HL</Initials><AffiliationInfo><Affiliation>University of Vermont, Burlington VT.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Welt</LastName><ForeName>Frederick Gp</ForeName><Initials>FG</Initials><AffiliationInfo><Affiliation>University of Utah Medical Center, Salt Lake City UT.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Messenger</LastName><ForeName>John C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>University of Colorado School of Medicine, Aurora CO.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rao</LastName><ForeName>Sunil V</ForeName><Initials>SV</Initials><AffiliationInfo><Affiliation>Duke University Hospital, Durham NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grines</LastName><ForeName>Cindy</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Northside Cardiovascular Institute, Atlanta GA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mattu</LastName><ForeName>Amal</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University of Maryland School of Medicine, Baltimore MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kirtane</LastName><ForeName>Ajay J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Columbia University Medical Center, Center for Interventional Vascular Therapy, New York NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jauhar</LastName><ForeName>Rajiv</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Northwell Health, Manhasset NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meraj</LastName><ForeName>Perwaiz</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Hofstra North Shore - LIJ School of Medicine, Manhasset NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rokos</LastName><ForeName>Ivan C</ForeName><Initials>IC</Initials><AffiliationInfo><Affiliation>Methodist Hospital of Southern California, Arcadia CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rumsfeld</LastName><ForeName>John S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>University of Colorado Medical School, Denver CO.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Henry</LastName><ForeName>Timothy D</ForeName><Initials>TD</Initials><AffiliationInfo><Affiliation>The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati OH.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Cardiol</MedlineTA><NlmUniqueID>8301365</NlmUniqueID><ISSNLinking>0735-1097</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">STEMI</Keyword><Keyword MajorTopicYN="N">acute myocardial infarction</Keyword><Keyword MajorTopicYN="N">emergency medical system</Keyword><Keyword MajorTopicYN="N">fibrinolysis</Keyword><Keyword MajorTopicYN="N">percutaneous coronary intervention</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32330544</ArticleId><ArticleId IdType="pii">S0735-1097(20)35026-9</ArticleId><ArticleId IdType="doi">10.1016/j.jacc.2020.04.039</ArticleId><ArticleId IdType="pmc">PMC7173829</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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