Care of patients with pulmonary arterial hypertension during the coronavirus (COVID-19) pandemic.
Identifieur interne : 000139 ( Main/Exploration ); précédent : 000138; suivant : 000140Care of patients with pulmonary arterial hypertension during the coronavirus (COVID-19) pandemic.
Auteurs : John J. Ryan [États-Unis] ; Lana Melendres-Groves [États-Unis] ; Roham T. Zamanian [États-Unis] ; Ronald J. Oudiz [États-Unis] ; Murali Chakinala [États-Unis] ; Erika B. Rosenzweig [États-Unis] ; Mardi Gomberg-Maitland [États-Unis]Source :
- Pulmonary circulation [ 2045-8932 ]
Abstract
The COVID-19 pandemic presents many unique challenges when caring for patients with pulmonary hypertension. The COVID-19 pandemic has altered routine standard of care practice and the acute management particularly for those patients with pulmonary arterial hypertension, where pulmonary arterial hypertension-specific treatments are used. It is important to balance the ongoing care and evaluation of pulmonary arterial hypertension patients with "exposure risk" to COVID-19 for patients coming to clinic or the hospital. If there is a morbidity and mortality benefit from starting pulmonary arterial hypertension therapies, for example in a patient with high-likelihood of pulmonary arterial hypertension, then it remains important to complete the thorough evaluation. However, the COVID-19 outbreak may also represent a unique time when pulmonary hypertension experts have to weigh the risks and benefits of the diagnostic work-up including potential exposure to COVID-19 versus initiating targeted pulmonary arterial hypertension therapy in a select high-risk, high likelihood World Symposium Pulmonary Hypertension Group 1 pulmonary arterial hypertension patients. This document will highlight some of the issues facing providers, patients, and the pulmonary arterial hypertension community in real-time as the COVID-19 pandemic is evolving and is intended to share expected common clinical scenarios and best clinical practices to help the community at-large.
DOI: 10.1177/2045894020920153
PubMed: 32426111
PubMed Central: PMC7222260
Affiliations:
- États-Unis
- Californie, District de Columbia, Missouri (État), Nouveau-Mexique, Utah, État de New York
- Saint-Louis (Missouri), Stanford (Californie)
- Université Stanford, École de médecine (Université Washington de Saint-Louis)
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Ryan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT</wicri:regionArea><placeName><region type="state">Utah</region></placeName></affiliation></author><author><name sortKey="Melendres Groves, Lana" sort="Melendres Groves, Lana" uniqKey="Melendres Groves L" first="Lana" last="Melendres-Groves">Lana Melendres-Groves</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, University of New Mexico, Albuquerque, NM, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, University of New Mexico, Albuquerque, NM</wicri:regionArea><placeName><region type="state">Nouveau-Mexique</region></placeName></affiliation></author><author><name sortKey="Zamanian, Roham T" sort="Zamanian, Roham T" uniqKey="Zamanian R" first="Roham T" last="Zamanian">Roham T. Zamanian</name><affiliation wicri:level="4"><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University, Stanford, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Stanford (Californie)</settlement></placeName><orgName type="university">Université Stanford</orgName></affiliation></author><author><name sortKey="Oudiz, Ronald J" sort="Oudiz, Ronald J" uniqKey="Oudiz R" first="Ronald J" last="Oudiz">Ronald J. Oudiz</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cardiology, Lundquist Institute for Biomedical Innovation & Research at Harbor-UCLA Medical Center, Torrance, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cardiology, Lundquist Institute for Biomedical Innovation & Research at Harbor-UCLA Medical Center, Torrance, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Chakinala, Murali" sort="Chakinala, Murali" uniqKey="Chakinala M" first="Murali" last="Chakinala">Murali Chakinala</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Washington University School of Medicine, St. Louis, MO</wicri:regionArea><placeName><region type="state">Missouri (État)</region><settlement type="city">Saint-Louis (Missouri)</settlement></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author><author><name sortKey="Rosenzweig, Erika B" sort="Rosenzweig, Erika B" uniqKey="Rosenzweig E" first="Erika B" last="Rosenzweig">Erika B. Rosenzweig</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Cardiology, Columbia University College of Physicians & Surgeons, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Cardiology, Columbia University College of Physicians & Surgeons, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Gomberg Maitland, Mardi" sort="Gomberg Maitland, Mardi" uniqKey="Gomberg Maitland M" first="Mardi" last="Gomberg-Maitland">Mardi Gomberg-Maitland</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cardiovascular Medicine, George Washington University Medicine and Health Sciences, Washington, DC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cardiovascular Medicine, George Washington University Medicine and Health Sciences, Washington, DC</wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author></analytic><series><title level="j">Pulmonary circulation</title><idno type="ISSN">2045-8932</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The COVID-19 pandemic presents many unique challenges when caring for patients with pulmonary hypertension. The COVID-19 pandemic has altered routine standard of care practice and the acute management particularly for those patients with pulmonary arterial hypertension, where pulmonary arterial hypertension-specific treatments are used. It is important to balance the ongoing care and evaluation of pulmonary arterial hypertension patients with "exposure risk" to COVID-19 for patients coming to clinic or the hospital. If there is a morbidity and mortality benefit from starting pulmonary arterial hypertension therapies, for example in a patient with high-likelihood of pulmonary arterial hypertension, then it remains important to complete the thorough evaluation. However, the COVID-19 outbreak may also represent a unique time when pulmonary hypertension experts have to weigh the risks and benefits of the diagnostic work-up including potential exposure to COVID-19 versus initiating targeted pulmonary arterial hypertension therapy in a select high-risk, high likelihood World Symposium Pulmonary Hypertension Group 1 pulmonary arterial hypertension patients. This document will highlight some of the issues facing providers, patients, and the pulmonary arterial hypertension community in real-time as the COVID-19 pandemic is evolving and is intended to share expected common clinical scenarios and best clinical practices to help the community at-large.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32426111</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2045-8932</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>2</Issue><PubDate><MedlineDate>2020 Apr-Jun</MedlineDate></PubDate></JournalIssue><Title>Pulmonary circulation</Title><ISOAbbreviation>Pulm Circ</ISOAbbreviation></Journal><ArticleTitle>Care of patients with pulmonary arterial hypertension during the coronavirus (COVID-19) pandemic.</ArticleTitle><Pagination><MedlinePgn>2045894020920153</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/2045894020920153</ELocationID><Abstract><AbstractText>The COVID-19 pandemic presents many unique challenges when caring for patients with pulmonary hypertension. The COVID-19 pandemic has altered routine standard of care practice and the acute management particularly for those patients with pulmonary arterial hypertension, where pulmonary arterial hypertension-specific treatments are used. It is important to balance the ongoing care and evaluation of pulmonary arterial hypertension patients with "exposure risk" to COVID-19 for patients coming to clinic or the hospital. If there is a morbidity and mortality benefit from starting pulmonary arterial hypertension therapies, for example in a patient with high-likelihood of pulmonary arterial hypertension, then it remains important to complete the thorough evaluation. However, the COVID-19 outbreak may also represent a unique time when pulmonary hypertension experts have to weigh the risks and benefits of the diagnostic work-up including potential exposure to COVID-19 versus initiating targeted pulmonary arterial hypertension therapy in a select high-risk, high likelihood World Symposium Pulmonary Hypertension Group 1 pulmonary arterial hypertension patients. This document will highlight some of the issues facing providers, patients, and the pulmonary arterial hypertension community in real-time as the COVID-19 pandemic is evolving and is intended to share expected common clinical scenarios and best clinical practices to help the community at-large.</AbstractText><CopyrightInformation>© The Author(s) 2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ryan</LastName><ForeName>John J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Melendres-Groves</LastName><ForeName>Lana</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Pulmonary and Critical Care Medicine, University of New Mexico, Albuquerque, NM, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zamanian</LastName><ForeName>Roham T</ForeName><Initials>RT</Initials><AffiliationInfo><Affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oudiz</LastName><ForeName>Ronald J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Division of Cardiology, Lundquist Institute for Biomedical Innovation & Research at Harbor-UCLA Medical Center, Torrance, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chakinala</LastName><ForeName>Murali</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosenzweig</LastName><ForeName>Erika B</ForeName><Initials>EB</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4849-214X</Identifier><AffiliationInfo><Affiliation>Division of Pediatric Cardiology, Columbia University College of Physicians & Surgeons, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gomberg-Maitland</LastName><ForeName>Mardi</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Cardiovascular Medicine, George Washington University Medicine and Health Sciences, Washington, DC, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pulm Circ</MedlineTA><NlmUniqueID>101557243</NlmUniqueID><ISSNLinking>2045-8932</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">clinical trials</Keyword><Keyword MajorTopicYN="N">mechanical ventilation</Keyword><Keyword MajorTopicYN="N">prostacyclin</Keyword><Keyword MajorTopicYN="N">pulmonary hypertension</Keyword><Keyword MajorTopicYN="N">right heart failure</Keyword><Keyword MajorTopicYN="N">therapeutics</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>03</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>03</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32426111</ArticleId><ArticleId IdType="doi">10.1177/2045894020920153</ArticleId><ArticleId IdType="pii">10.1177_2045894020920153</ArticleId><ArticleId IdType="pmc">PMC7222260</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Eur Respir J. 2010 Sep;36(3):549-55</Citation><ArticleIdList><ArticleId IdType="pubmed">20562126</ArticleId></ArticleIdList></Reference><Reference><Citation>Thorax. 2017 May;72(5):396-397</Citation><ArticleIdList><ArticleId IdType="pubmed">28232508</ArticleId></ArticleIdList></Reference><Reference><Citation>Cell Res. 2020 Mar;30(3):269-271</Citation><ArticleIdList><ArticleId IdType="pubmed">32020029</ArticleId></ArticleIdList></Reference><Reference><Citation>Chest. 2014 Nov;146(5):1263-1273</Citation><ArticleIdList><ArticleId IdType="pubmed">24901386</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Feb 15;395(10223):497-506</Citation><ArticleIdList><ArticleId IdType="pubmed">31986264</ArticleId></ArticleIdList></Reference><Reference><Citation>Circulation. 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