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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Disruptive Modifications to Cardiac Critical Care Delivery During the Covid-19 Pandemic: An International Perspective</title><author><name sortKey="Katz, Jason N" sort="Katz, Jason N" uniqKey="Katz J" first="Jason N." last="Katz">Jason N. Katz</name><affiliation><nlm:aff id="aff1">Division of Cardiology, Duke University, Durham, NC</nlm:aff></affiliation></author><author><name sortKey="Sinha, Shashank S" sort="Sinha, Shashank S" uniqKey="Sinha S" first="Shashank S." last="Sinha">Shashank S. Sinha</name><affiliation><nlm:aff id="aff2">Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Alviar, Carlos L" sort="Alviar, Carlos L" uniqKey="Alviar C" first="Carlos L." last="Alviar">Carlos L. Alviar</name><affiliation><nlm:aff id="aff3">Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, NY</nlm:aff></affiliation></author><author><name sortKey="Dudzinski, David M" sort="Dudzinski, David M" uniqKey="Dudzinski D" first="David M." last="Dudzinski">David M. Dudzinski</name><affiliation><nlm:aff id="aff4">Division of Cardiology, Massachusetts General Hospital, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Gage, Ann" sort="Gage, Ann" uniqKey="Gage A" first="Ann" last="Gage">Ann Gage</name><affiliation><nlm:aff id="aff5">Division of Cardiology, Cleveland Clinic, Cleveland, OH</nlm:aff></affiliation></author><author><name sortKey="Brusca, Samuel B" sort="Brusca, Samuel B" uniqKey="Brusca S" first="Samuel B." last="Brusca">Samuel B. Brusca</name><affiliation><nlm:aff id="aff6">Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD</nlm:aff></affiliation></author><author><name sortKey="Flanagan, M Casey" sort="Flanagan, M Casey" uniqKey="Flanagan M" first="M. Casey" last="Flanagan">M. Casey Flanagan</name><affiliation><nlm:aff id="aff2">Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Welch, Timothy" sort="Welch, Timothy" uniqKey="Welch T" first="Timothy" last="Welch">Timothy Welch</name><affiliation><nlm:aff id="aff7">Virginia Heart, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Geller, Bram J" sort="Geller, Bram J" uniqKey="Geller B" first="Bram J." last="Geller">Bram J. Geller</name><affiliation><nlm:aff id="aff8">Division of Cardiology, Maine Medical Center, Portland, ME</nlm:aff></affiliation></author><author><name sortKey="Miller, P Elliott" sort="Miller, P Elliott" uniqKey="Miller P" first="P. Elliott" last="Miller">P. Elliott Miller</name><affiliation><nlm:aff id="aff8">Division of Cardiology, Maine Medical Center, Portland, ME</nlm:aff></affiliation></author><author><name sortKey="Leonardi, Sergio" sort="Leonardi, Sergio" uniqKey="Leonardi S" first="Sergio" last="Leonardi">Sergio Leonardi</name><affiliation><nlm:aff id="aff9">Coronary Care Unit and Laboratory of Clinical and Experimental Cardiology-Fondazione IRCCS Policlinico San Matteo, and Department of Molecular Medicine, University of Pavia, Pavia, Italy</nlm:aff></affiliation></author><author><name sortKey="Bohula, Erin A" sort="Bohula, Erin A" uniqKey="Bohula E" first="Erin A." last="Bohula">Erin A. Bohula</name><affiliation><nlm:aff id="aff10">TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Price, Susanna" sort="Price, Susanna" uniqKey="Price S" first="Susanna" last="Price">Susanna Price</name><affiliation><nlm:aff id="aff11">Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Chaudhry, Sunit Preet" sort="Chaudhry, Sunit Preet" uniqKey="Chaudhry S" first="Sunit-Preet" last="Chaudhry">Sunit-Preet Chaudhry</name><affiliation><nlm:aff id="aff12">Department of Cardiology, St. Vincent Hospital, Indianapolis, IN</nlm:aff></affiliation></author><author><name sortKey="Metkus, Thomas S" sort="Metkus, Thomas S" uniqKey="Metkus T" first="Thomas S." last="Metkus">Thomas S. Metkus</name><affiliation><nlm:aff id="aff13">Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD</nlm:aff></affiliation></author><author><name sortKey="O Rien, Connor G" sort="O Rien, Connor G" uniqKey="O Rien C" first="Connor G." last="O Rien">Connor G. O Rien</name><affiliation><nlm:aff id="aff14">Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA</nlm:aff></affiliation></author><author><name sortKey="Sionis, Alessandro" sort="Sionis, Alessandro" uniqKey="Sionis A" first="Alessandro" last="Sionis">Alessandro Sionis</name><affiliation><nlm:aff id="aff15">Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute IIB-SantPaul, Universidad Autonoma de Barcelona, Barcelona, Spain</nlm:aff></affiliation></author><author><name sortKey="Barnett, Christopher F" sort="Barnett, Christopher F" uniqKey="Barnett C" first="Christopher F." last="Barnett">Christopher F. Barnett</name><affiliation><nlm:aff id="aff16">Department of Cardiology, Medstar Washington Hospital Center, Washington, DC</nlm:aff></affiliation></author><author><name sortKey="Jentzer, Jacob C" sort="Jentzer, Jacob C" uniqKey="Jentzer J" first="Jacob C." last="Jentzer">Jacob C. Jentzer</name><affiliation><nlm:aff id="aff17">Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN</nlm:aff></affiliation></author><author><name sortKey="Solomon, Michael A" sort="Solomon, Michael A" uniqKey="Solomon M" first="Michael A." last="Solomon">Michael A. Solomon</name><affiliation><nlm:aff id="aff6">Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD</nlm:aff></affiliation><affiliation><nlm:aff id="aff18">Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD</nlm:aff></affiliation></author><author><name sortKey="Morrow, David A" sort="Morrow, David A" uniqKey="Morrow D" first="David A." last="Morrow">David A. Morrow</name><affiliation><nlm:aff id="aff10">TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Van Diepen, Sean" sort="Van Diepen, Sean" uniqKey="Van Diepen S" first="Sean" last="Van Diepen">Sean Van Diepen</name><affiliation><nlm:aff id="aff19">Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32305402</idno><idno type="pmc">7161519</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161519</idno><idno type="RBID">PMC:7161519</idno><idno type="doi">10.1016/j.jacc.2020.04.029</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000931</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000931</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Disruptive Modifications to Cardiac Critical Care Delivery During the Covid-19 Pandemic: An International Perspective</title><author><name sortKey="Katz, Jason N" sort="Katz, Jason N" uniqKey="Katz J" first="Jason N." last="Katz">Jason N. Katz</name><affiliation><nlm:aff id="aff1">Division of Cardiology, Duke University, Durham, NC</nlm:aff></affiliation></author><author><name sortKey="Sinha, Shashank S" sort="Sinha, Shashank S" uniqKey="Sinha S" first="Shashank S." last="Sinha">Shashank S. Sinha</name><affiliation><nlm:aff id="aff2">Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Alviar, Carlos L" sort="Alviar, Carlos L" uniqKey="Alviar C" first="Carlos L." last="Alviar">Carlos L. Alviar</name><affiliation><nlm:aff id="aff3">Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, NY</nlm:aff></affiliation></author><author><name sortKey="Dudzinski, David M" sort="Dudzinski, David M" uniqKey="Dudzinski D" first="David M." last="Dudzinski">David M. Dudzinski</name><affiliation><nlm:aff id="aff4">Division of Cardiology, Massachusetts General Hospital, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Gage, Ann" sort="Gage, Ann" uniqKey="Gage A" first="Ann" last="Gage">Ann Gage</name><affiliation><nlm:aff id="aff5">Division of Cardiology, Cleveland Clinic, Cleveland, OH</nlm:aff></affiliation></author><author><name sortKey="Brusca, Samuel B" sort="Brusca, Samuel B" uniqKey="Brusca S" first="Samuel B." last="Brusca">Samuel B. Brusca</name><affiliation><nlm:aff id="aff6">Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD</nlm:aff></affiliation></author><author><name sortKey="Flanagan, M Casey" sort="Flanagan, M Casey" uniqKey="Flanagan M" first="M. Casey" last="Flanagan">M. Casey Flanagan</name><affiliation><nlm:aff id="aff2">Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Welch, Timothy" sort="Welch, Timothy" uniqKey="Welch T" first="Timothy" last="Welch">Timothy Welch</name><affiliation><nlm:aff id="aff7">Virginia Heart, Falls Church, VA</nlm:aff></affiliation></author><author><name sortKey="Geller, Bram J" sort="Geller, Bram J" uniqKey="Geller B" first="Bram J." last="Geller">Bram J. Geller</name><affiliation><nlm:aff id="aff8">Division of Cardiology, Maine Medical Center, Portland, ME</nlm:aff></affiliation></author><author><name sortKey="Miller, P Elliott" sort="Miller, P Elliott" uniqKey="Miller P" first="P. Elliott" last="Miller">P. Elliott Miller</name><affiliation><nlm:aff id="aff8">Division of Cardiology, Maine Medical Center, Portland, ME</nlm:aff></affiliation></author><author><name sortKey="Leonardi, Sergio" sort="Leonardi, Sergio" uniqKey="Leonardi S" first="Sergio" last="Leonardi">Sergio Leonardi</name><affiliation><nlm:aff id="aff9">Coronary Care Unit and Laboratory of Clinical and Experimental Cardiology-Fondazione IRCCS Policlinico San Matteo, and Department of Molecular Medicine, University of Pavia, Pavia, Italy</nlm:aff></affiliation></author><author><name sortKey="Bohula, Erin A" sort="Bohula, Erin A" uniqKey="Bohula E" first="Erin A." last="Bohula">Erin A. Bohula</name><affiliation><nlm:aff id="aff10">TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Price, Susanna" sort="Price, Susanna" uniqKey="Price S" first="Susanna" last="Price">Susanna Price</name><affiliation><nlm:aff id="aff11">Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Chaudhry, Sunit Preet" sort="Chaudhry, Sunit Preet" uniqKey="Chaudhry S" first="Sunit-Preet" last="Chaudhry">Sunit-Preet Chaudhry</name><affiliation><nlm:aff id="aff12">Department of Cardiology, St. Vincent Hospital, Indianapolis, IN</nlm:aff></affiliation></author><author><name sortKey="Metkus, Thomas S" sort="Metkus, Thomas S" uniqKey="Metkus T" first="Thomas S." last="Metkus">Thomas S. Metkus</name><affiliation><nlm:aff id="aff13">Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD</nlm:aff></affiliation></author><author><name sortKey="O Rien, Connor G" sort="O Rien, Connor G" uniqKey="O Rien C" first="Connor G." last="O Rien">Connor G. O Rien</name><affiliation><nlm:aff id="aff14">Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA</nlm:aff></affiliation></author><author><name sortKey="Sionis, Alessandro" sort="Sionis, Alessandro" uniqKey="Sionis A" first="Alessandro" last="Sionis">Alessandro Sionis</name><affiliation><nlm:aff id="aff15">Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute IIB-SantPaul, Universidad Autonoma de Barcelona, Barcelona, Spain</nlm:aff></affiliation></author><author><name sortKey="Barnett, Christopher F" sort="Barnett, Christopher F" uniqKey="Barnett C" first="Christopher F." last="Barnett">Christopher F. Barnett</name><affiliation><nlm:aff id="aff16">Department of Cardiology, Medstar Washington Hospital Center, Washington, DC</nlm:aff></affiliation></author><author><name sortKey="Jentzer, Jacob C" sort="Jentzer, Jacob C" uniqKey="Jentzer J" first="Jacob C." last="Jentzer">Jacob C. Jentzer</name><affiliation><nlm:aff id="aff17">Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN</nlm:aff></affiliation></author><author><name sortKey="Solomon, Michael A" sort="Solomon, Michael A" uniqKey="Solomon M" first="Michael A." last="Solomon">Michael A. Solomon</name><affiliation><nlm:aff id="aff6">Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD</nlm:aff></affiliation><affiliation><nlm:aff id="aff18">Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD</nlm:aff></affiliation></author><author><name sortKey="Morrow, David A" sort="Morrow, David A" uniqKey="Morrow D" first="David A." last="Morrow">David A. Morrow</name><affiliation><nlm:aff id="aff10">TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA</nlm:aff></affiliation></author><author><name sortKey="Van Diepen, Sean" sort="Van Diepen, Sean" uniqKey="Van Diepen S" first="Sean" last="Van Diepen">Sean Van Diepen</name><affiliation><nlm:aff id="aff19">Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of the American College of Cardiology</title><idno type="ISSN">0735-1097</idno><idno type="eISSN">1558-3597</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The COVID-19 pandemic has presented a major unanticipated stress on our workforce, organizational structure, systems of care, and critical resource supply. In order to ensure provider safety, maximize efficiency, and optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 virus and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This manuscript draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe as well as lessons learned from military mass casualty medicine. We offer pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies such as telemedicine to enable effective collaboration despite social distancing imperatives.</p></div></front></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Am Coll Cardiol</journal-id><journal-id journal-id-type="iso-abbrev">J. Am. Coll. Cardiol</journal-id><journal-title-group><journal-title>Journal of the American College of Cardiology</journal-title></journal-title-group><issn pub-type="ppub">0735-1097</issn><issn pub-type="epub">1558-3597</issn><publisher><publisher-name>the American College of Cardiology Foundation. Published by Elsevier.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32305402</article-id><article-id pub-id-type="pmc">7161519</article-id><article-id pub-id-type="publisher-id">S0735-1097(20)35002-6</article-id><article-id pub-id-type="doi">10.1016/j.jacc.2020.04.029</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Disruptive Modifications to Cardiac Critical Care Delivery During the Covid-19 Pandemic: An International Perspective</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Katz</surname><given-names>Jason N.</given-names></name><degrees>MD MHS</degrees><email>jason.katz@duke.edu</email><xref rid="aff1" ref-type="aff">1</xref><xref rid="cor1" ref-type="corresp">∗</xref><xref rid="fn1" ref-type="fn">∗</xref></contrib><contrib contrib-type="author" id="au2"><name><surname>Sinha</surname><given-names>Shashank S.</given-names></name><degrees>MD MSc</degrees><xref rid="aff2" ref-type="aff">2</xref><xref rid="fn1" ref-type="fn">∗</xref></contrib><contrib contrib-type="author" id="au3"><name><surname>Alviar</surname><given-names>Carlos L.</given-names></name><degrees>MD</degrees><xref rid="aff3" ref-type="aff">3</xref></contrib><contrib contrib-type="author" id="au4"><name><surname>Dudzinski</surname><given-names>David M.</given-names></name><degrees>MD JD</degrees><xref rid="aff4" ref-type="aff">4</xref></contrib><contrib contrib-type="author" id="au5"><name><surname>Gage</surname><given-names>Ann</given-names></name><degrees>MD</degrees><xref rid="aff5" ref-type="aff">5</xref></contrib><contrib contrib-type="author" id="au6"><name><surname>Brusca</surname><given-names>Samuel B.</given-names></name><degrees>MD</degrees><xref rid="aff6" ref-type="aff">6</xref></contrib><contrib contrib-type="author" id="au7"><name><surname>Flanagan</surname><given-names>M. Casey</given-names></name><degrees>MD</degrees><xref rid="aff2" ref-type="aff">2</xref></contrib><contrib contrib-type="author" id="au8"><name><surname>Welch</surname><given-names>Timothy</given-names></name><degrees>MD2</degrees><xref rid="aff7" ref-type="aff">7</xref></contrib><contrib contrib-type="author" id="au9"><name><surname>Geller</surname><given-names>Bram J.</given-names></name><degrees>MD</degrees><xref rid="aff8" ref-type="aff">8</xref></contrib><contrib contrib-type="author" id="au10"><name><surname>Miller</surname><given-names>P. Elliott</given-names></name><degrees>MD</degrees><xref rid="aff8" ref-type="aff">8</xref></contrib><contrib contrib-type="author" id="au11"><name><surname>Leonardi</surname><given-names>Sergio</given-names></name><degrees>MD MHS</degrees><xref rid="aff9" ref-type="aff">10</xref></contrib><contrib contrib-type="author" id="au12"><name><surname>Bohula</surname><given-names>Erin A.</given-names></name><degrees>MD DPhil</degrees><xref rid="aff10" ref-type="aff">11</xref></contrib><contrib contrib-type="author" id="au13"><name><surname>Price</surname><given-names>Susanna</given-names></name><degrees>MD PhD</degrees><xref rid="aff11" ref-type="aff">12</xref></contrib><contrib contrib-type="author" id="au14"><name><surname>Chaudhry</surname><given-names>Sunit-Preet</given-names></name><degrees>MD</degrees><xref rid="aff12" ref-type="aff">13</xref></contrib><contrib contrib-type="author" id="au15"><name><surname>Metkus</surname><given-names>Thomas S.</given-names></name><degrees>MD</degrees><xref rid="aff13" ref-type="aff">14</xref></contrib><contrib contrib-type="author" id="au16"><name><surname>O’Brien</surname><given-names>Connor G.</given-names></name><degrees>MD</degrees><xref rid="aff14" ref-type="aff">15</xref></contrib><contrib contrib-type="author" id="au17"><name><surname>Sionis</surname><given-names>Alessandro</given-names></name><degrees>MD</degrees><xref rid="aff15" ref-type="aff">16</xref></contrib><contrib contrib-type="author" id="au18"><name><surname>Barnett</surname><given-names>Christopher F.</given-names></name><degrees>MD</degrees><xref rid="aff16" ref-type="aff">17</xref></contrib><contrib contrib-type="author" id="au19"><name><surname>Jentzer</surname><given-names>Jacob C.</given-names></name><degrees>MD</degrees><xref rid="aff17" ref-type="aff">18</xref></contrib><contrib contrib-type="author" id="au20"><name><surname>Solomon</surname><given-names>Michael A.</given-names></name><degrees>MD</degrees><xref rid="aff6" ref-type="aff">6</xref><xref rid="aff18" ref-type="aff">19</xref></contrib><contrib contrib-type="author" id="au21"><name><surname>Morrow</surname><given-names>David A.</given-names></name><degrees>MD MPH</degrees><xref rid="aff10" ref-type="aff">11</xref></contrib><contrib contrib-type="author" id="au22"><name><surname>van Diepen</surname><given-names>Sean</given-names></name><degrees>MD MSc</degrees><xref rid="aff19" ref-type="aff">20</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Division of Cardiology, Duke University, Durham, NC</aff><aff id="aff2"><label>2</label>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA</aff><aff id="aff3"><label>3</label>Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, NY</aff><aff id="aff4"><label>4</label>Division of Cardiology, Massachusetts General Hospital, Boston, MA</aff><aff id="aff5"><label>5</label>Division of Cardiology, Cleveland Clinic, Cleveland, OH</aff><aff id="aff6"><label>6</label>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD</aff><aff id="aff7"><label>7</label>Virginia Heart, Falls Church, VA</aff><aff id="aff8"><label>8</label>Division of Cardiology, Maine Medical Center, Portland, ME</aff><aff id="aff9"><label>10</label>Coronary Care Unit and Laboratory of Clinical and Experimental Cardiology-Fondazione IRCCS Policlinico San Matteo, and Department of Molecular Medicine, University of Pavia, Pavia, Italy</aff><aff id="aff10"><label>11</label>TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA</aff><aff id="aff11"><label>12</label>Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom</aff><aff id="aff12"><label>13</label>Department of Cardiology, St. Vincent Hospital, Indianapolis, IN</aff><aff id="aff13"><label>14</label>Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD</aff><aff id="aff14"><label>15</label>Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA</aff><aff id="aff15"><label>16</label>Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute IIB-SantPaul, Universidad Autonoma de Barcelona, Barcelona, Spain</aff><aff id="aff16"><label>17</label>Department of Cardiology, Medstar Washington Hospital Center, Washington, DC</aff><aff id="aff17"><label>18</label>Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN</aff><aff id="aff18"><label>19</label>Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD</aff><aff id="aff19"><label>20</label>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada</aff><author-notes><corresp id="cor1"><label>∗</label>Address for Correspondence: Jason N. Katz MD, MHS 2301 Erwin Road, DUMC Box 3126 Durham, NC 27710 Ph: 919-660-7427 Fax: 919-681-3458 <email>jason.katz@duke.edu</email></corresp><fn id="fn1"><label>∗</label><p id="ntpara0030">Denotes co-first authors.</p></fn></author-notes><pub-date pub-type="pmc-release"><day>16</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>16</day><month>4</month><year>2020</year></pub-date><history><date date-type="received"><day>4</day><month>4</month><year>2020</year></date><date date-type="rev-recd"><day>13</day><month>4</month><year>2020</year></date><date date-type="accepted"><day>13</day><month>4</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>American College of Cardiology Foundation</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0010"><p>The COVID-19 pandemic has presented a major unanticipated stress on our workforce, organizational structure, systems of care, and critical resource supply. In order to ensure provider safety, maximize efficiency, and optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 virus and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This manuscript draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe as well as lessons learned from military mass casualty medicine. We offer pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies such as telemedicine to enable effective collaboration despite social distancing imperatives.</p></abstract><abstract abstract-type="teaser" id="abs0015"><title>Condensed Abstract</title><p>The COVID-19 pandemic has and will continue to stress our workforce, healthcare systems, and critical resource supply and distribution chains. Critical care cardiologists may be uniquely positioned to help by managing the many clinical manifestations of the SARS-CoV-2 virus. Furthermore, these providers may be called upon to staff non-cardiac and COVID-19-specific intensive care units. This manuscript draws upon the experiences of the United States and Europe, along with lessons learned from military medicine, to provide pragmatic and scalable solutions for optimizing critical care delivery.</p></abstract><kwd-group id="kwrds0010"><title>Key Words</title><kwd>cardiac critical care</kwd><kwd>crisis</kwd><kwd>pandemic</kwd></kwd-group><kwd-group id="kwrds0015"><title>List of Abbreviations</title><kwd>COVID-19, Coronavirus disease-2019</kwd><kwd>SARS-CoV-2, Severe Acute Respiratory Syndrome Coronavirus-2</kwd><kwd>PPE, Personal Protective Equipment</kwd><kwd>CICU, Cardiac Intensive Care Unit</kwd><kwd>ACCP, American College of Chest Physicians</kwd><kwd>SOFA, Sequential Organ Failure Assessment</kwd><kwd>GRACE, Global Registry of Acute Coronary Events</kwd><kwd>TIMI, Thrombolysis in Myocardial Infarction</kwd><kwd>ICU, Intensive Care Unit</kwd><kwd>PACU, Post-Anesthesia Care Unit</kwd><kwd>STEMI, ST-segment Elevation Myocardial Infarction</kwd><kwd>NSTE-ACS, Non-ST-segment Elevation Acute Coronary Syndrome</kwd><kwd>HEPA, High-Efficiency Particulate Air</kwd><kwd>MASCAL, Mass Casualty</kwd><kwd>NATO, North Atlantic Treaty Organization</kwd><kwd>ECLS, Extracorporeal Life Support</kwd><kwd>MCS, Mechanical Circulatory Support</kwd></kwd-group></article-meta></front><back><fn-group><fn id="d32e160"><p id="ntpara0010">9 Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT</p></fn><fn id="d32e163"><p id="ntpara0015">Funding: Drs. Brusca and Solomon receive research support from the National Institutes of Health Clinical Center intramural research fund.</p></fn><fn id="d32e166"><p id="ntpara0020">Disclosures: None reported</p></fn><fn id="d32e169"><p id="ntpara0025">Tweet: How should #CICUs respond to the #COVID19 crisis? Check out @JACCJournals pub on #criticalcarecardiologists adapting to change with lessons learned from #Italy #Spain #UK #NYC #MilitaryMedicine</p></fn></fn-group></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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