CovidPublicV1, Main, Exploration, bibRecord, 000216

COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.

Identifieur interne : 000216 ( Main/Exploration ); précédent : 000215; suivant : 000217

COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.

Auteurs : Jason N. Katz [États-Unis] ; Shashank S. Sinha [États-Unis] ; Carlos L. Alviar [États-Unis] ; David M. Dudzinski [États-Unis] ; Ann Gage [États-Unis] ; Samuel B. Brusca [États-Unis] ; M Casey Flanagan [États-Unis] ; Timothy Welch [États-Unis] ; Bram J. Geller [États-Unis] ; P Elliott Miller [États-Unis] ; Sergio Leonardi [Italie] ; Erin A. Bohula [États-Unis] ; Susanna Price [Royaume-Uni] ; Sunit-Preet Chaudhry [États-Unis] ; Thomas S. Metkus [États-Unis] ; Connor G. O'Brien [États-Unis] ; Alessandro Sionis [Espagne] ; Christopher F. Barnett [États-Unis] ; Jacob C. Jentzer [États-Unis] ; Michael A. Solomon [États-Unis] ; David A. Morrow [États-Unis] ; Sean Van Diepen [Canada]

Source :

Journal of the American College of Cardiology [ 1558-3597 ] ; 2020.

RBID : pubmed:32305402

Descripteurs français

KwdFr :
- Betacoronavirus (isolement et purification), Humains (MeSH), Infections à coronavirus (thérapie), Infections à coronavirus (épidémiologie), Innovation organisationnelle (MeSH), Objectifs de fonctionnement (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (thérapie), Pneumopathie virale (épidémiologie), Prestations des soins de santé (méthodes), Prestations des soins de santé (organisation et administration), Prestations des soins de santé (tendances), Protection civile (méthodes), Protection civile (organisation et administration), Service hospitalier de cardiologie (organisation et administration), Service hospitalier de cardiologie (tendances), Soins de réanimation (méthodes), Soins de réanimation (organisation et administration), Soins de réanimation (tendances).
MESH :
- isolement et purification : Betacoronavirus.
- méthodes : Prestations des soins de santé, Protection civile, Soins de réanimation.
- organisation et administration : Prestations des soins de santé, Protection civile, Service hospitalier de cardiologie, Soins de réanimation.
- prévention et contrôle : Pandémies.
- tendances : Prestations des soins de santé, Service hospitalier de cardiologie, Soins de réanimation.
- thérapie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Humains, Innovation organisationnelle, Objectifs de fonctionnement.

English descriptors

KwdEn :
- Betacoronavirus (isolation & purification), COVID-19 (MeSH), Cardiology Service, Hospital (organization & administration), Cardiology Service, Hospital (trends), Civil Defense (methods), Civil Defense (organization & administration), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Critical Care (methods), Critical Care (organization & administration), Critical Care (trends), Delivery of Health Care (methods), Delivery of Health Care (organization & administration), Delivery of Health Care (trends), Humans (MeSH), Organizational Innovation (MeSH), Organizational Objectives (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (therapy), SARS-CoV-2 (MeSH).
MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- methods : Civil Defense, Critical Care, Delivery of Health Care.
- organization & administration : Cardiology Service, Hospital, Civil Defense, Critical Care, Delivery of Health Care.
- prevention & control : Pandemics.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- trends : Cardiology Service, Hospital, Critical Care, Delivery of Health Care.
- COVID-19, Humans, Organizational Innovation, Organizational Objectives, SARS-CoV-2.

Abstract

The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to 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 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review 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. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives.

DOI: 10.1016/j.jacc.2020.04.029
PubMed: 32305402
PubMed Central: PMC7161519

Affiliations:

Canada, Espagne, Italie, Royaume-Uni, États-Unis
Angleterre, Californie, Caroline du Nord, Catalogne, Connecticut, District de Columbia, Grand Londres, Indiana, Maine (État), Maryland, Massachusetts, Minnesota, Ohio, Virginie, État de New York
Barcelone, Londres

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000240
to stream Main, to step Curation: 000240

Le document en format XML

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<author><name sortKey="Miller, P Elliott" sort="Miller, P Elliott" uniqKey="Miller P" first="P Elliott" last="Miller">P Elliott Miller</name>
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<author><name sortKey="Leonardi, Sergio" sort="Leonardi, Sergio" uniqKey="Leonardi S" first="Sergio" last="Leonardi">Sergio Leonardi</name>
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<author><name sortKey="Bohula, Erin A" sort="Bohula, Erin A" uniqKey="Bohula E" first="Erin A" last="Bohula">Erin A. Bohula</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
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<author><name sortKey="Price, Susanna" sort="Price, Susanna" uniqKey="Price S" first="Susanna" last="Price">Susanna Price</name>
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<author><name sortKey="Chaudhry, Sunit Preet" sort="Chaudhry, Sunit Preet" uniqKey="Chaudhry S" first="Sunit-Preet" last="Chaudhry">Sunit-Preet Chaudhry</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Cardiology, St. Vincent Hospital, Indianapolis, Indiana.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Indiana</region>
</placeName>
<wicri:cityArea>Department of Cardiology, St. Vincent Hospital, Indianapolis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Metkus, Thomas S" sort="Metkus, Thomas S" uniqKey="Metkus T" first="Thomas S" last="Metkus">Thomas S. Metkus</name>
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</placeName>
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</affiliation>
</author>
<author><name sortKey="O Brien, Connor G" sort="O Brien, Connor G" uniqKey="O Brien C" first="Connor G" last="O'Brien">Connor G. O'Brien</name>
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</placeName>
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<author><name sortKey="Sionis, Alessandro" sort="Sionis, Alessandro" uniqKey="Sionis A" first="Alessandro" last="Sionis">Alessandro Sionis</name>
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<country xml:lang="fr">Espagne</country>
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</placeName>
</affiliation>
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<author><name sortKey="Barnett, Christopher F" sort="Barnett, Christopher F" uniqKey="Barnett C" first="Christopher F" last="Barnett">Christopher F. Barnett</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Cardiology, Medstar Washington Hospital Center, Washington, DC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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</placeName>
<wicri:cityArea>Department of Cardiology, Medstar Washington Hospital Center, Washington</wicri:cityArea>
</affiliation>
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<author><name sortKey="Jentzer, Jacob C" sort="Jentzer, Jacob C" uniqKey="Jentzer J" first="Jacob C" last="Jentzer">Jacob C. Jentzer</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland; Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland; Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston</wicri:cityArea>
</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 wicri:level="1"><nlm:affiliation>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada. Electronic address: https://twitter.com/seanvandiepen.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta</wicri:regionArea>
<wicri:noRegion>Alberta</wicri:noRegion>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.</title>
<author><name sortKey="Katz, Jason N" sort="Katz, Jason N" uniqKey="Katz J" first="Jason N" last="Katz">Jason N. Katz</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Cardiology, Duke University, Durham, North Carolina. Electronic address: jason.katz@duke.edu.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Caroline du Nord</region>
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</affiliation>
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<author><name sortKey="Sinha, Shashank S" sort="Sinha, Shashank S" uniqKey="Sinha S" first="Shashank S" last="Sinha">Shashank S. Sinha</name>
<affiliation wicri:level="2"><nlm:affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia. Electronic address: https://twitter.com/ShashankSinhaMD.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Virginie</region>
</placeName>
<wicri:cityArea>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, New York.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Dudzinski, David M" sort="Dudzinski, David M" uniqKey="Dudzinski D" first="David M" last="Dudzinski">David M. Dudzinski</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
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</affiliation>
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<author><name sortKey="Gage, Ann" sort="Gage, Ann" uniqKey="Gage A" first="Ann" last="Gage">Ann Gage</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Division of Cardiology, Cleveland Clinic, Cleveland</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Virginie</region>
</placeName>
<wicri:cityArea>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Welch, Timothy" sort="Welch, Timothy" uniqKey="Welch T" first="Timothy" last="Welch">Timothy Welch</name>
<affiliation wicri:level="2"><nlm:affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia; Virginia Heart, Falls Church, Virginia.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Virginie</region>
</placeName>
<wicri:cityArea>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia; Virginia Heart, Falls Church</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Division of Cardiology, Maine Medical Center, Portland, Maine.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maine (État)</region>
</placeName>
<wicri:cityArea>Division of Cardiology, Maine Medical Center, Portland</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Connecticut</region>
</placeName>
<wicri:cityArea>Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Leonardi, Sergio" sort="Leonardi, Sergio" uniqKey="Leonardi S" first="Sergio" last="Leonardi">Sergio Leonardi</name>
<affiliation wicri:level="1"><nlm:affiliation>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:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Coronary Care Unit and Laboratory of Clinical and Experimental Cardiology-Fondazione IRCCS Policlinico San Matteo, and Department of Molecular Medicine, University of Pavia, Pavia</wicri:regionArea>
<wicri:noRegion>Pavia</wicri:noRegion>
</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 wicri:level="2"><nlm:affiliation>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
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<wicri:cityArea>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston</wicri:cityArea>
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<author><name sortKey="Price, Susanna" sort="Price, Susanna" uniqKey="Price S" first="Susanna" last="Price">Susanna Price</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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<author><name sortKey="Chaudhry, Sunit Preet" sort="Chaudhry, Sunit Preet" uniqKey="Chaudhry S" first="Sunit-Preet" last="Chaudhry">Sunit-Preet Chaudhry</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Cardiology, St. Vincent Hospital, Indianapolis, Indiana.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Indiana</region>
</placeName>
<wicri:cityArea>Department of Cardiology, St. Vincent Hospital, Indianapolis</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="O Brien, Connor G" sort="O Brien, Connor G" uniqKey="O Brien C" first="Connor G" last="O'Brien">Connor G. O'Brien</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, California.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Sionis, Alessandro" sort="Sionis, Alessandro" uniqKey="Sionis A" first="Alessandro" last="Sionis">Alessandro Sionis</name>
<affiliation wicri:level="3"><nlm:affiliation>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:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute IIB-SantPaul, Universidad Autonoma de Barcelona, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
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</affiliation>
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<author><name sortKey="Barnett, Christopher F" sort="Barnett, Christopher F" uniqKey="Barnett C" first="Christopher F" last="Barnett">Christopher F. Barnett</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Cardiology, Medstar Washington Hospital Center, Washington, DC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">District de Columbia</region>
</placeName>
<wicri:cityArea>Department of Cardiology, Medstar Washington Hospital Center, Washington</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland; Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland; Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston</wicri:cityArea>
</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 wicri:level="1"><nlm:affiliation>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada. Electronic address: https://twitter.com/seanvandiepen.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta</wicri:regionArea>
<wicri:noRegion>Alberta</wicri:noRegion>
</affiliation>
</author>
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<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>
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<term>COVID-19 (MeSH)</term>
<term>Cardiology Service, Hospital (organization & administration)</term>
<term>Cardiology Service, Hospital (trends)</term>
<term>Civil Defense (methods)</term>
<term>Civil Defense (organization & administration)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (therapy)</term>
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<term>Critical Care (organization & administration)</term>
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<term>Delivery of Health Care (methods)</term>
<term>Delivery of Health Care (organization & administration)</term>
<term>Delivery of Health Care (trends)</term>
<term>Humans (MeSH)</term>
<term>Organizational Innovation (MeSH)</term>
<term>Organizational Objectives (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>SARS-CoV-2 (MeSH)</term>
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<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Innovation organisationnelle (MeSH)</term>
<term>Objectifs de fonctionnement (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (thérapie)</term>
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<term>Prestations des soins de santé (méthodes)</term>
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<term>Service hospitalier de cardiologie</term>
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<front><div type="abstract" xml:lang="en">The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to 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 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review 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. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives.</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>07</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1558-3597</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>76</Volume>
<Issue>1</Issue>
<PubDate><Year>2020</Year>
<Month>07</Month>
<Day>07</Day>
</PubDate>
</JournalIssue>
<Title>Journal of the American College of Cardiology</Title>
<ISOAbbreviation>J Am Coll Cardiol</ISOAbbreviation>
</Journal>
<ArticleTitle>COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.</ArticleTitle>
<Pagination><MedlinePgn>72-84</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0735-1097(20)35002-6</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jacc.2020.04.029</ELocationID>
<Abstract><AbstractText>The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to 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 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review 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. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives.</AbstractText>
<CopyrightInformation>Copyright © 2020 American College of Cardiology Foundation. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Katz</LastName>
<ForeName>Jason N</ForeName>
<Initials>JN</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Duke University, Durham, North Carolina. Electronic address: jason.katz@duke.edu.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sinha</LastName>
<ForeName>Shashank S</ForeName>
<Initials>SS</Initials>
<AffiliationInfo><Affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia. Electronic address: https://twitter.com/ShashankSinhaMD.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Alviar</LastName>
<ForeName>Carlos L</ForeName>
<Initials>CL</Initials>
<AffiliationInfo><Affiliation>Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, New York.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dudzinski</LastName>
<ForeName>David M</ForeName>
<Initials>DM</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gage</LastName>
<ForeName>Ann</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Cleveland Clinic, Cleveland, Ohio.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brusca</LastName>
<ForeName>Samuel B</ForeName>
<Initials>SB</Initials>
<AffiliationInfo><Affiliation>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Flanagan</LastName>
<ForeName>M Casey</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Welch</LastName>
<ForeName>Timothy</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia; Virginia Heart, Falls Church, Virginia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Geller</LastName>
<ForeName>Bram J</ForeName>
<Initials>BJ</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Maine Medical Center, Portland, Maine.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Miller</LastName>
<ForeName>P Elliott</ForeName>
<Initials>PE</Initials>
<AffiliationInfo><Affiliation>Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Leonardi</LastName>
<ForeName>Sergio</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>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.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bohula</LastName>
<ForeName>Erin A</ForeName>
<Initials>EA</Initials>
<AffiliationInfo><Affiliation>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Price</LastName>
<ForeName>Susanna</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chaudhry</LastName>
<ForeName>Sunit-Preet</ForeName>
<Initials>SP</Initials>
<AffiliationInfo><Affiliation>Department of Cardiology, St. Vincent Hospital, Indianapolis, Indiana.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Metkus</LastName>
<ForeName>Thomas S</ForeName>
<Initials>TS</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>O'Brien</LastName>
<ForeName>Connor G</ForeName>
<Initials>CG</Initials>
<AffiliationInfo><Affiliation>Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, California.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sionis</LastName>
<ForeName>Alessandro</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>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.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Barnett</LastName>
<ForeName>Christopher F</ForeName>
<Initials>CF</Initials>
<AffiliationInfo><Affiliation>Department of Cardiology, Medstar Washington Hospital Center, Washington, DC.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jentzer</LastName>
<ForeName>Jacob C</ForeName>
<Initials>JC</Initials>
<AffiliationInfo><Affiliation>Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Solomon</LastName>
<ForeName>Michael A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland; Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Morrow</LastName>
<ForeName>David A</ForeName>
<Initials>DA</Initials>
<AffiliationInfo><Affiliation>TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van Diepen</LastName>
<ForeName>Sean</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada. Electronic address: https://twitter.com/seanvandiepen.</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>16</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Am Coll Cardiol</MedlineTA>
<NlmUniqueID>8301365</NlmUniqueID>
<ISSNLinking>0735-1097</ISSNLinking>
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<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
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<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
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<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
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<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002959" MajorTopicYN="N">Civil Defense</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003422" MajorTopicYN="Y">Critical Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009936" MajorTopicYN="Y">Organizational Innovation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009937" MajorTopicYN="N">Organizational Objectives</DescriptorName>
</MeshHeading>
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<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName>
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<Keyword MajorTopicYN="Y">crisis</Keyword>
<Keyword MajorTopicYN="Y">pandemic</Keyword>
</KeywordList>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>04</Month>
<Day>04</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>04</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>04</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>4</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.

COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week.

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