Triage and management of the ACHD patient with COVID-19: A single center approach.

Autor: Lastinger LT; The Ohio State University Wexner Medical Center, Columbus Ohio, Division of Cardiovascular Medicine, Department of Internal Medicine, United States of America. Electronic address: Lauren.lastinger@osumc.edu., Daniels CJ; The Ohio State University Wexner Medical Center, Columbus Ohio, Division of Cardiovascular Medicine, Department of Internal Medicine, United States of America. Electronic address: curt.daniels@osumc.edu., Lee M; The Ohio State University Wexner Medical Center, Columbus Ohio, Division of Cardiovascular Medicine, Department of Internal Medicine, United States of America. Electronic address: marc.lee@osumc.edu., Sabanayagam A; The Ohio State University Wexner Medical Center, Columbus Ohio, Division of Cardiovascular Medicine, Department of Internal Medicine, United States of America. Electronic address: aarthi.sabanayagam@osumc.edu., Bradley EA; The Ohio State University Wexner Medical Center, Columbus Ohio, Division of Cardiovascular Medicine, Department of Internal Medicine, United States of America. Electronic address: elisa.bradley@osumc.edu.
Jazyk: angličtina
Zdroj: International journal of cardiology [Int J Cardiol] 2020 Dec 01; Vol. 320, pp. 178-182. Date of Electronic Publication: 2020 Jun 19.
DOI: 10.1016/j.ijcard.2020.06.023
Abstrakt: With the recent emergence of SARS-CoV-2 and COVID-19, healthcare facilities and personnel are expected to rapidly triage and care for patients with even the most complex medical conditions. Adults with congenital heart disease (ACHD) represent an often-intimidating group of complex cardiovascular disorders. Given that general internists and general cardiologists will often be asked to evaluate this group during the pandemic, we propose here an abbreviated triage algorithm that will assist in identifying the patient's overarching ACHD phenotype and baseline cardiac status. The strategy outlined allows for rapid triage and groups various anatomic CHD variants into overarching phenotypes, permitting care teams to quickly review key points in the management of moderate to severely complex ACHD patients.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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