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急性冠状动脉综合征在 SARS-CoV-2(COVID-19)大流行期间的处理注意事项。

Considerations for Management of Acute Coronary Syndromes During the SARS-CoV-2 (COVID-19) Pandemic.

机构信息

Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania; Lithuanian University of Health Sciences, Kaunas, Lithuania.

Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania; Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Am J Cardiol. 2020 Sep 15;131:115-119. doi: 10.1016/j.amjcard.2020.06.039. Epub 2020 Jun 30.

Abstract

Accumulating evidence suggests that influenza and influenza-like illnesses can act as a trigger for acute myocardial infarction. Despite these unprecedented times providers should not overlook acute coronary syndrome (ACS) guidelines, but may choose to modify the recommended approach in situations with confirmed or suspected COVID-19 disease. In this document, we suggest recommendations as to how to triage patients diagnosed with ACSs and provide with algorithms of how to manage the patients and decide the appropriate treatment options in the era of COVID-19 pandemic. We also address the inpatient logistics and discharge to follow-up considerations for the function of already established ACS network during the pandemic.

摘要

越来越多的证据表明,流感和类流感疾病可能成为急性心肌梗死的诱因。尽管目前情况前所未有的严峻,但临床医生不应该忽视急性冠状动脉综合征(ACS)的治疗指南,而应在确诊或疑似 COVID-19 疾病的情况下选择修改推荐的方法。在本文件中,我们就如何对诊断为 ACS 的患者进行分诊提出建议,并提供在 COVID-19 大流行时期管理患者和决定适当治疗方案的算法。我们还讨论了在大流行期间,如何对已经建立的 ACS 网络的功能进行住院患者的后勤和出院后的随访的考量。

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