Johns Hopkins University School of Medicine, Baltimore, Maryland, US.
Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2021 Sep 24;17(4):68-78. doi: 10.14797/mdcvj.210. eCollection 2021.
The coronavirus disease 2019 (COVID-19) pandemic has been the defining healthcare issue since its outbreak, consuming healthcare systems and disrupting all aspects of human life throughout 2020 and continuing through 2021. When reviewing cardiovascular disease (CVD) prevention throughout the COVID-19 pandemic, the first tendency may be to focus on the negative disruption. Months of quarantine, isolation, and missed healthcare visits or delayed care may have exacerbated the epidemic of CVD in the United States. Looking back, however, perhaps it wasn't a lost year as much as a health crisis that better prepared us for the battle to improve cardiovascular health. The pandemic brought new platforms for interacting with patients eager to engage, presenting a unique opportunity to reset how we approach preventive care. In this review, we discuss what the pandemic has taught us about caring for those vulnerable patients who were most afflicted-older adults, persons of color, and people facing adverse socioeconomic circumstances-and who continue to be impacted by CVD. We also identify opportunities for enhanced CVD prevention now boosted by the overnight adoption of telemedicine and other innovative cardiac care models. Lastly, we discuss how the COVID-19 pandemic has motivated physicians and patients alike to prioritize our health above all else, if only transiently, and how we can leverage this increased health awareness and investment into long-term, meaningful disease prevention.
2019 年冠状病毒病（COVID-19）大流行是自爆发以来定义医疗保健问题的主要因素，它消耗了医疗保健系统，并在 2020 年及 2021 年期间扰乱了人类生活的各个方面。在回顾整个 COVID-19 大流行期间的心血管疾病（CVD）预防措施时，首先倾向于关注负面的破坏。数月的隔离、孤立以及错过的医疗保健就诊或延迟的护理可能使美国的 CVD 流行加剧。然而，回顾过去，这一年与其说是失去的一年，不如说是一场健康危机，它使我们为改善心血管健康的战斗做好了更好的准备。大流行带来了与渴望参与的患者互动的新平台，为我们如何处理预防保健提供了独特的机会。在这篇综述中，我们讨论了大流行教会了我们如何照顾那些最易受影响的脆弱患者-老年人、有色人种以及面临不利社会经济状况的人-以及那些继续受到 CVD 影响的人。我们还确定了现在通过远程医疗和其他创新心脏护理模式的即时采用来增强 CVD 预防的机会。最后，我们讨论了 COVID-19 大流行如何促使医生和患者都将健康置于首位，如果只是暂时的，以及我们如何利用这种增强的健康意识和投资来进行长期、有意义的疾病预防。
