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新冠疫情高峰及其对风湿性心脏瓣膜病患者护理的影响。

The COVID-19 Pandemic Surge and Impact on Rheumatic Valvular Heart Disease Patient Care.

作者信息

Kulkarni Prashanth, Mahadevappa Manjappa

机构信息

Department of Cardiology, Heart Care Center, Bidar, 585401, India.

Department of Cardiology, JSS Medical College and Hospital, JSSAHER, Mysuru, 570004, India.

出版信息

J Saudi Heart Assoc. 2021 Nov 3;33(4):261-266. doi: 10.37616/2212-5043.1271. eCollection 2021.

Abstract

The COVID-19 crisis has surged worldwide, putting immense stress on the health care services, leading to institutions deferring elective procedures and struggling to triage the emergency care of cardiac patients. This has affected the management of the rheumatic valvular heart disease patients especially, in developing countries, potentially placing these patients at enormous risk for complications like congestive cardiac failure, stroke and death. This article explores the COVID-19 pandemic and its impact on rheumatic valvular heart disease patient care. We try to provide a framework that addresses the procedural considerations of interventions like percutaneous transluminal mitral commissurotomy (PTMC), mitral and aortic valve surgeries. This article also highlights the implications for the outpatient valve clinic, and safety issues of the patient and health care workers during this ongoing pandemic.

摘要

新冠疫情已在全球范围内激增,给医疗服务带来巨大压力,导致医疗机构推迟择期手术,并难以对心脏病患者的急诊进行分诊。这尤其影响了发展中国家风湿性心脏瓣膜病患者的治疗,可能使这些患者面临充血性心力衰竭、中风和死亡等并发症的巨大风险。本文探讨了新冠疫情及其对风湿性心脏瓣膜病患者护理的影响。我们试图提供一个框架,以解决诸如经皮二尖瓣交界切开术(PTMC)、二尖瓣和主动脉瓣手术等干预措施的程序考量。本文还强调了在当前疫情期间对门诊瓣膜诊所的影响以及患者和医护人员的安全问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bf/8862731/13631b86049d/sha-261-266f1.jpg

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