William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University, London EC1M 6BQ, United Kingdom; Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, United Kingdom.
Keele Cardiovascular Research Group, Keele University, Keele ST5 5BG, United Kingdom; Department of Cardiology, Thomas Jefferson University, Philadelphia, PA 19107, USA; Institute of Population Health, University of Manchester, Manchester M13 9PT, United kingdom.
Cardiol Clin. 2022 Aug;40(3):389-396. doi: 10.1016/j.ccl.2022.03.010. Epub 2022 Mar 29.
The coronavirus disease 2019 (COVID-19) pandemic has challenged the capacity of health care systems around the world, including substantial disruptions to cardiovascular care across key areas of health care delivery. In this narrative review, we examine the implications of the COVID-19 pandemic for cardiovascular health care, including excess cardiovascular mortality, acute and elective cardiovascular care, and disease prevention. Additionally, we consider the long-term public health consequences of disruptions to cardiovascular care across both primary and secondary care settings. Finally, we review health care inequalities and their driving factors, as highlighted by the pandemic, and consider their importance in the context of cardiovascular health care.
2019 年冠状病毒病(COVID-19)大流行挑战了全球卫生保健系统的能力,包括对医疗保健提供的关键领域的心血管保健造成重大干扰。在这篇叙述性评论中,我们研究了 COVID-19 大流行对心血管保健的影响,包括心血管死亡率增加、急性和选择性心血管保健以及疾病预防。此外,我们还考虑了在初级和二级保健环境中中断心血管保健对长期公共卫生的影响。最后,我们审查了大流行突显的卫生保健不平等及其驱动因素,并考虑了它们在心血管保健方面的重要性。