Kodsi Matthew, Bhat Aditya
Department of Cardiology, Blacktown Hospital, Sydney, NSW, Australia.
School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Front Cardiovasc Med. 2022 Nov 8;9:981023. doi: 10.3389/fcvm.2022.981023. eCollection 2022.
In response to the ongoing COVID-19 pandemic, public health care measures have been implemented to limit spread of the contagion and ensure adequate healthcare resource allocation. Correlating with these measures are observed changes in the incidence and outcomes of cardiovascular conditions in the absence of COVID-19 infection. The pandemic has resulted in a reduction in acute coronary syndrome, heart failure and arrhythmia admissions but with worsened outcomes in those diagnosed with these conditions. This is concerning of an underdiagnosis of cardiovascular diseases during the pandemic. Furthermore, cardiovascular services and investigations have decreased to provide healthcare allocation to COVID-19 related services. This threatens an increasing future prevalence of cardiovascular morbidity in healthcare systems that are still adapting to the challenges of a continuing pandemic. Adaption of virtual training and patient care delivery platforms have been shown to be useful, but adequate resources allocation is needed to ensure effectiveness in vulnerable populations.
为应对持续的新冠疫情，已实施公共卫生保健措施以限制传染病传播并确保医疗资源的充分分配。在未感染新冠病毒的情况下，心血管疾病的发病率和转归出现了一些与这些措施相关的变化。疫情导致急性冠脉综合征、心力衰竭和心律失常的住院人数减少，但已诊断出这些疾病的患者的转归却恶化了。这令人担忧在疫情期间心血管疾病存在诊断不足的情况。此外，心血管服务和检查减少，以便为与新冠相关的服务分配医疗资源。这对仍在适应持续疫情挑战的医疗系统中未来心血管疾病发病率的不断上升构成威胁。虚拟培训和患者护理交付平台的应用已被证明是有用的，但需要充分的资源分配以确保在弱势群体中的有效性。
