How cardiologists respond to COVID-19: the experience of West China Hospital, China
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CE-RESEARCH LETTER TO THE EDITOR
How cardiologists respond to COVID‑19: the experience of West China Hospital, China Min Ma1,2 · Zhi‑gang Yang1 · Yong He3 Received: 16 April 2020 / Accepted: 16 June 2020 © Società Italiana di Medicina Interna (SIMI) 2020
Dear Editors, A recent outbreak of the coronavirus disease 2019 (COVID19) was first identified in the central Chinese city of Wuhan [1–4], Hubei Province, China. The World Health Organization has declared the COVID-19 outbreak as the sixth public health emergency of international concern (PHEIC). The outbreak of COVID-19 is in the season of high incidence of cardiovascular diseases, and it is the third coronavirus to emerge in human populations in the past two decades (Table 1) and has put Chinese health authorities and global public health institutions on alert. While preventing COVID19 and controlling its transmission, the diagnosis and treatment of patients with acute coronary syndrome (ACS) cannot be ignored. ACS is characterized by acute onset and rapid progression, which may have life-threatening consequences. During the epidemic prevention and control period, thrombolytic drug followed by perfusion therapy should be the first choice of treatment for patients with acute myocardial infarction (AMI), according to the principle of “treatment in the nearest place, safe protection, thrombolysis as a top priority, designated transfer, and tele-consultation.” Based on the characteristics of cardiovascular diseases, the novel coronavirus protection strategy for cardiologists in our unit is developed based on the background of novel
coronavirus infection control, providing a reference. Meanwhile, the strategy will be updated at any time in accordance with the changes of the relevant national, provincial, municipal, and hospital regulations. However, percutaneous coronary intervention (PCI) should be considered when the benefits of emergency PCI outweigh the risks based on comprehensive evaluations in the emergency department. The aim of the plan is to enable us to provide the maximum level of care to protect the safety of both medical staff and patients and the experience of West China Hospital, China. West China Hospital is the referral medical center in Sichuan Province and the largest hospital in southwest China. It is our responsibility to provide precare for the admission of additional critically ill patients from all over the country [5]. To prevent the epidemic of COVID19 according to the present law, prevent the spread of the virus, and protect the safety of both physicians and patients, relevant treatment approaches are proposed in admitting patients with emergency intervention needs into the cardiac catheterization room. In the emergency department or chest pain center, if patients require urgent interventions, such as PCI, temporary pacemaker implantation, and extracorporeal membrane oxygenation, for the treatment of diseases, including ACS, bradyarrhythmia, and fulminant myocarditis, the following procedures should be applied in admission and treatment
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