Recommendations for Cardiovascular Prevention During the Sars-Cov-2 Pandemic: An Executive Document by the Board of the

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CLINICAL GUIDELINES AND PRACTICE RECOMMENDATIONS

Recommendations for Cardiovascular Prevention During the Sars‑Cov‑2 Pandemic: An Executive Document by the Board of the Italian Society of Cardiovascular Prevention Massimo Volpe1,2 · Allegra Battistoni1   on behalf of the board of the Italian Society of Cardiovascular Prevention · Paolo Bellotti3 · Simonetta Bellone4 · Marco Bertolotti5 · Alessandro Biffi6 · Agostino Consoli7 · Alberto Corsini8 · Giovambattista Desideri9 · Claudio Ferri9 · Maria Grazia Modena5 · Giulio Nati1 · Matteo Pirro10 · Speranza Rubattu1,2 · Giuliano Tocci1,2 · Bruno Trimarco11 · Roberto Volpe12 · Saula Vigili de Kreutzenberg13 Received: 26 June 2020 / Accepted: 21 July 2020 © Italian Society of Hypertension 2020

Abstract In 2020, the Sars-Cov-2 pandemic is causing a huge and dramatic impact on healthcare systems worldwide. During this emergency, fragile patients suffering from other comorbidities, especially patients susceptible to or affected by cardiovascular disease, are the ones most exposed to the poorer outcomes. Therefore, it is still mandatory to continue to strictly adhere to the rules of cardiovascular prevention. This document aims to provide all doctors with simple and clear recommendations in order to spread useful messages to the widest number of subjects in order to continue the battle against cardiovascular diseases even in times of pandemic. Keyword  Covid-19 · Sars-Cov-2 · Cardiovascular risk · Cardiovascular prevention

* Massimo Volpe [email protected] 1



Division of Cardiology, Department of Clinical and Molecular Medicine, University of Rome Sapienza, Sant’Andrea Hospital, Via di Grottarossa 1035‑1039, 00189 Rome, Italy

2



IRCCS Neuromed, Pozzilli, Italy

3

Ospedale San Paolo, Savona, Italy

4

Università del Piemonte Orientale, Vercelli, Italy

5

Università di Modena e Reggio Emilia, Modena, Italy

6

Med-Ex, Medicine and Exercise, Medical Partner Scuderia Ferrari, Rome, Italy

7

Università di Chieti-Pescara, Chieti, Italy

8

Università degli studi di Milano, Milan, Italy

9

Università degli studi dell’Aquila, L’Aquila, Italy



10

Università degli studi di Perugia, Perugia, Italy

11

Università degli studi “Federico II”, Napoli, Italy

12

Consiglio Nazionale Ricerche, Rome, Italy

13

Università degli studi di Padova, Padua, Italy

For the first time since the Second World War, the entire planet is facing an event, the Sars-Cov-2 pandemic, which is undermining our lifestyle and perception of health, as we are used to perceive them. The latest data show that over fifteen million people worldwide are affected by Covid-19 and about 600,000 have died from it [1]. In addition, the burden of morbidity and mortality indirectly dependent on this pandemic is still not estimable, just as the consequent socio-economic damage. Those who have undergone quarantine measures, have already experienced significant changes in daily life and in the management of their health issues, even in the fortunate case of not having contracted the Sars-Cov-2. On the o