EAPCI Position Statement on Invasive Management of Acute Coronary Syndromes during the COVID-19 pandemic.

Chieffo, Alaide; Stefanini, Giulio G; Price, Susanna; Barbato, Emanuele; Tarantini, Giuseppe; Karam, Nicole; Moreno, Raúl; Buchanan, Gill Louise; Gilard, Martine; Halvorsen, Sigrun; Huber, Kurt; James, Stefan; Neumann, Franz-Josef; Möllmann, Helge; Roffi, Marco; Tavazzi, Guido; Ferré, Josepa Mauri; Windecker, Stephan; Dudek, Dariusz and Baumbach, Andreas (2020). EAPCI Position Statement on Invasive Management of Acute Coronary Syndromes during the COVID-19 pandemic. EuroIntervention, 16(3), pp. 233-246. Europa Digital & Publishing 10.4244/EIJY20M05_01

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The coronavirus disease 2019 (COVID-19) pandemic poses an unprecedented challenge to healthcare worldwide. The infection can be life threatening and require intensive care treatment. The transmission of the disease poses a risk to both patients and healthcare workers. The number of patients requiring hospital admission and intensive care may overwhelm health systems and negatively affect standard care for patients presenting with conditions needing emergency interventions. This position statements aims to assist cardiologists in the invasive management of acute coronary syndrome (ACS) patients in the context of the COVID-19 pandemic. To that end, we assembled a panel of interventional cardiologists and acute cardiac care specialists appointed by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and from the Acute Cardiovascular Care Association (ACVC) and included the experience from the first and worst affected areas in Europe. Modified diagnostic and treatment algorithms are proposed to adapt evidence-based protocols for this unprecedented challenge. Various clinical scenarios, as well as management algorithms for patients with a diagnosed or suspected COVID-19 infection, presenting with ST- and non-ST-segment elevation ACS are described. In addition, we address the need for re-organization of ACS networks, with redistribution of hub and spoke hospitals, as well as for in-hospital reorganization of emergency rooms and cardiac units, with examples coming from multiple European countries. Furthermore, we provide a guidance to reorganization of catheterization laboratories and, importantly, measures for protection of healthcare providers involved with invasive procedures.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Windecker, Stephan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1774-024X

Publisher:

Europa Digital & Publishing

Language:

English

Submitter:

Nadia Biscozzo

Date Deposited:

03 Nov 2020 16:57

Last Modified:

03 Nov 2020 16:57

Publisher DOI:

10.4244/EIJY20M05_01

PubMed ID:

32404302

BORIS DOI:

10.7892/boris.147501

URI:

https://boris.unibe.ch/id/eprint/147501

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