ANMCO POSITION PAPER: Network Organization for the Treatment of Acute Coronary Syndrome Patients during the Emergency COVID-19 Pandemic

Author:

Scotto di Uccio Fortunato1,Valente Serafina2,Colivicchi Furio3,Murrone Adriano4,Caldarola Pasquale5,Di Lenarda Andrea6,Roncon Loris7,Amodeo Enzo8,Aspromonte Nadia9,Cipriani Manlio Gianni10,Domenicucci Stefano11,Francese Giuseppina Maura12,Imazio Massimo13,Urbinati Stefano14,Gulizia Michele Massimo1215,Gabrielli Domenico1617

Affiliation:

1. Cardiology-ICU Department- Cath Lab, Ospedale del Mare, Naples, Italy

2. Clinical-Surgical Cardiology and ICU Department, A.O.U. Senese Ospedale Santa Maria alle Scotte, Siena, Italy

3. Clinical and Rehabilitation Cardiology Department, Presidio Ospedaliero San Filippo Neri, ASL Roma 1, Rome, Italy

4. Cardiology-ICU Department, Ospedali di Città di Castello e Gubbio - Gualdo Tadino Azienda USL Umbria 1, Perugia, Italy

5. Cardiology-ICU Department, Ospedale San Paolo, Bari, Italy

6. Cardiovascular and Sports Medicine Department, A.S.U. Integrata di Trieste, Italy

7. Cardiology Department, Ospedale Santa Maria della Misericordia, Rovigo, Italy

8. Cardiology-ICU Department, Ospedale Santa Maria degli Ungheresi, Polistena, Italy

9. Heart Failure Unit, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

10. Cardiology 2-Cardiac Failure and Transplantation Unit, Cardiotoracovascular Department “A. De Gasperis”, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

11. Cardiology Unit, Ospedale Padre A. Micone, Genova, Italy

12. Cardiology Department, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione “Garibaldi”,Catania, Italy

13. Cardiology Department, Presidio Molinette, A.O.U. Città della Salute e della Scienza in Turin, Italy

14. Cardiology Department, Ospedale Bellaria, AUSL di Bologna, Bologna, Italy

15. Fondazione per il Tuo cuore, Firenze – Heart Care Foundation Onlus, Italy

16. Cardiology Department, Ospedale Civile Augusto Murri, Fermo, Italy

17. Italian Association of Hospital Cardiologists, Florence, Italy

Abstract

AbstractThe COVID-19 pandemic has become a global health emergency. In Italy, the number of people infected by SARS-COVID-2 is rapidly increasing and what emerges from the current data is that the majority do not present any symptoms or only minor flu-like symptoms. In about 20% of the patients, the disease progresses towards more complex forms (interstitial pneumonia to acute respiratory distress and multiple organ failure) with the need of hospitalization in CICU and advanced ventilator assistance. The transmission of the virus occurs very easily from the symptomatic patient s droplets from coughing and sneezing and from direct contact with persons or surfaces.In a patient presenting with ST elevation (STEMI) myocardial infarction or STEMI-like, if positive to COVID-19, the reperfusion therapeutic strategy depends on the local organization and on the possibility to access without delay a PCI COVID Center, on the basis, obviously, of the risk/benefit assessment of the individual case. However, we advise to try pursuing, in the first instance, the mechanical revascularization strategy, according to the available local possibilities.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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