The acute cardiovascular care community has been on the front lines of the current health crisis and has a vital role to play.
The Association for Acute CardioVascular Care wants to support the community and all healthcare professionals mobilised during this pandemic.
We have gathered a wide array of scientific resources that may help you.
ACVC Webinar: Acute Cardiovascular Care during the COVID-19 pandemic
- Diagnose and treat COVID-19 positive patients presenting with respiratory failure
- Understand changes in diagnosis and treatment of patients admitted for acute coronary syndromes
- Know how the pro-thrombotic situation associated with a COVID-19 infection may aggravate clinical outcome
- Consider options of end-of-life decision in collapsing systems
- Be informed about ongoing studies on how to fight the virus
- Prof Kurt HUBER, FESC, Austria
Introduction and prothrombotic milieu in COVID-19 positive patients leads to an aggravation of clinical course caused by thrombotic events
- Prof Christian HASSAGER, FESC, Denmark
Respiratory failure – What is special?
- Prof Pascal VRANCKX, FESC, Belgium
Pre- and in-hospital care of ACS patients (including also protection from infection for healthcare workers)
- Prof Eric BONNEFOY-CUDRAZ, France
Deciding end of life (when the system collapses)
- Dr Alexandru MISCHIE, FESC, France
Current research projects
Article selection from the EHJ-ACVC
- Acute Cardiovascular Care Association Position Paper on Intensive Cardiovascular Care Units: An update on their definition, structure, organisation and function
- Pneumonia and inflammation in acute decompensated heart failure: a registry-based analysis of 1939 patients
- Early signs of right ventricular systolic and diastolic dysfunction in acute severe respiratory failure: the importance of diastolic restrictive pattern
- Acute Cardiovascular Care Association position statement for the diagnosis and treatment of patients with acute myocardial infarction complicated by cardiogenic shock: A document of the Acute Cardiovascular Care Association of the European Society of Cardiology
- Implications for prehospital, emergency and hospital care in patients with ACS
- Respiratory management in severe acute respiratory syndrome coronavirus 2 infection
- Cardiac safety of off-label COVID-19 drug therapy: a review and proposed monitoring protocol
- Medical treatment options for COVID-19
- The COVID-19 epidemic, its mortality, and the role of non-pharmaceutical interventions
- Ethical aspects of the COVID-19 crisis: How to deal with an overwhelming shortage of acute beds
- Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic
The COVID-19 pandemic has led to an increase of severe cardiovascular events, which may be caused by the infection itself triggering a huge inflammatory response, with severe hypoxia and a systemic prothrombotic milieu as consequences.
These events include ST-elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarctions by plaque erosion or disruption and coronary thrombus formation, inflammation associated coronary spasms and TakoTsubo syndrome, and - in rare cases - myocarditis.
The cases presented below demonstrate such cardiovascular events that were clearly associated with a COVID-19 infection and aggravated the course of disease.
The cases originated from Italy, one of the European countries most affected by the COVID-19 pandemic.
We need to thank our Italian colleagues for providing these reports, written in severe times under high physical and psychological pressure.
Prof. Kurt Huber, FESC, Austria
- COVID-19 - A usual case in an unusual situation, Claudio Montalto, Italy
- ST elevation in a COVID-19 positive patient, Luca Moderato, Italy
- ST elevation in a COVID-19 patient with suspected Tako Tsubo, Luca Moderato, Italy
Intensive and Acute Cardiovascular Care Textbook
A selection of chapters that may be useful regarding COVID-19 patients.
- Acute dyspnoea in the emergency department
- Ethical issues
- Monitoring and investigations
- Procedures, especially relevant in this chapter are:
- Acute respiratory failure and ARDS
- Acute kidney injury
- Infection, sepsis and multiorgan dysfunction syndrome
- Acute cognitive disorders
- Special considerations in the immunosuppressed patient
- Palliative care
- Susanna Price - Acute Coronary Syndromes in COVID-19: How to get your unit ready
- Maddalena Lettino- Cardiac Care in the COVID-19 Pandemic
- Barbara Casadei - Acute Coronary Syndromes in COVID-19: Treatment considerations
- Hector Bueno - MI Patients - Too scared to go to the ER?