Owing to the COVID-19 outbreak in Lombardy, Italy) there is an urgent need to manage cardiovascular emergencies, including acute coronary syndrome (ACS), with appropriate standards of care and dedicated preventive measures and pathways against the risk of SARS-CoV-2 infection. For this reason, the Government of Lombardy decided to centralize the treatment of ACS patients in a limited number of centers, including our university cardiology institute, which in the past 4 weeks became a cardiovascular emergency referral center in a regional hub-and-spoke system. Therefore, we rapidly developed a customized pathway to allocate patients to the appropriate hospital ward, and treat them according to ACS severity and risk of suspected SARS-CoV-2 infection. We present here the protocol dedicated to ACS patients adopted in our center since March 13, 2020, and our initial experience in the management of ACS patients during the first 4 weeks of its use. Certainly, the protocol has room for further improvement as everyone's experience grows, but we hope that it could be a starting point, adaptable to different realities and local resources.

An In-hospital Pathway for Acute Coronary Syndrome Patients During the COVID-19 Outbreak : Initial Experience Under Real-World Suboptimal Conditions / N. Cosentino, E. Assanelli, L. Merlino, M. Mazza, A. Bartorelli, G. Marenzi. - In: CANADIAN JOURNAL OF CARDIOLOGY. - ISSN 0828-282X. - 36:6(2020 Jun), pp. 961-964. [10.1016/j.cjca.2020.04.011]

An In-hospital Pathway for Acute Coronary Syndrome Patients During the COVID-19 Outbreak : Initial Experience Under Real-World Suboptimal Conditions

Cosentino N.;Bartorelli A.;
2020-06

Abstract

Owing to the COVID-19 outbreak in Lombardy, Italy) there is an urgent need to manage cardiovascular emergencies, including acute coronary syndrome (ACS), with appropriate standards of care and dedicated preventive measures and pathways against the risk of SARS-CoV-2 infection. For this reason, the Government of Lombardy decided to centralize the treatment of ACS patients in a limited number of centers, including our university cardiology institute, which in the past 4 weeks became a cardiovascular emergency referral center in a regional hub-and-spoke system. Therefore, we rapidly developed a customized pathway to allocate patients to the appropriate hospital ward, and treat them according to ACS severity and risk of suspected SARS-CoV-2 infection. We present here the protocol dedicated to ACS patients adopted in our center since March 13, 2020, and our initial experience in the management of ACS patients during the first 4 weeks of its use. Certainly, the protocol has room for further improvement as everyone's experience grows, but we hope that it could be a starting point, adaptable to different realities and local resources.
Aged; Betacoronavirus; Female; Humans; Italy; Male; Organizational Innovation; Risk Management; Acute Coronary Syndrome; Coronavirus Infections; Critical Pathways; Emergency Service, Hospital; Infection Control; Pandemics; Patient Care Management; Pneumonia, Viral
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/772411
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