IMPACT OF SARS-COV-2 ON CARDIOVASCULAR DISEASES - GIANFRANCO PARATI DEPT OF MEDICINE AND SURGERY, UNIVERSITY OF MILANO-BICOCCA
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IMPACT OF SARS-CoV-2 ON
CARDIOVASCULAR DISEASES
Gianfranco Parati
Dept of Medicine and Surgery, University of Milano-Bicocca
Dept of Cardiovascular, Neural and Metabolic Sciences, St. Luca
Hospital, Istituto Auxologico Italiano, IRCCS,
Milan, Italy
DISCLOSURES
Gianfranco Parati
No confict of interest in relation
to this topic
COVID-19 and Cardiovascular Diseases 1. Direct Impact of SARS-CoV-2 on Cardiovascular System 2. Impact of COVID-19 on CV Diseases Management 3. Role of Telemedicine for CV Patients Care.
COVID-19 and Cardiovascular Diseases 1. Direct Impact of SARS-CoV-2 on Cardiovascular System 2. Impact of COVID-19 on CV Diseases Management 3. Role of Telemedicine for CV Patients Care.
Possible Mechanisms of Acute Cardiac Injury in COVID-19
Cardiovascular complications in COVID-19 Lulu Ma, et al. Coronavirus Disease-2019 (COVID-19) and Cardiovascular Complications. Journal of Cardiothoracic and Vascular Anesthesia DOI: 10.1053/j.jvca.2020.04.041
Spectrum of cardiovascular syndromes and echocardiographic abnormalities in patients with COVID-19 infection. Capotosto L, et al. Heart, COVID-19, and echocardiography. Echocardiography. 2020;00:1–11.
COVID-19 thromboembolic complications
DECT. Multiple iodine map
“perfusion defects” in a case of
CTEPH (white stars). Note also
an increased RV:LV ratio with
mild paradoxical bowing of the
interventricular septum (black
arrows).
R. McStay et al. / Clinical Radiology 76 (2021) 74.e1e74.e14JACC: BASIC TO TRANSLATIONA L SCIENCE VOL. 6, NO. 3, 2021 Canzano et al. MARCH 2021:202 – 218 COVID-19: Platelet and Endothelial Activation
COVID-19 and Cardiovascular Diseases
1. COVID-19 and Cardiovascular Patients Care in
Milano
2. Direct impact of SARS-CoV-2 on Cardiovascular
System
3. Impact of COVID-19 on CV Diseases
Management
4. Role of Telemedicine for CV Patients Care.Social Isolation No Access to Cardiology Clinics
Cardiac Ultrasounds Test performed in Heart
Failure Patients - Lombardy Region
Courtesy of G.Corrao and F.Rea
1,0 0,0020
Proporzione di pazienti senza ecocardiogramma
Hazard del primo ecocardiogramma
0,9
0,0015
0,8
0,0010
0,7
0,0005
0,6
0,5 0,0000
0 100 200 300 400 0 100 200 300 400
gen feb mar apr mag giu lug ago set gen feb mar apr mag giu lug ago set
dic-19 dic-18 dic-19 dic-18
2020
2019Clinic Cardiology Consultation of Hypertensive
Patients under Antihypertensive Treatment -
Lombardy Region
Courtesy of G.Corrao and F.Rea
1,0 0,0012
Proporzione di pazienti senza visita
Hazard della prima visita
0,9
0,0008
0,8
0,0004
0,7
0,6 0,0000
0 100 200 300 400 0 100 200 300 400
gen feb mar apr mag giu lug ago set gen feb mar apr mag giu lug ago set
2020 2019 2020 2019
2020
2019Proportion of Hypertensive Patients with an
Antihypertensive Drug Available - Lombardy
Region
Courtesy of G.Corrao and F.Rea
0,85
Proporzione di pazienti con un farmaco antiipertensivo
0,80
0,75
0 30 60 90 120 150 180 210
gen feb mar apr mag giu lug ago
2020
2019COVID-19 and Cardiovascular Diseases
1. COVID-19 and Cardiovascular Patients Care in
Milano
2. Direct impact of SARS-CoV-2 on Cardiovascular
System
3. Impact of COVID-19 on CV Diseases
Management
4. Role of Telemedicine for CV Patients Care.TELEMEDICINE
AT THE TIME OF COVID-19
• Need of maintaining continuous link with patients unable
to come to Cardiology or Hypertension clinics for regular
visits and checks
• Need to reassure on safety of ongoing antihypertensive
and cardiovascular treatment
• Importance of counseling and empowerment through
remote connection
• Importance of data teletransmission
• -> Home BPM combined with telemonitoring and tele-
consultations
• -> Role of Digital Health and Mobile Health“ESH-CARE” app • Storage and graphs of BP and anthropometric data • Link to Doctor • Education • Research • ESH centres location
1 year 1 Lockdown
before month
before
Uncontrolled BP
Unstable BP
Controlled BP
HOME BLOOD PRESSURE DURING COVID-19 RELATED LOCKDOWN
IN PATIENTS WITH HYPERTENSION
Pengo M, Parati G et al.
Eur.J.Prev.Cardiology 2021, in pressMoving back from lockdown darkness to light and health Milano, Italy
Istituto Auxologico Italiano, IRCCS, Ospedale
San Luca, Milano.
gianfranco.parati@unimib.it
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