Cardiovascular disease and COVID ‐19: Australian and New Zealand consensus statement
Open accessAbstract
INTRODUCTION: The coronavirus 2019 disease (COVID-19) pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Pre-existing cardiovascular disease (CVD) increases the morbidity and mortality of COVID-19, and COVID-19 itself causes serious cardiac sequelae. Strategies to minimise the risk of viral transmission to health care workers and uninfected cardiac patients while prioritising high quality cardiac care are urgently needed. We conducted a rapid literature appraisal and review of key documents identified by the Cardiac Society of Australia and New Zealand Board and Council members, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, and key cardiology, surgical and public health opinion leaders. MAIN RECOMMENDATIONS: Common acute cardiac manifestations of COVID-19 include left ventricular dysfunction, heart failure, arrhythmias and acute coronary syndromes. The presence of underlying CVD confers a five- to tenfold higher case fatality rate with COVID-19 disease. Special precautions are needed to avoid viral transmission to this population at risk. Adaptive health care delivery models and resource allocation are required throughout the health care system to address this need. CHANGES IN MANAGEMENT AS A RESULT OF THIS STATEMENT: Cardiovascular health services and cardiovascular health care providers need to recognise the increased risk of COVID-19 among CVD patients, upskill in the management of COVID-19 cardiac manifestations, and reorganise and innovate in service delivery models to meet demands. This consensus statement, endorsed by the Cardiac Society of Australia and New Zealand, the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, the National Heart Foundation of Australia and the High Blood Pressure Research Council of Australia summarises important issues and proposes practical approaches to cardiovascular health care delivery to patients with and without SARS-CoV-2 infection.
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CSANZ guidelines recommend full PPE for cardiac catheterisation procedures in STEMI, and in patients with suspected and confirmed COVID-19.
“CSANZ guidelines recommend full PPE for cardiac catheterisation procedures in STEMI, and in patients with suspected and confirmed COVID-19.”
From Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement (2020) · cites this paper as [15]
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“This consensus document makes recommendations for the provision of relevant, locally based, cardiac services in rural and remote areas during the COVID-19 pandemic, in accordance with other published Cardiac Society of Australia and New Zealand (CSANZ) living document consensus statements [15, 16] , to ensure equity o…”
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The Impact of the COVID-19 Pandemic on the Health of People with Mental Disorders
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Tenecteplase (and common sense) in short supply during the COVID ‐19 pandemic
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- Authors
- Zaman, S., MacIsaac, A. I., Jennings, G. L., Schlaich, M. P., Inglis, S. C., Arnold, R., Kumar, S., Thomas, L., Wahi, S., Lo, S., Naismith, C., Duffy, S. J., Nicholls, S. J., Newcomb, A., Almeida, A. A., Wong, S., Lund, M., Chew, D. P., Kritharides, L., Chow, C. K., & Bhindi, R.
- Affiliations
- Monash Health (AU)
- St Vincent's Hospital Melbourne (AU)
- The University of Sydney (AU)
- Baker Heart and Diabetes Institute (AU)
- University of Technology Sydney (AU)
- Orange Health Service Orange NSW
- Princess Alexandra Hospital (AU)
- Liverpool Hospital (AU)
- Austin Hospital (AU)
- The Alfred Hospital (AU)
- Epworth Hospital (AU)
- Middlemore Hospital (NZ)
- Flinders University (AU)
- Concord Repatriation General Hospital (AU)
- Royal North Shore Hospital (AU)
- Corresponding author
- Zaman, Sarah
- ORCID
- Venue
- Medical Journal of Australia
- Publisher
- Wiley
- Published
- 2020-07-31
- Volume
- 213
- Issue
- 4
- Pages
- 182-187
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W3014859515
- Cited by
- 73
- References
- 36
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 10 · 2021: 17 · 2020: 30
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- UWA Profiles and Research Repository (UWA) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- UTS ePRESS (University of Technology Sydney) (submittedVersion, other-oa)
- The Sydney eScholarship Repository (The University of Sydney) (submittedVersion)
- Funders
- National Heart Foundation of Australia
- Topics
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Keywords
- COVID-19 pandemic, SARS-CoV-2, cardiovascular disease, left ventricular dysfunction, heart failure, cardiac arrhythmias, acute coronary syndrome, case fatality rate, virus transmission prevention, models of care, resource allocation, cardiac care
- MeSH terms
- COVID-19, SARS-CoV-2, Australia, Cardiology, Cardiovascular Diseases, Humans, New Zealand, Societies, Medical, Thoracic Surgery, Consensus
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