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Management Strategies for Patients After CABG Surgery in the Outbreak of the COVID-19 Pandemic

Authors Wang X, Zhou Y, Zhang X, Li J, Zhou X, Zhang Z

Received 23 July 2020

Accepted for publication 1 September 2020

Published 21 September 2020 Volume 2020:13 Pages 1655—1659

DOI https://doi.org/10.2147/RMHP.S271133

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Marco Carotenuto


Xiaogang Wang,1 Yangzhao Zhou,1,2 Xia Zhang,1 Jianming Li,1 Xinmin Zhou,1 ZhiWei Zhang1,2

1Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, People’s Republic of China; 2Department of Medicine, University of California San Diego, La Jolla, CA 92093, USA

Correspondence: ZhiWei Zhang
Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, People’s Republic of China
Tel +86 13787083210
Email [email protected]

Background: The novel coronavirus 2019 pandemic (COVID-19) has quickly spread over the world and affected over 100 countries so far. Patients with pre-existing cardiovascular disease may have a higher risk of infection of COVID-19 and worse outcomes than others. To improve the outcome during the pandemic, management strategies for the patients recovering from coronary artery bypass graft (CABG) surgery need to be reconsidered.
Methods: Some precaution advices including self-protection, blood glucose and blood pressure controlling are recommended for the patients recovering from CABG during the pandemic. They are encouraged to communicate with doctors by telephone or Internet when COVID-19 related symptoms such as cough, fever and dyspnea occur. As a follow-up strategy for patients after CABG surgery, cardiac biomarkers and CTA could also be helpful to the diagnosis of COVID-19. Some medications being investigated for COVID-19 therapy may have side effects relevant to cardiovascular disease. Appropriate personal protection equipment (PPE) is necessary for cardiovascular health-care workers operating in clinical settings.
Results: There was zero out of over 300 follow-up patients after CABG surgery confirmed to be infected with COVID-19 from January to June 2020. No cardiovascular health-care workers were reported to be infected neither in the Second Xiangya Hospital during the pandemic.
Conclusion: The management strategy here we proposed could improve the outcome of patients after CABG during the pandemic and benefit both cardiovascular patients and health-care workers.

Keywords: cardiovascular patients, CABG, COVID-19 pandemic

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