The Egyptian Heart Journal最新文献_第8页

COVID-19 and impact of psychological stress on cardiovascular disease COVID-19及心理应激对心血管疾病的影响

The Egyptian Heart Journal Pub Date : 2020-11-04 DOI: 10.24170/17-3-4374

T. Bana, J. Hoare, P. Letuka, N. Ntusi

{"title":"COVID-19 and impact of psychological stress on cardiovascular disease","authors":"T. Bana, J. Hoare, P. Letuka, N. Ntusi","doi":"10.24170/17-3-4374","DOIUrl":"https://doi.org/10.24170/17-3-4374","url":null,"abstract":"COVID-19 has caused a global pandemic of anxiety, fear and uncertainty. National lockdowns, high mortality, social isolation, economic recession, job losses and food insecurity resulting from COVID-19 are potent drivers of increased stress levels, anxiety and depression, and have placed a substantial strain on healthcare and economic systems. Depression, anxiety and physical isolation are strongly linked to incident cardiovascular disease (CVD) as well as poorer outcomes in established CVD – including coronary artery disease, stroke and heart failure. Acute stress-related disorders such as post-traumatic stress disorder, have been robustly and independently associated with multiple phenotypes of CVD, particularly in the first year after the psychiatric diagnosis. Unprecedented psychological stress imposed by COVID-19 on the global population bears the potential to cause a parallel epidemic of mental health disorders and a subsequent surge in CVD, warranting strategic planning by healthcare services to mitigate its impact. This potential for a mental health crisis would require both large-scale psychosocial interventions, and incorporation of mental healthcare into disaster management plans. Anxiety and depression, as the dominant emotional responses to the outbreak, warrant adequate training of healthcare personnel and the optimal use of technological advances to deliver acute mental healthcare interventions which are time-limited and culturally sensitive.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"146 1","pages":"282-286"},"PeriodicalIF":0.0,"publicationDate":"2020-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74316640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

SA Heart® Statement on COVID-19 and cardiovascular disease SA Heart®关于COVID-19和心血管疾病的声明

The Egyptian Heart Journal Pub Date : 2020-11-04 DOI: 10.24170/17-3-4390

D. Jankelow, P. Manga, M. Ntsekhe, Sajidah Khan, B. Cupido, Hopewell N. Ntsinjana, L. Zühlke, F. Smit

引用次数: 0

Supplemental oxygen therapy in COVID-19 COVID-19的补充氧疗

The Egyptian Heart Journal Pub Date : 2020-11-04 DOI: 10.24170/17-3-4379

F. Smit, A. Oelofse, A. Linegar, L. Botes, E. Turton

{"title":"Supplemental oxygen therapy in COVID-19","authors":"F. Smit, A. Oelofse, A. Linegar, L. Botes, E. Turton","doi":"10.24170/17-3-4379","DOIUrl":"https://doi.org/10.24170/17-3-4379","url":null,"abstract":"South Africa face a significant shortage of ventilator-supported intensive care (ICU) beds during the peak phase of the COVID-19 pandemic, further exacerbated by severe ICU-staff shortages. It is also recognised that the mortality rate for ventilated patients might be as high as 88%. In the absence of a vaccine and proven effective pharmacotherapy, it is important to understand the pathophysiological processes causing progression. Early type-L COVID-19, associated with pulmonary thrombo-embolism, may be amenable to treatment with careful anti-coagulation and supplementary oxygenation strategies. This could attenuate the severe hyperventilation phase causing patient self-inflicted lung injury (P-SILI) that contributes to the development of type-H COVID-19 pneumonia. Type-H is an ARDS variant requiring intubation and ventilation and is associated with a very high mortality rate. Stepwise non-invasive positive pressure ventilation strategies (NIPPV) providing supplementary oxygen have shown benefit and, in the South African context, may be the only realistic strategy to deal with high numbers of patients during the early type-L phase of the disease. To address this, a mobile wall unit has been created that allows for stepwise supplementary oxygen therapy according to protocol – including NIPPV as well as standard ventilation. The unit can support modified wards, field hospitals or high care areas in existing facilities. It allows for NIPPV support within a hood system linked to scavenger lines addressing aerolisation. Standard humidification, flow regulators, vacuum systems, HFNC and CPAP systems, as well as monitoring equipment that are readily available in South Africa, can be linked to the system addressing availability issues.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"30 1","pages":"324-328"},"PeriodicalIF":0.0,"publicationDate":"2020-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88513424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Cardiovascular disease and global health: a perspective from the global South 心血管疾病与全球健康:来自全球南方的视角

The Egyptian Heart Journal Pub Date : 2020-06-26 DOI: 10.24170/17-2-4154

N. Ntusi

引用次数: 0

ECG Quiz 58 Answer 心电图测试58答案

The Egyptian Heart Journal Pub Date : 2020-06-26 DOI: 10.24170/17-2-4158

A. Chin, R. Millar

引用次数: 0

ECG Quiz 58 Question 心电图测验第58题

The Egyptian Heart Journal Pub Date : 2020-06-26 DOI: 10.24170/17-2-4156

A. Chin, R. Millar