key: cord-0998526-lcsx1s1s
authors: Imamura, Teruhiko
title: Severity of cardiovascular diseases during the COVID-19 pandemic: A letter in response to the article entitled “One train may hide another: Acute cardiovascular diseases could be neglected because of the COVID-19 pandemic.” by Huet et al
date: 2020-06-18
journal: Arch Cardiovasc Dis
DOI: 10.1016/j.acvd.2020.05.002
sha: c50b4082a53ae41c51c24c287eee2a0430aac427
doc_id: 998526
cord_uid: lcsx1s1s

nan

Journal Pre-proof Severity of cardiovascular diseases during the COVID-19 pandemic: A letter in response to the article entitled "One train may hide another: Acute cardiovascular diseases could be neglected because of the COVID-19 pandemic." by Huet Although there may be various hypotheses to explain this finding, one possible reason might be that patients hesitated to seek medical help until haemodynamic deterioration, given the COVID-19

pandemic. For the next surveillance, I would like to propose collecting additional data associated with in-hospital mortality and disease severity (e.g. B-type natriuretic peptide for heart failure and maximum creatinine kinase for myocardial infarction), both of which might be worsened.

Many patients with fatal cardiovascular disease might be unable to be admitted to hospital, and consequently die elsewhere. The number of out-of-hospital deaths is another valuable piece of data that could be collected; this number may be raised as a result of cardiovascular disease-related deaths.

The author declares that he has no conflicts of interest concerning this article.

Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the Coronavirus Disease 2019 (COVID-19) Pandemic

One train may hide another: Acute cardiovascular diseases could be neglected because of the COVID-19 pandemic