Inpatient CV COVID-19 Blueprint

Here is a recap of the Indiana-ACC virtual forum held on April 7, 2020.

Webinar

Slide Deck

Discussion Topics

Discussion Topics:

Workforce Utilization

  • “Dirty” vs. “Clean” teams
  • Physical exams on patients for CV consultants (relying on hospitalist exam) – telehealth
  • Minimizing/balancing provider exposure to the hospital
  • Surge capacity issues if cardiologists called to front lines to manage critical care/vents
  • Embedded with hospitalists for general care?

Workforce: Special Considerations

  • Age at which cardiologist can come out of inpatient rotation (60 or 65, 50 or older with at least one comorbidity, mortality data, group capacity to absorb PTO/short-term disability)
  • Clinician and Staff Wellness

Challenges with CV Imaging

  • Inpatient echos/TEE, protection for staff

Treatment Considerations

  • Treatments (do not stop ACE/ARBs), ACC position statement
  • QTC monitoring for Plaquenil with Azithromycin
  • Initiating ACE/ARBs for newly diagnosed hypertension
  • GDMT: titration & monitoring considerations Telemetry & Minimizing Exposure
  • Use of biomarkers in COVID patients (nt-bnp, troponin)

Panelists

Questions? Contact us.

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