• Dorairaj Prabhakaran, Pablo Perel, Ambuj Roy, Kavita Singh, Lana Raspail, José Rocha Faria-Neto, Samuel S Gidding, Dike Ojji, Ferdous Hakim, L Kristin Newby, Janina Stępińska, LamCarolyn S PCSPNational Heart Center Singapore and Duke-National University of Singapore, SG.Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, NL., Modou Jobe, Sarah Kraus, Eduardo Chuquiure-Valenzuela, Daniel Piñeiro, Kay-Tee Khaw, Ehete Bahiru, Amitava Banerjee, Jagat Narula, Fausto J Pinto, David A Wood, and Karen Sliwa.
• Centre for Control of Chronic Conditions, Public Health Foundation India, IN.
• Glob Heart. 2020 Jul 1; 15 (1): 44.

AbstractIn this paper, we provide recommendations on the management of cardiovascular disease (CVD) among patients with confirmed or suspected coronavirus disease (COVID-19) to facilitate the decision making of healthcare professionals in low resource settings. The emergence of novel coronavirus disease, also known as Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2), has presented an unprecedented global challenge for the healthcare community. The ability of SARS-CoV-2 to get transmitted during the asymptomatic phase and its high infectivity have led to the rapid transmission of COVID-19 beyond geographic regions, leading to a pandemic. There is concern that COVID-19 is cardiotropic, and it interacts with the cardiovascular system on multiple levels. Individuals with established CVD are more susceptible to severe COVID-19. Through a consensus approach involving an international group this WHF statement summarizes the links between cardiovascular disease and COVID-19 and present some practical recommendations for the management of hypertension and diabetes, acute coronary syndrome, heart failure, rheumatic heart disease, Chagas disease, and myocardial injury for patients with COVID-19 in low-resource settings. This document is not a clinical guideline and it is not intended to replace national clinical guidelines or recommendations. Given the rapidly growing burden posed by COVID-19 illness and the associated severe prognostic implication of CVD involvement, further research is required to understand the potential mechanisms linking COVID-19 and CVD, clinical presentation, and outcomes of various cardiovascular manifestations in COVID-19 patients.Copyright: © 2020 The Author(s).

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