Thread by @jedicath

#ACCIC @ACCinTouch
🅲🅰🆂🅴-🅱🅰🆂🅴🅳 🆃🆄🆃🅾🆁🅸🅰🅻

🆆🅴🅴🅺 3 “Structural”
May 4-5, 2020

@jedicath @mnyoung1
@FrederickWelt @abbybcestoni @adityadoc1 @ajaykirtane @Pooh_Velagapudi @chadialraies @sabeedak1 @Lross246

@ACCinTouch @mnyoung1 @FrederickWelt @abbybcestoni @adityadoc1 @ajaykirtane @Pooh_Velagapudi @chadialraies @sabeedak1 @Lross246 How do you treat patients with Structural Heart Disease during the COVID19 pandemic.

Case by @mnyoung1

@ACCinTouch @mnyoung1 @FrederickWelt @abbybcestoni @adityadoc1 @ajaykirtane @Pooh_Velagapudi @chadialraies @sabeedak1 @Lross246 84 year man with dyspnea
Prior bioprosthetic SAVR 2008
Echo showed mixed AV prosthesis disease stenosis / regurgitation @mnyoung1
@mirvatalasnag

@ACCinTouch @ZeroTLR @agtruesdell @CardiacConsult @djc795 @karimratib @KimAtianzar @AnkurKalraMD @mmamas1973

First poll question. In your practice now you would #ACCIC #COVID19

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD

@StructuralBCN @DeeDeeWangMD @NadeenFaza @omendiz @drptca @lamelaspablo @ShariqShamimMD @PinakShahMD @DrDamluji @willsuh76

@KFAFHCards @almoghairi @SSamargandy @HarryDauerman @DougDrachmanMD @JGrapsa @SVRaoMD

@ekgpdx @atunuguntla1 @rashaalbawardy @poojaotherwise @KHERA_MD @Almanfi_Cardio @fjsawaya @PhilGenereuxMD @DrAmirKaki @SachinGoelMD @HarshGMD @doconmoney @Babar_Basir @MarcVorpahl @LCC_DrMalik #TAVR

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD The majority voted for #TAVR now and a quarter of the vote is to defer the procedure after the COVID crisis.

#ACCIC #COVID19

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD The concern is that during a COVID19 patient surge there is dramatic depletion of hospital resources and to save the beds for urgent patients. Thus elective procedures are defered.

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD Deferring the patients can lead to an unforeseen burden on the patients as written by @LisaRosenbaum17 in @NEJM

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD The @ACCinTouch and @SCAI have suggested guidelines to help in triaging patients with structural heart disease. via @PinakShahMD @FrederickWelt
@SCAI_Prez et al
doi.org/10.1016/j.jcin…

@fischman_david @DocSavageTJU @JReinerMD @J_M_McCabe @GilbertTangMD For patients requring TAVR, the summary of the guidance is to
-assess the severity of the aortic stenosis and symptoms in light of ongoing bed utilization in each healthcare setting

-minimize the exposure to #COVID19 for staff and the patients #ACCIC

@mnyoung1 @mirvatalasnag