Background
The first case of COVID-19 was detected in Latin America on February 26
th
, 2020, in Brazil. Later in June, the World Health Organization announced that the focus of the outbreak had shifted to Latin America, where countries already had poor control indicators of Non-Communicable Diseases (NCD). Concerns about coronavirus infection led to a reduced number of visits and hospitalizations in patients with NCD, such as cardiovascular diseases, diabetes, and cancer. There is a need to determine the impact of COVID-19 pandemic on patients with cardiometabolic diseases who do not have clinical evidence of COVID-19 infection.
Methods
The CorCOVID LATAM is a cross sectional survey including ambulatory cardiometabolic patients without history or evidence of COVID-19 infection. The study will be conducted by Interamerican Society of Cardiology. An online survey composed by 38 questions using Google Forms will be distributed to patients of 13 Latin American Spanish-speaking countries from June 15th to July 15th, 2020. Data will be analyzed by country and regions. Seven clusters of questions will be analyzed: demographics, socioeconomic and educational level, cardiometabolic profile, lifestyle and habits, body weight perception, medical follow-up and treatments, and psychological symptoms.
Results
Final results will be available upon completion of the study.
Conclusion
The present study will provide answers regarding the impact of COVID-19 pandemic on non-infected cardiometabolic patients. There is scarce data on this topic since it is an unprecedented hostile scenario without short-term solutions.
El síndrome de Kounis se caracteriza por un compromiso cardiaco que es secundario a una respuesta alérgica. Hay pocos datos acerca de la epidemiologia de esta enfermedad debido a su reciente descripción. Se presenta el caso de una paciente mujer de 46 años sin antecedentes de importancia que presentó dolor tipo cólico episódico en hipocondrio derecho de 4 días de tiempo de enfermedad, en la que se consideró el diagnóstico de cólico de origen biliar. Quince minutos luego de manejo sintomático (hiocsina/dipirona), la paciente presentó dolor torácico en región precordial de inicio súbito. La evaluación física mostró hipotensión, taquicardia, presencia de habones en todo el cuerpo y sibilantes a la auscultación pulmonar. El electrocardiograma mostro infradesnivel del segmento ST. Considerado como síndrome coronario agudo, se realizó el manejo con esteroides y soporte vital, y se indicó monitorización cardiovascular en unidad de cuidados intensivos. La paciente egresó sin complicación luego de unos días.
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