Research Article
Volume 8 Issue 1 - 2021
Impact of Covid-19 Pandemic on Services Delivery for Cardiovascular Disease Patients: A Bird’s Eye View
Desire Aime Nshimirimana1*, Donald Kokonya2, Anthony Gikonyo3, Premanand Ponoth3, Dan Gikonyo3, Betty Gikonyo3 and Japheth Mativo Nzioki4
1Clinical Department, Branches, The Karen Hospital, Nairobi, Kenya
2Department of Community Health and Behavioral Sciences, School of Medicine, Masinde Muliro University of Science and Technology, Kakamega, Kenya
3Department of Cardiology, The Karen Hospital, Nairobi, Kenya
4School of Public Health, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Juja, Kenya
*Corresponding Author: Desire Aime Nshimirimana, Clinical Department, Branches, The Karen Hospital, Nairobi, Kenya.
Received: October 22, 2020; Published: December 31, 2020


Background: Non-communicable disease patients are the most vulnerable to COVID-19 and increase mortality and morbidity especially those with cardiovascular diseases according to previous studies.

Objective: To assess the short and long-term impact of COVID-19 pandemic on services delivery of cardiovascular disease services.

Methods: PubMed, Google scholar and MEDLINE for all peer-reviewed papers adhering to scoping review method.

Results: The summary of studies include 26% (5) reviews, 16% (3) commentaries, 16% (3) expert opinions, 10% (2) letters to editor, 11% (2) editorials, 11% (2) consensus statements, 5% (1) brief communication and 5% (1) prevalence study. The majority of papers were published from Singapore, United States of America and Europe especially in Italy, Canada, New Zealand and Australia. Cardiac surgeries constitute the majority of services disrupted during COVID-19 pandemic caring 41% (9) of all other cardiac services. Cardiac procedures and investigations follow with 27% (6), vascular surgeries 23% (5) and cardiac consultations 9% (2). Cardiac surgeries, procedures and investigations carry the burden with 68% and 90% respectively if vascular surgeries are added up.

Conclusion: Cardiovascular disease services delivery have been affected seriously during COVID-19 restrictions. Cardiac surgeries, cardiac procedures and investigations, vascular surgeries, cardiac consultations and referrals of cardiac emergencies were the most affected. CVD procedures and services including consultations are extremely important to continue under strict measures to prevent mortality and morbidity associated with CVD and COVID-19.

Keywords: Cardiovascular Disease Services; COVID-19; CVD; Cardiovascular Disease Procedures; Cardiovascular Disease Operations; Cardiovascular Disease Consultations


  1. Barasa EW., et al. “Assessing the hospital surge capacity of the Kenyan health system in the face of the COVID-19 pandemic”. PLoS One7 (2020): 1-13.
  2. Zhu H., et al. “The novel coronavirus outbreak in Wuhan, China”. Global Health Research and Policy 1 (2020): 2019-2021.
  3. Adhikari SP., et al. “Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: A scoping review”. Infectious Diseases of Poverty 1 (2020): 1-12.
  4. Ornell F., et al. “Pandemic fear” and COVID-19: mental health burden and strategies”. The Revista Brasileira de Psiquiatria (2020): 1-5.
  5. Sampa MB., et al. “Redesigning portable health clinic platform as a remote healthcare system to tackle COVID-19 pandemic situation in unreached communities”. International Journal of Environmental Research and Public Health 13 (2020): 1-14.
  6. Shibata S., et al. “Hypertension and related diseases in the era of COVID-19: a report from the Japanese Society of Hypertension Task Force on COVID-19”. Hypertension Research 10 (2020): 1028-1046.
  7. Ganatra S., et al. “Management of Cardiovascular Disease During Coronavirus Disease (COVID-19) Pandemic (2020).
  8. Fegert JM., et al. “Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality”. Child and Adolescent Psychiatry and Mental Health 1 (2020): 1-11.
  9. Chen Z., et al. “Brain-Heart Interaction”. Circulation Research 4 (2017): 451-468.
  10. Brit Long M., et al. “Cardiovascular complications in COVID-19” (2020).
  11. Sharma SGA. “COVID-19 pandemic and its impact on cardiology and its subspecialty training”. (2020): 19-21.
  12. Ng JJ., et al. “Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic” (2020).
  13. Chia PL., et al. “Rhythm blues in the time of coronavirus disease 2019 (COVID-19): how the cardiac electrophysiologist adapts to a viral pandemic in Singapore”. The Journal of Interventional Cardiac Electrophysiology 3 (2020): 269-272.
  14. Basman C., et al. “Management of elective aortic valve replacement over the long term in the era of COVID-19”. European Journal of Cardio-Thoracic Surgery 6 (2020): 1029-1031.
  15. George I., et al. “The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: Insights and clinical strategies from a center at the epicenter”. The Journal of Thoracic and Cardiovascular Surgery 4 (2020): 937-947.
  16. Rubin GA., et al. “Restructuring Electrophysiology during the COVID-19 Pandemic: A Practical Guide from a New York City Hospital Network”. Critical Pathways in Cardiology 3 (2020): 105-111.
  17. Arnold RH., et al. “Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement”. Heart, Lung and Circulation 7 (2020): e88-e93.
  18. Wei G., et al. “Early experience in the COVID-19 pandemic from a vascular surgery unit in a Singapore tertiary hospital” (2020).
  19. Mangialardi ML., et al. “Routine in an Italian High-Volume Vascular Surgery Unit during the COVID-19 Era: How the Pandemic Changed the Vascular Daily Practice” (2020).
  20. Melo RG e and Pedro LM. “Vascular surgery department adjustments in the era of the COVID-19 pandemic” (2020).
  21. Griffin CL., et al. “Aortic disease in the time of COVID-19 and repercussions on patient care at an academic aortic center”. Journal of Vascular Surgery 2 (2020): 408-413.
  22. Hemingway JF., et al. “Emerging practice patterns in vascular surgery during the COVID-19 pandemic” (2020).
  23. Mori M., et al. “COVID-19: clinical issues from the Japan Surgical Society”. Surgery Today 8 (2020): 794-808.
  24. Wood DA., et al. “Safe Reintroduction of Cardiovascular Services During the COVID-19 Pandemic: From the North American Society Leadership” (2020).
  25. Kirkpatrick JN., et al. “ASE Statement on Protection of Patients and Echocardiography Service Providers During the 2019 Novel Coronavirus Outbreak: Endorsed by the American College of Cardiology”. Journal of the American College of Cardiology 24 (2020): 3078-3084.
  26. Reza N., et al. “Secondary Impact of the COVID-19 Pandemic on Patients With Heart Failure”. Circulation: Heart Failure 5 (2020): 11-13.
  27. Bonalumi G., et al. “The COVID-19 outbreak and its impact on hospitals in Italy: the model of cardiac surgery”. European Journal of Cardio-Thoracic Surgery 6 (2020): 1025-1028.
  28. Wang NC., et al. “Priority plan for invasive cardiac electrophysiology procedures during the coronavirus disease 2019 (COVID-19) pandemic”. Journal of Cardiovascular Electrophysiology 6 (2020): 1255-1258.
  29. Khot UN., et al. “Impact of COVID-19 Pandemic on Critical Care Transfers for ST-Segment-Elevation Myocardial Infarction, Stroke, and Aortic Emergencies”. Circulation: Cardiovascular Quality and Outcomes (2020): 589-591.
  30. Sanyaolu A., et al. “Comorbidity and its Impact on Patients with COVID-19”. SN Comprehensive Clinical Medicine 8 (2020): 1069-1076.
  31. Giuliano C., et al. “Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care”. Clinical Medicine Insights: Cardiology (2017): 11.
  32. Al-jabir A., et al. “Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation)” (2020).
  33. Modesti PA., et al. “Indirect implications of COVID-19 prevention strategies on non-communicable diseases: An Opinion Paper of the European Society of Hypertension Working Group on Hypertension and Cardiovascular Risk Assessment in Subjects Living in or Emigrating from Low Resource Settings”. BMC Medicine 1 (2020): 256.
  34. Ahmed S., et al. “Telemedicine takes centre stage during COVID-19 pandemic”. BMJ Innovations (2020): 1-3.
  35. Anum S Minhas., et al. “The rules for online clinical engagement in the COVID era”. Annals of Oncology (2020): 19-20.
  36. Haimi M., et al. “Assessing patient safety in a pediatric telemedicine setting: A multi-methods study”. BMC Medical Informatics and Decision Making 1 (2020): 1-14.
  37. Alferayan AA., et al. “The longitudinal impact of COVID-19 pandemic on neurosurgical practice” (2020).
Citation: Desire Aime Nshimirimana., et al. “Impact of Covid-19 Pandemic on Services Delivery for Cardiovascular Disease Patients: A Bird’s Eye View”. EC Cardiology 8.1 (2021): 31-46.

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