Table 2.
Unanswered Questions Regarding the Care of Patients With Advanced Heart Failure During the COVID-19 Pandemic
Domain | Question |
---|---|
Telemedicine | |
Safety and efficacy of remote care, home health Safety of visiting nurse, home phlebotomy exposures Capacity for remote routine and urgent/sick visits Impact on patient quality of life Impact on patient, family, caregiver engagement with care team Adjunct diagnostics needed for home care Alteration in GDMT titration schedule Perpetuation or exacerbation of health disparities Applicability of virtual health to palliative care |
|
Procedural delays | |
Impacts of delays of ICD, CRT, VAD implantation Safety of noninvasive post-transplant rejection surveillance Alternatives for post-transplantation rejection surveillance and weaning from immunosuppression Impact of transplantation waitlist inactivations |
CRT = cardiac resynchronization therapy; GDMT = guideline-directed medical therapy; ICD = implantable cardioverter-defibrillator; VAD = ventricular assist device.