Table 1.

Common challenges for HF care during the COVID-19 pandemic.

Clinical challenges	Patient challenges	Logistical challenges
•Reallocation of HF staff to care for patients with COVID-19 •Disruption of multidisciplinary teams •Cancellation/postponement of elective procedures •Delays in establishing virtual consultations/telemedicine •Time consuming nature of virtual consultations •Limited opportunities for physical examinations •Reduced education for cardiologists in training	•Lockdowns •Diagnostic delays •Misdiagnosis of COVID-19 in patients with HF due to overlapping symptoms •Reduced/disrupted follow up •Reduced/no face-to-face contact with clinicians •Difficulty obtaining medication •Worsening symptoms/unrecognized disease progression •Reduced/cancelled HF rehabilitation •Reduced outpatient intravenous infusions •Media scares •Loss of earnings	•Ward closures •Repurposing of HF and cardiology units for COVID-19 patients •Poor Internet connections for virtual consultations •Reduced HF admissions •Lack of patient transport •Lack of IT training/support