Insights from Milan: Dr. Antonio Lanfranchi on the care of the COVID-19 patient

Dr. Antonio Lanfranchi is a Cardiologist at the University of Milan, Luigi Sacco Hospital. He has practiced for over 20 years and has substantial expertise in echocardiography, interventional cardiology and clinical adult cardiology. He also has formal training in analytical psychology, having trained at the Carl Jung Institute in Zürich. In 2018 he published a book about medical consumerism in Italian and English called "Modern Myths and Medical Consumerism, The Asclepius Complex." He joins us today to share his experience and what he has learned from his work in a coronavirus unit in one of the global epicenters of the COVID-19 pandemic.

Risk stratification and clinical course of patients with COVID-19:

COVID-19 Illness in Native and Immunosuppressed States: A Clinical-Therapeutic Staging Proposal. Siddiqi HK and Mehra MR. J Heart and Lung Transplantation. 2020. 

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Zhou, F et al. Lancet. 2020. 

Cardiovascular implications of COVID-19:

COVID-19 and the cardiovascular system. Zheng, Y et al. Nature. 2020.

Cardiovascular Considerations for Patients, Health Care Workers, and HealthSystems During the Coronavirus Disease 2019 (COVID-19) Pandemic. Driggen, E et al. JACC. 2020.

ACE2 receptor and management of ACEi/ARBs:

HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19. www.acc.org. March 2020.

Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19. Vaduganathan, M et al. NEJM. 2020.

Role of Lung Ultrasound in triage and management of COVID-19:

VIDEO: Imaging COVID-19 with Point-of-care Ultrasound (POCUS). www.itnonline.com. March 2020.

VIDEO: Lung Ultrasound Explained (Point of Care, Bedside, Clinical). www.youtube.com. 2019.

Point-of-care Lung Ultrasound findings in novel coronavirus disease-19 pnemoniae: a case report and potential applications during COVID-19 outbreak. Eur Rev Med Pharmacol Sci. 2020.

The Socioeconomic Implications of the Pandemic:

Redefining vulnerability in the era of COVID-19. Lancet. 2020.

As Coronavirus Deepens Inequality, Inequality Worsens Its Spread. www.nytimes.com 2020.



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