Amazing. It immediately goes on the attack Pasquale Perrone Filardi, full professor at Federico II of Naples and elected president of the Italian Society of Cardiology. Because “that a technical committee has included only two categories of heart patients among the fragile subjects to be subjected to vaccine prophylaxis is truly incomprehensible”. And this is because – of course – unfortunately the list of heart diseases that endanger the lives of Covid patients is much wider. And therefore a large slice of sick people risk not being sufficiently protected. Today, in fact, the two categories provided are only those of those suffering from heart failure in class IV, the most serious level, and people in post-cardiogenic shock.
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But don’t these two pathological conditions considered real threat to life already include a wide range of manifestations?
“Let’s go in order. The vaccination plan on frailties and consequent priorities has rightly identified two clinical cases relating to cardiovascular diseases. And we can share the duty to protect patients suffering from heart failure in class IV, which expresses the greatest severity, and subjects in the post-cardiogenic shock phase. The fact is that there are many other frailties they have forgotten about. And it is the reason why the scientific community expresses such strong concern “.
What’s wrong with you?
“In all evidence it is a limited and inadequate stance, probably gained without the support of experts in the sector and in total deviation from the scientific evidence and the very recent recommendations of the international cardiological community”.
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What are the omitted or forgotten frailties?
“Just read the latest document published byAmerican College of Cardiology which identifies a condition of high risk of complications, even fatal, in the case of infection with Covid 19, in a much wider range of cardiovascular diseases. And for these patients, the overseas society has recommended vaccination priority as mandatory “.
Which patients are we talking about?
“There are many conditions that require the utmost attention. I can mention a few: severe ischemic heart disease, uncontrolled hypertension and diabetes, some congenital heart diseases in adults. But there are many others that should have stimulated the committee. technician to be more careful. And this is what we underlined in the document just published by our Italian Society of Cardiology “.
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What does it say, in summary?
“We want to draw the attention of colleagues and regulatory bodies to the need to reconsider the problem. We must insist, because it is essential to protect all categories (and not just some) of heart disease patients at risk of developing a more severe Covid infection and potentially fatal. With Ciro Indolfi, current president and other colleagues, we built a pyramid with the groups of subjects most exposed to serious consequences. At the apex of the geometric figure there are obviously patients with significant congenital heart disease, pulmonary hypertension and high grade heart failure, ischemic heart disease and severe atherosclerothioc disease, severe obesity and heart transplants “.
What is the document based on?
“On the evidence in the literature that testifies to the association between heart disease and the risk of serious infection from Sars-Cov-2. Among other things, just to avoid generic alarmism, it should be emphasized that for some clinical conditions (such as diabetes, obesity and hypertension ), it is only the severe forms and not adequately controlled by the therapy that represent a big risk. My message serves to reiterate the importance of a correct and constant monitoring of these predisposing factors that affect relevant sections of the population. confirm “.
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What numbers are you referring to?
“To those that emerged from a research published in the Journal of American heart Association and conducted in the US on over 900 thousand hospitalized for Covid: they reveal that 20% of hospitalizations are attributable to diabetes, 30 to obesity, 26 to hypertension and about 12 to heart failure. In addition, it should be noted that, often, these four risk conditions, present in the same patient, together are responsible for 63% of hospitalizations “.
In short, should the technical committee reverse course and correct the list of frailties?
“Yes. In light of these findings and the high presence of risk factors in the Italian population, the vaccination priority should be reconsidered, updating the categories relating to cardiovascular diseases”.
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