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Coronavirus (COVID-19)

The new coronavirus sweeping the world has changed life as we know it. While there is a lot that we don’t know about the virus, we do know that people with heart and other conditions are more likely to get seriously ill from it. 

Use this resource to learn about the new coronavirus and find information about how we can keep ourselves and others healthy during the COVID-19 pandemic. Because we are learning more about COVID-19 every day, recommendations may change. Keep checking CardioSmart for updates, but for the most up-to-date guidance, go to www.CDC.gov/Coronavirus.

You can also check ACC's COVID-19 Hub for the latest clinical updates supporting cardiovascular care teams on the front lines of the viral outbreak.

What You Should Know

If you live with some type of heart disease, or have survived a heart attack or stroke, you know it can be challenging—even during normal times.

In light of the spikes in COVID-19 cases and with many states urging residents to stay home to curb the spread of the new virus, you may feel like you are on even higher alert. And you should know that you're not alone. 

In this section, you'll find information about what COVID-19 is and some tips about how to keep yourself and others healthy.

You can also jump to the More Information section for added details about what you can do to avoid getting sick and feel more in control during the COVID-19 outbreak.

How to Manage Your Heart Health

In some ways, managing your heart condition during a pandemic stays the same. For example, just as you did before the COVID-19 outbreak, keep up with heart-healthy habits, manage stress and don’t stop any medications without talking with your care team.

But to avoid exposure to COVID-19 or help reduce its spread, you'll need to maintain physical distance and limit contact with others, wear a mask or face covering when in public, and take advantage of telemedicine for virtual visits. 

Also, it's a good idea to have essential supplies, food and medications on hand. Of course, these recommendations may change over time depending on COVID-19 activity. 

Keep reading this section to find more tips on how to stay heart strong and healthy amid COVID-19.

Don't Ignore Heart Attack or Stroke Symptoms

Heart attacks and strokes will still happen during a pandemic. These are medical emergencies and getting quick care is critical to limit any heart or brain damage and to help you or a loved one get better faster.

Don't delay calling 911 because of fears that you might get COVID-19 at the hospital. Hospitals have safety measures in place to protect you from infection. 

Bottom line: You are much more likely to have a bad outcome if you ignore symptoms related to your heart condition.

Tips to Stay Heart Strong

Beyond following the tried-and-true measures to avoid getting sick, people with existing heart conditions, should take six additional steps to stay healthy and heart strong. 

1. Keep up with heart-healthy habits 

Just as you did before the current COVID-19 pandemic, focus on heart-healthy habits. Doing so will help bolster your immune system against COVID-19 and other infections. These habits will also help to slow or prevent your heart disease from getting worse.

  • Choose heart-healthy foods and snacks (plant-based and unprocessed foods are good choices)
  • Exercise daily
  • Stay hydrated by drinking plenty of water
  • Get enough sleep by aiming for seven to eight hours of shut-eye a night
  • Don’t smoke or overindulge with food or alcohol
  • Follow your care plan, stay up-to-date with vaccines and call if you have questions or concerns; use telehealth options if new symptoms or concerns arise
  • Ensure you have at least one month of prescribed medication at home
  • Maintain social distancing, but don't socially isolate yourself. Stay connected with family and friends

2. Continue taking your medicines as directed

Take your medications as prescribed unless you are told otherwise by your health care professional. This includes medications for high blood pressure and heart failure medications, including ACE-inhibitors (for example, enalapril or lisinopril), ARBs (for example, losartan or valsartan) and statins.

Be sure to check with your care team before starting any new therapy, including over-the-counter drugs, vitamins or supplements. Also be sure to talk with them before stopping any of your current medications. There is a lot of misinformation swirling about certain medications or vitamins and COVID-19. 

If you have questions, take advantage of telemedicine if your health professional offers it.

3. Maintain distance

Right now, maintaining physical distance between yourself and others and staying at home as much as possible are key, especially if you are older, or have heart disease or another health condition. The goal is to reduce your risk of getting exposed to COVID-19, especially as a vaccine is not available.

Social distancing will evolve once stay-at-home orders are eased depending on your work or family situation. Likely, you will still want to avoid crowds, non-essential errands and travel, and opt to work from home if possible.

But social distancing doesn’t mean you should distance yourself emotionally, socially or spiritually. In fact, we are learning—and it makes sense—that there can be real psychological effects of being away from friends, family and colleagues, including feeling tired, irritable, anxious and depressed. So find ways to stay connected with our tips below.

4. Wear a cloth mask when you go out

The Centers for Disease Control and Prevention recommends wearing a cloth face covering when going out to public places, such as the grocery store, pharmacy or other places where it might be difficult to avoid close contact with others. This is especially important to do if there is COVID-19 activity in your community. The advice comes as more data show that many people with COVID-19 can transmit the virus before they realize they are sick. 

Non-medical masks should be used so that surgical masks and N-95 respirators are saved for health care providers and hospitals. You can make your own face covering using a bandanna or scarf. You can also get advice on how to wear and make one.  

5. Have enough food, medications and supplies on hand—and ask about delivery

Try to keep at least two weeks of groceries and other essential supplies in your home during this time. It’s also a good idea to ask your health care team, including your pharmacist, if you can get a one- to three-month supply of medications. Use delivery services or ask about community programs that are helping older people and those at greater risk of illness.  

6. Manage stress, stay connected

Minding your mental health during COVID-19 is important. Be sure to keep tabs on how you are feeling and share your concerns with your care team. It’s also important to stay connected to what matters and find time for calm. Try to maintain your routine and sleep at normal times.

What You Should Know About Heart Medications

News about COVID-19 and heart medications may have caused you to wonder about the medications you take.  
 
Simply put: It is important to keep taking your medications as directed. The medicines you take for your heart and other health conditions such as blood clots, diabetes, kidney disease or depression, can help keep these conditions under control and prevent problems. 
 
We are still learning about COVID-19, but there is no evidence right now that heart medications make you more likely to get COVID-19 or become seriously ill from it. 
 
In fact, stopping your medications might cause more harm than catching COVID-19. Your medications help prevent heart attacks, dangerous heart rhythms, strokes, and other complications.
 
Stay on your medications unless told otherwise by your care team. And always remember to check with them before making any changes to your treatment. 
 
To learn more about recent research, go to the Coronavirus (COVID-19) news page

If Your Heart Procedure Is Delayed

COVID-19, the disease caused by the new coronavirus, has put much of life as we know it on hold. For many people, including those with heart disease or other conditions, the virus also has delayed some tests and procedures. 

As the number of COVID-19 cases begins to drop in communities, hospitals and clinics are starting to resume non-urgent testing and procedures. But it’s not business as usual. They are reopening in ways to protect you and the people who will care for you. 

While you wait, watch for any signs that your condition is getting worse. If your symptoms change, call your health care team right away. This information could affect the decision to postpone a test or procedure. 


Talk to your health care professional if you have concerns. 

Questions to Ask

Here are some common questions you may want to ask your health care team:

  • What types of heart tests or procedures aren’t delayed or postponed?
  • How long can I safely postpone my [test or procedure] without my health getting worse?
  • What are the risks or potential downsides of postponing this [test or procedure]?
  • How soon will I be able to reschedule this [test or procedure]?
  • How will you monitor my condition while I’m waiting for my test or procedure to make sure I’m OK?
  • How can I monitor my heart health at home (examples: step counts, home blood pressure reading, taking my heart rate or other measures)?
  • Are you seeing patients by phone or video (telemedicine visits)?

Source: https://www.cardiosmart.org/topics/coronavirus

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