Collision of COVID-19 pandemic with cardiovascular risk in chronic kidney disease patients; a heavy 'triple peine'

摘要

Please do not remove my echocardiography control from your activity schedule” announced a diabetic and chronic kidney disease (CKD) patient with recently diagnosed coronary artery disease in an email sent to hospital management. This anxious thought highlights how some routine clinical services such as laboratory resources, control echocardiography and cardiac rehabilitation could be simply postponed during time of crisis such as the current COVID-19 outbreak. In this paper, we will describe how CKD patients suffer from a kind of three medical charges “triple peine in French” related to; first, the heavy burden of cardiovascular risk well-known in such condition, second, CKD is one of some underlying health conditions and risk factors, cited in a recent CDC report, that might expose patients to higher risk for severe disease or death from COVID-19 and third, the lack of appropriate medical facilities while the only emergency for the health policy makers is facing the COVID-19 pandemic.