Immunosuppressant procedure during pandemic

Eduardo Najar, Katherine Trujillo
Agencia Latina de Noticias Medicina y Salud Pública

Some procedures were carried out or canceled due to the prevalence of contagion, all of which in those interventions are estimated by the immunological system

Many surgical procedures, including treatment of various pathologies, have been affected by the new coronavirus, and the majority of patients have long had contact with the pathogen.

The coronary transplant is a procedure by which the specialist requires estimating the immune system from which it will be intervened, it is intended to reduce the effect of this system with the end of which the organism is not attacked, then the new organ is completely In addition, this type of transplant is very beneficial for patients who have a chronic cardiac problem that can increase their quality of life in addition to increasing survival.

In an interview with the journal Medicina y Salud Pública (MSP) the doctor Iván González, cardiologist of cardiovascular transplantation and coronation, explained the people he had decided to not act on this type of intervention due to the pandemic, the consequences were this action has a biosecurity protocol for this type of major intervention.

“Have patients in particular in a list of hopes that need transplanting to offer a new coronation to be able to wait for a cardiac terminal affection, decide patients if patients surgeon the offer in the middle of the pandemic, do not accept the offer, then the “Pandemic is a very serious matter for these patients and it has been pointed out that there are many opportunities for patient treatment,” said Dr. Gonzalez.

Many patients prefer not to have an intervention such as the coronary transplant, because it is difficult to reduce the function of their immune system so that more patients will be able to counteract SARS-CoV-2, without embarrassment, they will have an opportunity to improve their health increase life years. On the other hand, the organs that are suitable for this end can also lose their decisions.

The doctor agrees “the patient is on the list of many hopefuls that are not pierced, but these are some organs if the other patient quizzes more in other jurisdictions, not to exclude from my perspective is a wide opportunity.

Arduos cuidados

It is important that the patient states that in each of the institutions a strong standard and security protocols are in place to avoid contact charges, regarding all procedures that are categorized as large, assimilation, the specialist has a that the people have the mayor’s confidence in his cabecera medicine.

“We at the cardiovascular center do all the precautions to avoid the spread of the virus, it is not until the transplant recipients, unless it is necessary to trust the doctor to operate on it” explains the doctor.

Transplant in Puerto Rico

Although the herramentas, science and literature have advanced significantly with respect to a coronary transplant, these interventions have been shown in decadence with respect to previous years, on the grounds that they have had a major impact on COVID-19 and the natural disasters caused by who passed the island.

“The number of coronary transplants per year in Puerto Rico has decreased, medical therapies have been most effective in treating cardiac failure, in the last 4 years we have had 3 or 4 transplants per year,” the doctor said.

Benefit from transplant

As well as the medicine, this type of intervention ensures that the patient can have a better quality of life and his cardiac failure is controlled, in addition to which some activities must be resumed and the most important procedure is to ensure more.

“The coronary transplant is the elective therapy, for patients with terminal cardiac failure, which means that if the patient has a coronary transplant, the year after which it is most expensive, the patient can live up to 12 years with no problem. Finalized by Dr. González.