![]() However, as can be seen by watching the news or reading the comments on social networks, society seems split into 2 unequal parts. Today, thanks to a mass vaccination campaign, the health situation in Italy is clearly improving. Segments of the population in poor, already precarious socioeconomic conditions were among those most heavily affected. The country is still broken-hearted by the experience, and the memory of the hard lockdown period in the first half of 2020 is still fresh in everyone’s mind. Over the last 3 years, Italy, like much of the world, has been devastated by the COVID-19 pandemic, paying a heavy price in terms of victims and infections. He stabilized after one week in the ICU, and a few days later, he was transferred to the heart failure unit for continued care. “Sometimes it’s very cold and there are days, like last week, when I get to eat only one piece of fruit.”Īfter a few days between life and death, supportive therapy with high-dose inotropes had its effect, and D’s hemodynamic parameters started to improve slowly but steadily. “The winter months are the toughest,” he repeated several times during his current admission. ![]() Ah, I forgot: he is also no vax!”ĭ was already known to have a severe form of heart failure but, despite cardiac function values that were largely below what we usually considered worrisome, he had not been admitted to hospital in the last 12 months. He’s forty-nine years old but lives on the street and therefore cannot be transplanted. “We were transferred a patient with really terrible, advanced heart failure. ![]() The on-call resident took care of the paperwork and then notified me with a text message on my cell phone. The night D was transferred to my ward, I had already gone home. D was admitted with cardiogenic shock to the intensive care unit (ICU) of my hospital, a tertiary referral centre for heart failure located in Milan, the capital of one of the richest regions in Europe.
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