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June 2021 Br J Cardiol 2021;28:47–8 doi:10.5837/bjc.2021.025

A National Heart Disease Strategy for Scotland: the BHF proposal to Government

David McColgan, Dennis Sandeman, Adrian J B Brady

Abstract

Impact of pandemic The COVID-19 pandemic has brought this into even sharper focus, having had a significant impact on people with heart disease and on the services that support them. A recent study of severe COVID-19 cases across the UK revealed that the most common comorbidity is chronic heart disease (29%).6 Ischaemic (coronary) heart disease has been the second most common pre-existing condition for COVID-19 fatalities in Scotland, behind dementia and Alzheimer’s disease.7,8 Furthermore, during the initial lockdown period of the pandemic, overall attendance at Accident and Emergency (A&E) decreased,9 and this period coincided with a

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