COVID-19 has dramatically altered our world, health care systems and supply chains. Older adults with cardiovascular disease especially those over 80 years suffer disproportionately.

This pandemic has stressed the capacity of the hospital infrastructure, ICU beds and ventilatory support, post-acute and community care resources, hospital personnel and personal protection equipment.

Risk stratification based on clinical and laboratory data may assist in the process of prognostication and shared decision-making.

When governing authorities declare a crisis, triage of resources is necessary.

Life-sustaining medical treatments may be withheld or withdrawn from patients with COVID-19 and others who would ordinarily be given them.

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