Date of Award

Spring 2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Joseph Burkard, DNSc, CRNA, AACN Health Policy Fellow


Purpose: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to review research-based evidence brought forth by other researchers and scientists. The first goal was to determine current health care disparities associated with COVID-19 and pre-existing cardiovascular disease. The second goal was to determine current recommendations of COVID-19 and pre-existing cardiovascular disease. The third goal was to determine the use of telemedicine during this pandemic for cardiovascular interventions.

Background: In the United States, heart disease has been the leading cause of death for most racial and ethnic groups. The COVID-19 pandemic has revealed deeply rooted inequities in health care with people of color. The disproportionate COVID-19 impact and pre-existing heart disease amongst racial and ethnic groups create a widening burden, treatment gap, and stricken health outcomes. In light of the current pandemic, patients with chronic cardiovascular disease need to be heartened by telemedicine to strengthen health care delivery and reduce health disparities. There are researchers and scientists within our nation’s institutions who have collectively developed guidelines and frameworks to further set recommendations for health equity and telemedicine with a goal for a healthier future.

Methods: The Conceptual Framework for action on the social determinants of health was used. Research articles were compiled and categorized between December 1, 2019 to December 1, 2020.

Results: COVID-19 severity is highest amongst those with pre-existing cardiovascular disease. There is a correlation to positive COVID-19 cases and deaths and cardiovascular disease by race and ethnicity. Additionally, significance was found with the use of telemedicine during this pandemic by cross-sectional analysis. The adherence of those using telemedicine during the pandemic has increased by 35% during the second quarter of 2020.

Evaluation: Health care disparities exhibited a widespread challenge with COVID-19, cardiovascular disease, and telemedicine. This outcome was led by extensive research. Additional research is needed to expand the awareness of the guidelines and frameworks of social determinants and health equity, COVID-19, cardiovascular disease, and telemedicine.

Included in

Nursing Commons