CONCLUSION
The impact of this pandemic on our region has overwhelmed the sanitary system and constrained RHCS to a rapid and effective reaction. The development of a Hub and spoke model to ensure the treatment of urgent and emergent diseases was complex and not free from obstacles. However, this health crisis leads public and private Institutions to total cooperation to achieve the objective.
Results from our preliminary experience are encouraging and support the fact that hub and spoke network for cardiovascular disease was functional and adequate to face epidemic emergency. Further considerations could be made only at the end of the pandemic.