Health systems were not expected COVID -19 pandemic which made Pressure on that systems. Practice at Cancer field had different nature at COVID -19. Due to the following (patients type, Diagnosis Process and patient journey) the objective of this research is finding out impact of COVID -19 on cardio metabolic practice.
Methods: Integration analysis between International guidelines like (ESC, NHS, WHO) and conducting local survives with local Physicians at previous countries.
Results: Periodization criteria was very influencer at practice elements this leaded to medications plans changing through different solutions one of those solutions was health technologies
Conclusion: Dynamic prioritization criteria was founded the corner stone for Practice adaption for Safety enhancement through Time reducing plans managed Effective leadership elements through technology solutions.

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