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International Impact of COVID-19 on the Diagnosis of Heart Disease
Authors :
Einstein, A. J. Shaw, L. J. Hirschfeld, C. Williams, M. C. Villines, T. C. Better, N. Vitola, J. V. Cerci, R. Dorbala, S. Raggi, P. Choi, A. D. Lu, B. Sinitsyn, V. Sergienko, V. Kudo, T. Norgaard, B. L. Maurovich-Horvat, P. Campisi, R. Milan, E. Louw, L. Allam, A. H. Bhatia, M. Malkovskiy, E. Goebel, B. Cohen, Y. Randazzo, M. Narula, J. Pascual, T. N. B. Pynda, Y. Dondi, M. Gerd Hinterleitner, Paez D. Yao, Lu Olga, Morozova Zhuoran, Xu Juan, Lopez-Mattei Purvi, Parwani Mohammad Nawaz Nasery Artan, Goda Ervina, Shirka Rabie, Benlabgaa Salah, Bouyoucef Abdelkader, Medjahedi Qais, Nailli Mariela, Agolti Roberto Nicolas Aguero Maria Del Carmen Alak Lucia Graciela Alberguina Guillermo, Arroñada Andrea, Astesiano Alfredo, Astesiano Carolina Bas Norton Pablo, Benteo Juan, Blanco Juan Manuel Bonelli Jose Javier Bustos Raul, Cabrejas Jorge, Cachero Alejandro, Canderoli Silvia, Carames Patrícia, Carrascosa Ricardo, Castro Oscar, Cendoya Luciano Martin Cognigni Carlos, Collaud Claudia, Cortes Javier, Courtis Daniel, Cragnolino Mariana, Daicz Alejandro De La Vega Silvia Teresa De Maria Horacio Del Riego Fernando, Dettori Alejandro, Deviggiano Laura, Dragonetti Mario, Embon Ruben Emilio Enriquez Jorge, Ensinas Fernando, Faccio Adolfo, Facello Diego, Garofalo Ricardo, Geronazzo Natalia, Gonza Lucas, Gutierrez Miguel Angel Guzzo Victor, Hasbani Melina, Huerin Victor, Jäger Julio Manuel Lewkowicz Maria Nieves, A López De Munaín Jose Maria Lotti Alejandra, Marquez Osvaldo, Masoli Edgardo, Mastrovito Matias, Mayoraz Graciela Eva Melado Anibal, Mele Maria Fernanda Merani Alejandro Horacio Meretta Susana, Molteni Marcos, Montecinos Eduardo, Noguera Carlos, Novoa Claudio Pereyra Sueldo Sebastian Perez Ascani Pablo, Pollono Maria Paula Pujol Alejandro, Radzinschi Gustavo, Raimondi Marcela, Redruello Marina, Rodríguez Matías, Rodríguez Romina Lorena Romero Arturo Romero Acuña Federico, Rovaletti Lucas San Miguel Lucrecia, Solari Bruno, Strada Sonia, Traverso Sonia Simona Traverzo Maria Del Huerto Velazquez Espeche Juan Sebastian Weihmuller Juan, Wolcan Susana, Zeffiro Mari, Sakanyan Scott, Beuzeville Raef, Boktor Patrick, Butler Jennifer, Calcott Loretta, Carr Virgil, Chan Charles, Chao Woon, Chong Mark, Dobson D'Arne, Downie Girish, Dwivedi Barry, Elison Jean, Engela Roslyn, Francis Anand, Gaikwad Ashok Gangasandra Basavaraj Bruce, Goodwin Robert, Greenough Christian, Hamilton-Craig Victar, Hsieh Subodh, Joshi Karin, Lederer Kenneth, Lee Joseph, Lee John, Magnussen Nghi, Mai Gordon, Mander Fiona, Murton Dee, Nandurkar Johanne, Neill Edward, O'Rourke Patricia, O'Sullivan George, Pandos Kunthi, Pathmaraj Alexander, Pitman Rohan, Poulter Manuja, Premaratne David, Prior Lloyd, Ridley Natalie, Rutherford Hamid, Salehi Connor, Saunders Luke, Scarlett Sujith, Seneviratne Deepa, Shetty Ganesh, Shrestha Jonathan, Shulman Vijay, Solanki Tony, Stanton Murch, Stuart Michael, Stubbs Ian, Swainson Kim, Taubman Andrew, Taylor Paul, Thomas Steven, Unger Anthony, Upton Shankar, Vamadevan William Van Gaal Johan, Verjans Demetrius, Voutnis Victor, Wayne Peter, Wilson David, Wong Kirby, Wong John, Younger Gudrun, Feuchtner Siroos, Mirzaei Konrad, Weiss Natallia, Maroz-Vadalazhskaya Olivier, Gheysens Filip, Homans Rodrigo, Moreno-Reyes Agnès, Pasquet Veronique, Roelants Caroline, M Van De Heyning Raúl Araujo Ríos Valentina, Soldat-Stankovic Sinisa, Stankovic Maria Helena Albernaz Siqueira Augusto, Almeida Paulo Henrique Alves Togni Jose Henrique Andrade Luciana, Andrade Carlos, Anselmi Roberta, Araújo Guilherme, Azevedo Sabbrina, Bezerra Rodrigo, Biancardi Gabriel Blacher Grossman Simone, Brandão Diego Bromfman Pianta Lara, Carreira Bruno, Castro Tien, Chang Fernando Cunali Jr Roberto, Cury Roberto, Dantas Fernando de Amorim Fernandes Andrea De Lorenzo Robson De Macedo Filho Fernanda, Erthal Fabio, Fernandes Juliano, Fernandes Thiago Ferreira De Souza Wilson Furlan Alves Bruno, Ghini Luiz, Goncalves Ilan, Gottlieb Marcelo, Hadlich Vinícius, Kameoka Ronaldo, Lima Adna, Lima Rafael Willain Lopes Ricardo Machado, E Silva Tiago, Magalhães Fábio Martins Silva Luiz Eduardo Mastrocola Fábio, Medeiros José Claudio Meneghetti Vania, Naue Danilo, Naves Roberto, Nolasco Cesar, Nomura Joao Bruno Oliveira Eduardo, Paixao Filipe Penna De Carvalho Ibraim, Pinto Priscila, Possetti Mayra, Quinta Rodrigo Rizzo Nogueira Ramos Ricardo, Rocha Alfredo, Rodrigues Carlos, Rodrigues Leila, Romantini Adelina, Sanches Sara, Santana Leonardo Sara da Silva Paulo, Schvartzman Cristina Sebastião Matushita Tiago, Senra Afonso, Shiozaki Maria Eduarda Menezes de Siqueira Cristiano, Siqueira Paola, Smanio Carlos Eduardo Soares José Soares Junior Marcio Sommer Bittencourt Bernardo, Spiro Cláudio Tinoco Mesquita Jorge, Torreao Rafael, Torres Marly, Uellendahl Guilherme Urpia Monte Otávia, Veríssimo Estevan Vieira Cabeda Felipe Villela Pedras Roberto, Waltrick Marcello, Zapparoli Hamid, Naseer Marina, Garcheva-Tsacheva Irena, Kostadinova Youdaline, Theng Gad, Abikhzer Rene, Barette Benjamin, Chow Dominique, Dabreo Matthias, Friedrich Ria, Garg Mohammed Nassoh Hafez Chris, Johnson Marla, Kiess Jonathon, Leipsic Eugene, Leung Robert, Miller Anastasia, Oikonomou Stephan, Probst Idan, Roifman Gary, Small Vikas, Tandon Adwait, Trivedi James, White Katherine, Zukotynski Jose, Canessa Gabriel Castro Muñoz Carmen, Concha Pablo, Hidalgo Cesar, Lovera Teresa, Massardo Luis Salazar Vargas Pedro, Abad Harold, Arturo Sandra, Ayala Luis, Benitez Alberto, Cadena Carlos, Caicedo Antonio Calderón Moncayo Sharon, Gomez Claudia, T Gutierrez Villamil Claudia, Jaimes Juan Luis Londoño Blair Luz, Pabon Mauricio, Pineda Juan Carlos Rojas Diego, Ruiz Manuel Valencia Escobar Andres, Vasquez Damiana, Vergel Alejandro, Zuluaga Isabel Berrocal Gamboa Gabriel, Castro Ulises, González Ana, Baric Tonci, Batinic Maja, Franceschi Maja Hrabak Paar Mladen, Jukic Petar, Medakovic Viktor, Persic Marina, Prpic Ante, Punda Juan Felipe Batista Juan Manuel Gómez Lauchy Yamile Marcos Gutierrez Rayner, Menéndez Amalia, Peix Luis, Rochela Christoforos, Panagidis Ioannis, Petrou Vaclav, Engelmann Milan, Kaminek Vladimír, Kincl Otto, Lang Milan, Simanek Jawdat, Abdulla Morten, Bøttcher Mette, Christensen Lars Christian Gormsen Philip, Hasbak Søren, Hess Paw, Holdgaard Allan, Johansen Kasper, Kyhl Kristian Altern Øvrehus Niels Peter Rønnow Sand Rolf, Steffensen Anders, Thomassen Zerahn, Bo Alfredo, Perez Giovanni Alejandro Escorza Velez Mayra Sanchez Velez Islam Shawky Abdel Aziz Mahasen, Abougabal Taghreed, Ahmed Ahmed, Asfour Mona, Hassan Alia, Hassan Ahmed, Ibrahim Sameh, Kaffas Ahmed, Kandeel Mohamed Mandour Ali Ahmad, Mansy Hany, Maurice Sherif, Nabil Mahmoud, Shaaban Ana Camila Flores Anne, Poksi Juhani, Knuuti Velipekka, Kokkonen Martti, Larikka Valtteri, Uusitalo Matthieu, Bailly Samuel, Burg Jean-François, Deux Vincent, Habouzit Fabien, Hyafil Olivier, Lairez Franck, Proffit Hamza, Regaieg Laure, Sarda-Mantel Vania, Tacher Roman, P Schneider Harold, Ayetey George, Angelidis Aikaterini, Archontaki Sofia, Chatziioannou Ioannis, Datseris Christina, Fragkaki Panagiotis, Georgoulias Sophia, Koukouraki Maria, Koutelou Eleni, Kyrozi Evangelos, Repasos Petros, Stavrou Pipitsa, Valsamaki Carla, Gonzalez Goleat, Gutierrez Alejandro, Maldonado Klara, Buga Ildiko, Garai Erzsébet, Schmidt Balint, Szilveszter Edit, Várady Nilesh, Banthia Jinendra Kumar Bhagat Rishi, Bhargava Vivek, Bhat Partha, Choudhury Vijay Sai Chowdekar Aparna, Irodi Shashank, Jain Elizabeth, Joseph Sukriti, Kumar Girijanandan, Mahapatra Deepanjan, Mitra Bhagwant Rai Mittal Ahmad, Ozair Chetan, Patel Tapan, Patel Ravi, Patel Shivani, Patel Sudhir, Saxena Shantanu, Sengupta Santosh, Singh Bhanupriya, Singh Ashwani, Sood Atul, Verma Erwin, Affandi Padma Savenadia Alam Edison, Edison Gani, Gunawan Habusari, Hapkido Basuki, Hidayat Aulia, Huda Anggoro Praja Mukti Djoko, Prawiro Erwin Affandi Soeriadi Hilman, Syawaluddin Amjed, Albadr Majid, Assadi Farshad, Emami Golnaz, Houshmand Majid, Maleki Maryam Tajik Rostami Seyed Rasoul Zakavi Eed Abu Zaid Svetlana, Agranovich Yoav, Arnson Rachel, Bar-Shalom Alex, Frenkel Galit, Knafo Rachel, Lugassi Israel Shlomo Maor Moalem Maya, Mor Noam, Muskal Sara, Ranser Aryeh, Shalev Domenico, Albano Pierpaolo, Alongi Gaspare, Arnone Elisa, Bagatin Sergio, Baldari Matteo, Bauckneht Paolo, Bertelli Francesco, Bianco Rachele, Bonfiglioli Roberto, Boni Andrea, Bruno Isabella, Bruno Elena, Busnardo Elena, Califaretti Luca, Camoni Aldo, Carnevale Roberta, Casoni Armando Ugo Cavallo Giorgio, Cavenaghi Franca, Chierichetti Marcello, Chiocchi Corrado, Cittanti Mauro, Colletta Umberto, Conti Alberto, Cossu Alberto, Cuocolo Marco, Cuzzocrea Maria Luisa De Rimini Giuseppe De Vincentis Eleonora Del Giudice Alberico Del Torto DELLA TOMMASINA, Veronica Rexhep, Durmo Erba, PAOLA ANNA Laura, Evangelista Riccardo, Faletti Evelina, Faragasso Mohsen, Farsad Paola, Ferro Luigia, Florimonte Viviana, Frantellizzi Fabio Massimo Fringuelli Marco, Gatti Angela, Gaudiano Alessia, Gimelli Raffaele, Giubbini Francesca, Giuffrida Salvatore, Ialuna Riccardo, Laudicella Lucia, Leccisotti Lucia, Leva Liga, Riccardo Carlo, Liguori Giampiero, Longo Margherita, Maffione Maria Elisabetta Mancini Claudio, Marcassa Barbara, Nardi Sara, Pacella Giovanna, Pepe Gianluca, Pontone Sabina, Pulizzi Natale, Quartuccio Lucia, Rampin Fabrizio, Ricci Pierluigi, Rossini Giuseppe, Rubini Vincenzo, Russo Gian Mauro Sacchetti Gianmario, Sambuceti Massimo, Scarano Roberto, Sciagrà Massimiliano, Sperandio Antonella, Stefanelli Guido, Ventroni Stefania, Zoboli Dainia, Baugh Duane, Chambers Ernest, Madu Felix, Nunura Hiroshi, Asano Chimura Misato Chimura Shinichiro, Fujimoto Koichiro, Fujisue Tomohisa, Fukunaga Yoshimitsu, Fukushima Kae, Fukuyama Jun, Hashimoto Yasutaka, Ichikawa Nobuo, Iguchi Masamichi, Imai Anri, Inaki Hayato, Ishimura Satoshi, Isobe Toshiaki, Kadokami Takao, Kato Shinichiro, Kumita Hirotaka, Maruno Hiroyuki, Mataki Masao, Miyagawa Ryota, Morimoto Masao, Moroi Shigeki, Nagamachi Kenichi, Nakajima Tomoaki, Nakata Ryo, Nakazato Mamoru, Nanasato Masanao, Naya Takashi, Norikane Yasutoshi, Ohta Satoshi, Okayama Atsutaka, Okizaki Yoichi, Otomi Hideki, Otsuka Masaki, Saito Sakata Yasushi Sakata Masayoshi, Sarai Daisuke, Sato Shinya, Shiraishi Yoshinobu, Suwa Kentaro, Takanami Kazuya, Takehana Junichi, Taki Nagara, Tamaki Yasuyo, Taniguchi Hiroki, Teragawa Nobuo, Tomizawa Kenichi, Tsujita Kyoko, Umeji Yasushi, Wakabayashi Shinichiro, Yamada Shinya, Yamazaki Tatsuya, Yoneyama Mohammad, Rawashdeh Daultai, Batyrkhanov Tairkhan, Dautov Khalid, Makhdomi Kevin, Ombati Faridah, Alkandari Masoud, Garashi Tchoyoson Lim Coie Sonexay, Rajvong Artem, Kalinin Marika, Kalnina Mohamad, Haidar Renata, Komiagiene Giedre, Kviecinskiene Mindaugas, Mataciunas Donatas, Vajauskas Christian, Picard Noor Khairiah, A Karim Luise, Reichmuth Anthony, Samuel Mohammad Aaftaab Allarakha Ambedhkar Shantaram Naojee Erick, Alexanderson-Rosas Erika, Barragan Alejandro Becerril González-Montecinos Manuel, Cabada Daniel Calderon Rodriguez Isabel, Carvajal-Juarez Violeta, Cortés Filiberto, Cortés Erasmo De La Peña Manlio, Gama-Moreno Luis, González Nelsy Gonzalez Ramírez Moisés, Jiménez-Santos Luis, Matos Edgar, Monroy Martha, Morelos Mario, Ornelas Jose Alberto Ortga Ramirez Andrés, Preciado-Anaya Óscar Ulises Preciado-Gutiérrez Adriana Puente Barragan Sandra Graciela Rosales 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Semple Naveen, Sharma Peter, Strouhal Deepak, Subedi William, Topping Katharine, Tweed Jonathan, Weir-Mccall Suhny, Abbara Taimur, Abbasi Brian, Abbott Shady, Abohashem Sandra, Abramson Tarek, Al-Abboud Mouaz, Al-Mallah Omar, Almousalli Karthikeyan, Ananthasubramaniam Mohan Ashok Kumar Jeffrey, Askew Lea, Attanasio Mallory, Balmer-Swain Richard, R Bayer Adam, Bernheim Sabha, Bhatti Erik, Bieging Ron, Blankstein Stephen, Bloom Sean, Blue David, Bluemke Andressa, Borges Kelley, Branch Paco, Bravo Jessica, Brothers Matthew, Budoff Renée, Bullock-Palmer Angela, Burandt Floyd, W Burke Kelvin, Bush Candace, Candela Elizabeth, Capasso Joao, Cavalcante Donald, Chang Saurav, Chatterjee Yiannis, Chatzizisis Michael, Cheezum Tiffany, Chen Jennifer, Chen Marcus, Chen Andrew, Choi James, Clarcq Ayreen, Cordero Matthew, Crim Sorin, Danciu Bruce, Decter Nimish, Dhruva Neil, Doherty Rami, Doukky Anjori, Dunbar William, Duvall Rachael, Edwards Kerry, Esquitin Husam, Farah Emilio, Fentanes Maros, Ferencik Daniel, Fisher Daniel, Fitzpatrick Cameron, Foster Tony, Fuisz Michael, Gannon Lori, Gastner Myron, Gerson Brian, Ghoshhajra Alan, Goldberg Brian, Goldner Jorge, Gonzalez Rosco, Gore Sandra, Gracia-López Fadi, Hage Agha, Haider Sofia, Haider Yasmin, Hamirani Karen, Hassen Mallory, Hatfield Carolyn, Hawkins Katie, Hawthorne Nicholas, Heath Robert, Hendel Phillip, Hernandez Gregory, Hill Stephen, Horgan Jeff, Huffman Lynne, Hurwitz Ami, Iskandrian Rajesh, Janardhanan Christine, Jellis Scott, Jerome Dinesh, Kalra Summanther, Kaviratne Fernando, Kay Faith, Kelly Omar, Khalique Mona, Kinkhabwala George Kinzfogl Iii Jacqueline, Kircher Rachael, Kirkbride Michael, Kontos Anupama, Kottam Joseph, Krepp Jay, Layer Steven, H Lee Jeffrey, Leppo John, Lesser Steve, Leung Howard, Lewin Diana, Litmanovich Yiyan, Liu Kathleen, Magurany Jeremy, Markowitz Amanda, Marn Stephen, E Matis Michael, Mckenna Tony, Mcrae Fernando, Mendoza Michael, Merhige David, Min Chanan, Moffitt Karen, Moncher Warren, Moore Shamil, Morayati Michael, Morris Mahmud, Mossa-Basha Zorana, Mrsic Venkatesh, Murthy Prashant, Nagpal Kyle, Napier Katarina, Nelson Prabhjot, Nijjar Medhat, Osman Edward, Passen Amit, Patel Pravin, Patil Ryan, Paul Lawrence, Phillips Venkateshwar, Polsani Rajaram, Poludasu Brian, Pomerantz Thomas, Porter Ryan, Prentice Amit, Pursnani Mark, Rabbat Suresh, Ramamurti Florence, Rich Hiram Rivera Luna Austin, Robinson Kim, Robles Cesar, Rodríguez Mark, Rorie John, Rumberger Raymond, Russell Philip, Sabra Diego, Sadler Mary, Schemmer U Joseph Schoepf Samir, Shah Nishant, Shah Sujata, Shanbhag Gaurav, Sharma Steven, Shayani Jamshid, Shirani Pushpa, Shivaram Steven, Sigman Mitch, Simon Ahmad, Slim David, Smith Alexandra, Smith Prem, Soman Aditya, Sood Monvadi Barbara Srichai-Parsia James, Streeter Albert, T Ahmed Tawakol Dustin, Thomas Randall, Thompson Tara, Torbet Desiree, Trinidad Shawn, Ullery Samuel, Unzek Seth, Uretsky Srikanth, Vallurupalli Vikas, Verma Alfonso, Waller Ellen, Wang Parker, Ward Gaby, Weissman George, Wesbey Kelly, White David, Winchester David, Wolinsky Sandra, Yost Michael, Zgaljardic Omar, Alonso Mario, Beretta Rodolfo, Ferrando Miguel, Kapitan Fernando, Mut Omoa, Djuraev Gulnora, Rozikhodjaeva Ha Le Ngoc Son Hong Mai Xuan Canh Nguyen Einstein, A. J. Shaw, L. J. Hirschfeld, C. Williams, M. C. Villines, T. C. Better, N. Vitola, J. V. Cerci, R. Dorbala, S. Raggi, P. Choi, A. D. Lu, B. Sinitsyn, V. Sergienko, V. Kudo, T. Norgaard, B. L. Maurovich-Horvat, P. Campisi, R. Milan, E. Louw, L. Allam, A. H. Bhatia, M. Malkovskiy, E. Goebel, B. Cohen, Y. Randazzo, M. Narula, J. Pascual, T. N. B. Pynda, Y. Dondi, M. Paez, D. Cuocolo, A. Einstein, A Shaw, L Hirschfeld, C Williams, M Villines, T Better, N Vitola, J Cerci, R Dorbala, S Raggi, P Choi, A Lu, B Sinitsyn, V Sergienko, V Kudo, T Norgaard, B Maurovich-Horvat, P Campisi, R Milan, E Louw, L Allam, A Bhatia, M Malkovskiy, E Goebel, B Cohen, Y Randazzo, M Narula, J Pascual, T Pynda, Y Dondi, M Paez, D Pacella, S Erba, P
Source :
Journal of the American College of Cardiology, 77, 173-185, Journal of the American College of Cardiology, 77, 2, pp. 173-185, BASE-Bielefeld Academic Search Engine, Einstein, A J, Shaw, L J, Hirschfeld, C, Williams, M C, Villines, T C, Better, N, Vitola, J V, Cerci, R, Dorbala, S, Raggi, P, Choi, A D, Lu, B, Sinitsyn, V, Sergienko, V, Kudo, T, Nørgaard, B L, Maurovich-Horvat, P, Campisi, R, Milan, E, Louw, L, Allam, A H, Bhatia, M, Malkovskiy, E, Goebel, B, Cohen, Y, Randazzo, M, Narula, J, Pascual, T N B, Pynda, Y, Dondi, M, Paez, D & INCAPS COVID Investigators Group 2021, ' International Impact of COVID-19 on the Diagnosis of Heart Disease ', Journal of the American College of Cardiology, vol. 77, no. 2, pp. 173-185 . https://doi.org/10.1016/j.jacc.2020.10.054, Einstein, A J, Shaw, L J, Hirschfeld, C, Williams, M C, Villines, T C, Better, N, Vitola, J V, Cerci, R, Dorbala, S, Raggi, P, Choi, A D, Lu, B, Sinitsyn, V, Sergienko, V, Kudo, T, Nørgaard, B L, Maurovich-Horvat, P, Campisi, R, Milan, E, Louw, L, Allam, A H, Bhatia, M, Malkovskiy, E, Goebel, B, Cohen, Y, Randazzo, M, Narula, J, Pascual, T N B, Pynda, Y, Dondi, M & Paez, D 2021, ' International Impact of COVID-19 on the Diagnosis of Heart Disease ', Journal of the American College of Cardiology . https://doi.org/10.1016/j.jacc.2020.10.054, JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA, Consejo Superior de Investigaciones Científicas (CSIC), Journal of the American College of Cardiology, Journal of the American College of Cardiology, vol 77, iss 2
Publication Year :
2021
Publisher :
Elsevier BV, 2021.
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. OBJECTIVES The study sought to assess COVID-19`s impact on global cardiovascular diagnostic procedural volumes and safety practices. METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. RESULTS Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoradc echocardiography decreased by 59%, transesophageat echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p < 0.001 for each procedure). hi multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower-middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and teteheatth. CONCLUSIONS COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19-related changes in care delivery is warranted. (C) 2021 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.
Details
ISSN :
07351097
Volume :
77
Database :
OpenAIRE
Journal :
Journal of the American College of Cardiology
Accession number :
edsair.doi.dedup.....68a07217c1eb2cd2d187e00072e91f76
Full Text :
https://doi.org/10.1016/j.jacc.2020.10.054