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The Indirect Consequences of the Response to the COVID-19 Pandemic
- Source :
- Journal of the American College of Cardiology
- 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. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p<br />Central Illustration
- Subjects :
- 2019-20 coronavirus outbreak
Heart Diseases
Coronavirus disease 2019 (COVID-19)
cardiac testing
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
coronavirus
IAEA, International Atomic Energy Agency
global health
medicine.disease_cause
INCAPS, International Atomic Energy Agency Noninvasive Cardiology Protocols Study
PET, positron emission tomography
cardiovascular disease
CMR, cardiac magnetic resonance
Pandemic
medicine
Global health
Humans
Pandemics
LMIC, low- and middle-income country
Original Investigation
COVID-19, coronavirus disease 2019
Coronavirus
SARS-CoV-2
business.industry
COVID-19
Virology
Cardiology and Cardiovascular Medicine
business
Editorial Comment
PPE, personal protective equipment
Subjects
Details
- ISSN :
- 07351097
- Volume :
- 77
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Cardiology
- Accession number :
- edsair.doi.dedup.....ca7baafa4e9ebdf02ee7b9d4d63a09c1
- Full Text :
- https://doi.org/10.1016/j.jacc.2020.11.028