학술논문
International Impact of COVID-19 on the Diagnosis of Heart Disease
Document Type
article
Author
Einstein, Andrew J; Shaw, Leslee J; Hirschfeld, Cole; Williams, Michelle C; Villines, Todd C; Better, Nathan; Vitola, Joao V; Cerci, Rodrigo; Dorbala, Sharmila; Raggi, Paolo; Choi, Andrew D; Lu, Bin; Sinitsyn, Valentin; Sergienko, Vladimir; Kudo, Takashi; Nørgaard, Bjarne Linde; Maurovich-Horvat, Pál; Campisi, Roxana; Milan, Elisa; Louw, Lizette; Allam, Adel H; Bhatia, Mona; Malkovskiy, Eli; Goebel, Benjamin; Cohen, Yosef; Randazzo, Michael; Narula, Jagat; Pascual, Thomas NB; Pynda, Yaroslav; Dondi, Maurizio; Paez, Diana; Hinterleitner, Gerd; Lu, Yao; Morozova, Olga; Xu, Zhuoran; Lopez-Mattei, Juan; Parwani, Purvi; Nasery, Mohammad Nawaz; Goda, Artan; Shirka, Ervina; Benlabgaa, Rabie; Bouyoucef, Salah; Medjahedi, Abdelkader; Nailli, Qais; Agolti, Mariela; Aguero, Roberto Nicolas; del Carmen Alak, Maria; Alberguina, Lucia Graciela; Arroñada, Guillermo; Astesiano, Andrea; Astesiano, Alfredo; Norton, Carolina Bas; Benteo, Pablo; Blanco, Juan; Bonelli, Juan Manuel; Bustos, Jose Javier; Cabrejas, Raul; Cachero, Jorge; Canderoli, Alejandro; Carames, Silvia; Carrascosa, Patrícia; Castro, Ricardo; Cendoya, Oscar; Cognigni, Luciano Martin; Collaud, Carlos; Cortes, Claudia; Courtis, Javier; Cragnolino, Daniel; Daicz, Mariana; De La Vega, Alejandro; De Maria, Silvia Teresa; Del Riego, Horacio; Dettori, Fernando; Deviggiano, Alejandro; Dragonetti, Laura; Embon, Mario; Enriquez, Ruben Emilio; Ensinas, Jorge; Faccio, Fernando; Facello, Adolfo; Garofalo, Diego; Geronazzo, Ricardo; Gonza, Natalia; Gutierrez, Lucas; Guzzo, Miguel Angel; Hasbani, Victor; Huerin, Melina; Jäger, Victor; Lewkowicz, Julio Manuel; De Munaín, Maria Nieves A López; Lotti, Jose Maria; Marquez, Alejandra; Masoli, Osvaldo; Mastrovito, Edgardo; Mayoraz, Matias; Melado, Graciela Eva; Mele, Anibal; Merani, Maria Fernanda; Meretta, Alejandro Horacio; Molteni, Susana
Source
Journal of the American College of Cardiology. 77(2)
Subject
Language
Abstract
BackgroundThe 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.ObjectivesThe study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices.MethodsThe 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.ResultsSurveys 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