Impact of COVID-19 Pandemic on Cardiovascular Testing in Asia: The IAEA INCAPS-COVID Study
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Simon M. Slim A. Smith D. Smith A. Soman P. Sood A. Srichai-Parsia M.B. Streeter J. T A. Tawakol A. Thomas D. Thompson R. Torbet T. Trinidad D. Ullery S. Unzek S. Uretsky S. Vallurupalli S. Verma V. Waller A. Wang E. Ward P. Weissman G. Wesbey G. White K. Winchester D. Wolinsky D. Yost S. Zgaljardic M. Alonso O. Beretta M. Ferrando R. Kapitan M. Mut F. Djuraev O. Rozikhodjaeva G. Le Ngoc H. Mai S.H. Nguyen X.C.
September 2021Elsevier Inc.
JACC: Asia
2021#1Issue 2187 - 199 pp.
Background: The coronavirus disease-2019 (COVID-19) pandemic significantly affected management of cardiovascular disease around the world. The effect of the pandemic on volume of cardiovascular diagnostic procedures is not known. Objectives: This study sought to evaluate the effects of the early phase of the COVID-19 pandemic on cardiovascular diagnostic procedures and safety practices in Asia. Methods: The International Atomic Energy Agency conducted a worldwide survey to assess changes in cardiovascular procedure volume and safety practices caused by COVID-19. Testing volumes were reported for March 2020 and April 2020 and were compared to those from March 2019. Data from 180 centers across 33 Asian countries were grouped into 4 subregions for comparison. Results: Procedure volumes decreased by 47% from March 2019 to March 2020, showing recovery from March 2020 to April 2020 in Eastern Asia, particularly in China. The majority of centers cancelled outpatient activities and increased time per study. Practice changes included implementing physical distancing and restricting visitors. Although COVID testing was not commonly performed, it was conducted in one-third of facilities in Eastern Asia. The most severe reductions in procedure volumes were observed in lower-income countries, where volumes decreased 81% from March 2019 to April 2020. Conclusions: The COVID-19 pandemic in Asia caused significant reductions in cardiovascular diagnostic procedures, particularly in low-income countries. Further studies on effects of COVID-19 on cardiovascular outcomes and changes in care delivery are warranted.
cardiac testing , cardiovascular disease , coronavirus , COVID-19 , global health
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Department of Radioisotope Medicine, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
Seymour, Paul and Gloria Milstein Division of Cardiology, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, New York, United States
Department of Medicine, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, New York, United States
BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom
National Center for Cardiovascular Diseases, Beijing, China
Catheterization Laboratory, Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
Department of Radiology and Imaging, Fortis Escorts Heart Institute, New Delhi, India
Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Jeonnam, South Korea
Department of Radiology, National Research Cardiac Surgery Center, Astana, Kazakhstan
Division of Cardiology, Department of Medicine, Masih Daneshvari Hospital, Tehran, Iran
Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
All India Institute of Medical Sciences, New Delhi, India
Department of Cardiology, National Heart Centre Singapore, Singapore
Department of Cardiology, Edith Wolfson Medical Center, Holon and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Departments of Nuclear Medicine and Cardiology, Royal Melbourne Hospital and University of Melbourne, Australia
Quanta Diagnóstico e Terapia, Curitiba, Brazil
Division of Nuclear Medicine, Department of Radiology, Cardiovascular Division, Department of Medicine, Brigham and Womens Hospital and Harvard Medical School, Boston, Massachusetts, United States
Division of Cardiology, University of Alberta, Edmonton, AB, Canada
Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, New York, United States
University of Virginia, Charlottesville, VA, United States
Division of Cardiology and Department of Radiology, The George Washington University School of Medicine, Washington, DC, United States
Columbia College, Columbia University, New York, New York, United States
Technion American Medical School, Technion-Israel Institute of Technology, Haifa, Israel
Philippine Nuclear Research Institute, Quezon City, Philippines
Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria
Department of Radiology, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, New York, United States
Department of Radioisotope Medicine
Seymour
Department of Medicine
BHF Centre for Cardiovascular Science
National Center for Cardiovascular Diseases
Catheterization Laboratory
Department of Radiology and Imaging
Department of Nuclear Medicine
Department of Radiology
Division of Cardiology
Division of Cardiovascular Medicine
All India Institute of Medical Sciences
Department of Cardiology
Department of Cardiology
Departments of Nuclear Medicine and Cardiology
Quanta Diagnóstico e Terapia
Division of Nuclear Medicine
Division of Cardiology
Department of Radiology
University of Virginia
Division of Cardiology and Department of Radiology
Columbia College
Technion American Medical School
Philippine Nuclear Research Institute
Division of Human Health
Department of Radiology
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