Impact of COVID-19 pandemic on the clinical activities related to arrhythmias and electrophysiology in Italy: results of a survey promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing).

Autor: Boriani, Giuseppe, Palmisano, Pietro, Guerra, Federico, Bertini, Matteo, Zanotto, Gabriele, Lavalle, Carlo, Notarstefano, Pasquale, Accogli, Michele, Bisignani, Giovanni, Forleo, Giovanni Battista, Landolina, Maurizio, D'Onofrio, Antonio, Ricci, Renato, De Ponti, Roberto, AIAC Ricerca Network Investigators, Luise, R., Grieco, P., Pangallo, A., Quirino, G., Talarico, A.
Zdroj: Internal & Emergency Medicine; Nov2020, Vol. 15 Issue 8, p1445-1456, 12p
Abstrakt: COVID-19 outbreak had a major impact on the organization of care in Italy, and a survey to evaluate provision of for arrhythmia during COVID-19 outbreak (March–April 2020) was launched. A total of 104 physicians from 84 Italian arrhythmia centres took part in the survey. The vast majority of participating centres (95.2%) reported a significant reduction in the number of elective pacemaker implantations during the outbreak period compared to the corresponding two months of year 2019 (50.0% of centres reported a reduction of > 50%). Similarly, 92.9% of participating centres reported a significant reduction in the number of implantable cardioverter-defibrillator (ICD) implantations for primary prevention, and 72.6% a significant reduction of ICD implantations for secondary prevention (> 50% in 65.5 and 44.0% of the centres, respectively). The majority of participating centres (77.4%) reported a significant reduction in the number of elective ablations (> 50% in 65.5% of the centres). Also the interventional procedures performed in an emergency setting, as well as acute management of atrial fibrillation had a marked reduction, thus leading to the conclusion that the impact of COVID-19 was disrupting the entire organization of health care, with a massive impact on the activities and procedures related to arrhythmia management in Italy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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