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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)
- Source :
- Internal and Emergency Medicine
- Publication Year :
- 2020
-
Abstract
- 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. Electronic supplementary material The online version of this article (10.1007/s11739-020-02487-w) contains supplementary material, which is available to authorized users.
- Subjects :
- Male
Cardiac pacing
030204 cardiovascular system & hematology
Ablation
Cardiac Resynchronization Therapy
0302 clinical medicine
Surveys and Questionnaires
Health care
Pandemic
Registries
030212 general & internal medicine
Acute management
Secondary prevention
Atrial fibrillation
Arrhythmia
COVID-19
Emergency
Implantable cardioverter defibrillators
Pacemakers
Remote monitoring
Middle Aged
Electrophysiology
Italy
Emergency Medicine
Female
Coronavirus Infections
Adult
medicine.medical_specialty
Atrial fbrillation
Coronavirus disease 2019 (COVID-19)
Pneumonia, Viral
Implantable cardioverter defbrillators
NO
03 medical and health sciences
Physicians
medicine
Internal Medicine
Humans
Pandemics
Ablation, Arrhythmia, Atrial fbrillation, Emergency, Implantable cardioverter defbrillators, Pacemakers, Remote monitoring, COVID-19
Aged
business.industry
Outbreak
Arrhythmias, Cardiac
medicine.disease
Im - Original
Emergency medicine
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Internal and Emergency Medicine
- Accession number :
- edsair.doi.dedup.....5bb1aa4ed43ae541f58f0998c4d50b0e