{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:17:17Z","timestamp":1763018237782,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,9,12]],"date-time":"2020-09-12T00:00:00Z","timestamp":1599868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We aimed to examine factors impacting variability in cardiac procedural deferral during the COVID\u201019 pandemic and assess cardiologists' perspectives regarding its implications. Unprecedented cardiac procedural deferral was implemented nationwide during the COVID\u201019 pandemic. A web\u2010based survey was administered by Society for Cardiovascular Angiography and Interventions and the American College of Cardiology Interventional Council to cardiac catheterization laboratory (CCL) directors and interventional cardiologists across the United States during the COVID\u201019 pandemic. Among 414 total responses, 48 states and 360 unique cardiac catheterization laboratories were represented, with mean inpatient COVID\u201019 burden 16.4\u2009\u00b1\u200921.9%. There was a spectrum of deferral by procedure type, varying by both severity of COVID\u201019 burden and procedural urgency (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Percutaneous coronary intervention volumes dropped by 55% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001) and transcatheter aortic valve replacement volumes dropped by 64% (<jats:italic>p<\/jats:italic> = .004), with cardiologists reporting an increase in late presenting ST\u2010elevation myocardial infarctions and deaths among patients waiting for transcatheter aortic valve replacement. Almost 1\/3 of catheterization laboratories had at least one interventionalist testing positive for COVID\u201019. Salary reductions did not influence procedural deferral or speed of reinstituting normal volumes. Pandemic preparedness improved significantly over time, with the most pressing current problems focused on inadequate testing and staff health risks. During the COVID\u201019 pandemic, cardiac procedural deferrals were associated with procedural urgency and severity of hospital COVID\u201019 burden. Yet patients did not appear to be similarly influenced, with cardiologists reporting increases in late presenting ST\u2010elevation myocardial infarctions independent of local COVID\u201019 burden. The safety and importance of seeking healthcare during this pandemic deserves emphasis.<\/jats:p>","DOI":"10.1002\/ccd.29262","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T18:33:07Z","timestamp":1599157987000},"page":"1080-1086","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Cardiac procedural deferral during the coronavirus (<scp>COVID<\/scp>\u201019) pandemic"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3054-6576","authenticated-orcid":false,"given":"Celina M.","family":"Yong","sequence":"first","affiliation":[{"name":"Veterans Affairs Palo Alto Healthcare System  Palo Alto California USA"},{"name":"Division of Cardiovascular Medicine Stanford University School of Medicine, and Stanford Cardiovascular Institute  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3206-7432","authenticated-orcid":false,"given":"Lawrence","family":"Ang","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine UC San Diego  La Jolla California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1802-0491","authenticated-orcid":false,"given":"Frederick G. P.","family":"Welt","sequence":"additional","affiliation":[{"name":"American College of Cardiology Interventional Cardiology Sectional Leadership Council  Washington District of Columbia USA"},{"name":"Cardiovascular Division University of Utah Health  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santosh","family":"Gummidipundi","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Healthcare System  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1123-0533","authenticated-orcid":false,"given":"Timothy D.","family":"Henry","sequence":"additional","affiliation":[{"name":"American College of Cardiology Interventional Cardiology Sectional Leadership Council  Washington District of Columbia USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education The Christ Hospital  Cincinnati Ohio USA"},{"name":"Society for Cardiovascular Angiography and Interventions  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2309-8480","authenticated-orcid":false,"given":"Duane S.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Harvard Medical School and Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Cox","sequence":"additional","affiliation":[{"name":"Society for Cardiovascular Angiography and Interventions  Washington District of Columbia USA"},{"name":"Brookwood Baptist Health  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Stanford University School of Medicine, and Stanford Cardiovascular Institute  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Asch","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Healthcare System  Palo Alto California USA"},{"name":"Department of Medicine Stanford School of Medicine  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehtisham","family":"Mahmud","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine UC San Diego  La Jolla California USA"},{"name":"Society for Cardiovascular Angiography and Interventions  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William F.","family":"Fearon","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Healthcare System  Palo Alto California USA"},{"name":"Division of Cardiovascular Medicine Stanford University School of Medicine, and Stanford Cardiovascular Institute  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Society for Cardiovascular Angiography and Interventions (SCAI) and the American College of Cardiology (ACC) Interventional Council","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","unstructured":"\u201cPublic Health Response to the Initiation and Spread of Pandemic COVID\u201019 in the United States February 24\u2010April 21 2020\u201d Morbidity and Mortality Weekly Report (MMWR). Centers for Disease Control.https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6918e2.htm. Accessed June 25 2020.","DOI":"10.15585\/mmwr.mm6918e2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.03.021"},{"key":"e_1_2_10_4_1","unstructured":"VHA COVID\u201019 Response Plan. Office of Emergency Management.https:\/\/www.va.gov\/opa\/docs\/VHA_COVID_19_03232020_vF_1.pdf. March 23 2020. Accessed June 2 2020."},{"key":"e_1_2_10_5_1","unstructured":"Centers for Disease Control and Prevention. \u201cCoronavirus Disease 2019 (COVID\u201019)\u201d.https:\/\/www-cdc-gov.laneproxy.stanford.edu\/coronavirus\/2019-ncov\/hcp\/guidance-hcf.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fguidance-hcf.html. Accessed June 16 2020."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.05.038"},{"key":"e_1_2_10_7_1","unstructured":"Coronavirus COVID\u201019 \u201cCOVID\u201019 United States Cases\u201d by Johns Hopkins Center for Systems Science and Engineering (CSSE).https:\/\/coronavirus.jhu.edu\/us-map. Accessed June 14 2020."},{"key":"e_1_2_10_8_1","first-page":"1","article-title":"Multi\u2010tiered screening and diagnosis strategy for COVID\u201019: a model for sustainable testing capacity in response to pandemic","volume":"14","author":"Pulia MS","year":"2020","journal-title":"Ann Med"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1915922"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1505532"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.11.019"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.04.039"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-05993-9"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28889"},{"key":"e_1_2_10_15_1","first-page":"e202488","article-title":"Characteristics associated with out\u2010of\u2010hospital cardiac arrests and resuscitations during the novel coronavirus disease 2019 pandemic in New York City","author":"Lai PH","year":"2020","journal-title":"JAMA Cardiol"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2010418"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.04.011"},{"issue":"20","key":"e_1_2_10_18_1","first-page":"35310","article-title":"The COVID\u201019 pandemic and acute aortic dissections in New York: a matter of public health","volume":"0735","author":"El\u2010Hamamsy I","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2015630"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa409"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa314"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.03.031"},{"key":"e_1_2_10_23_1","unstructured":"\u201cPeople who are at higher risk for severe illness\u201d CDC Coronavirus Disease 2019 (COVID 19).https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/need-extra-precautions\/people-at-higher-risk.html. Accessed June 14 2020."},{"key":"e_1_2_10_24_1","first-page":"M20","article-title":"Sex and gender differences in health: what the COVID\u201019 pandemic can teach us","volume":"8","author":"Spagnolo PA","year":"2020","journal-title":"Ann Intern Med"},{"key":"e_1_2_10_25_1","unstructured":"Provisional COVID\u201019 death counts by sex age and week.https:\/\/data.cdc.gov\/NCHS\/Provisional-COVID-19-Death-Counts-by-Sex-Age-and-W\/vsak-wrfu. Accessed June 14 2020."},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/147078530805000107"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T05:59:09Z","timestamp":1693807149000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,12]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1002\/ccd.29262"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29262","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2020,9,12]]},"assertion":[{"value":"2020-08-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}