{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:34:46Z","timestamp":1765888486723,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During COVID\u201019 pandemic in Spain, elective procedures were canceled or postponed, mainly due to health care systems overwhelming.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to evaluate the consequences of interrupting invasive procedures in patients with chronic cardiac diseases due to the COVID\u201019 outbreak in Spain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study population is comprised of 2,158 patients that were pending on elective cardiac invasive procedures in 37 hospitals in Spain on the 14th of March 2020, when a state of alarm and subsequent lockdown was declared in Spain due to the COVID\u201019 pandemic. These patients were followed\u2010up until April 31th.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of the 2,158 patients, 36 (1.7%) died. Mortality was significantly higher in patients pending on structural procedures (4.5% vs. 0.8%, respectively; <jats:italic>p<\/jats:italic> &lt;\u2009.001), in those &gt;80\u2009year\u2010old (5.1% vs. 0.7%, <jats:italic>p<\/jats:italic> &lt;\u2009.001), and in presence of diabetes (2.7% vs. 0.9%, <jats:italic>p<\/jats:italic> =\u2009.001), hypertension (2.0% vs. 0.6%, <jats:italic>p<\/jats:italic> =\u2009.014), hypercholesterolemia (2.0% vs. 0.9%, <jats:italic>p<\/jats:italic> =\u2009.026) [Correction added on December 23, 2020, after first online publication: as per Dr. Moreno's request changes in p\u2010values were made after original publication in Abstract.], chronic renal failure (6.0% vs. 1.2%, <jats:italic>p<\/jats:italic> &lt;\u2009.001), NYHA &gt; II (3.8% vs. 1.2%, <jats:italic>p<\/jats:italic> =\u2009.001), and CCS\u2009&gt;\u2009II (4.2% vs. 1.4%, <jats:italic>p<\/jats:italic> =\u2009.013), whereas was it was significantly lower in smokers (0.5% vs. 1.9%, <jats:italic>p<\/jats:italic> =\u2009.013). Multivariable analysis identified age\u2009&gt;\u200980, diabetes, renal failure and CCS\u2009&gt;\u2009II as independent predictors for mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mortality at 45\u2009days during COVID\u201019 outbreak in patients with chronic cardiovascular diseases included in a waiting list due to cancellation of invasive elective procedures was 1.7%. Some clinical characteristics may be of help in patient selection for being promptly treated when similar situations happen in the future.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29433","type":"journal-article","created":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T15:02:09Z","timestamp":1608303729000},"page":"927-937","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Consequences of canceling elective invasive cardiac procedures during Covid\u201019 outbreak"],"prefix":"10.1002","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0717-1174","authenticated-orcid":false,"given":"Ra\u00fal","family":"Moreno","sequence":"first","affiliation":[{"name":"Hospital Universitario La Paz, IdiPAZ, CIBER\u2010CV  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9\u2010Luis","family":"D\u00edez","sequence":"additional","affiliation":[{"name":"Hospital La Fe  Valencia 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de La Princesa  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"Bosch","sequence":"additional","affiliation":[{"name":"Corporaci\u00f3 Sanitaria Parc Tauli  Sabadell Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Pinar","sequence":"additional","affiliation":[{"name":"Hospital Virgen de L\u00b4Arrixaca  Murcia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9\u2010Ram\u00f3n","family":"Ruiz\u2010Arroyo","sequence":"additional","affiliation":[{"name":"Hospital Lozano Blesa  Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeriano","family":"Ruiz\u2010Quevedo","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico de Navarra  Pamplona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Jim\u00e9nez\u2010Mazuecos","sequence":"additional","affiliation":[{"name":"Hospital 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