{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T22:59:02Z","timestamp":1777330742426,"version":"3.51.4"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NHS Digital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\u2003<\/jats:title><jats:p>The COVID-19 pandemic has led to a decline in hospitalizations for non-COVID-19-related conditions. We explored the impact of the COVID-19 pandemic on cardiac operations and interventions undertaken in England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results\u2003<\/jats:title><jats:p>An administrative database covering hospital activity for England, the Health Episodes Statistics, was used to assess a total of 286\u00a0697 hospitalizations for cardiac operations and interventions, as well as 227\u00a0257 hospitalizations for myocardial infarction (MI) and 453\u00a0799 for heart failure (HF) from 7 January 2019 to 26 July 2020. Over the 3\u2009months of \u2018lockdown\u2019, total numbers and mean reductions in weekly rates [n (\u2212%)], compared with the same time period in 2019, were: coronary artery bypass grafting [\u22122507 (\u221264%)]; percutaneous coronary intervention [\u22125245 (\u221228%)]; surgical [\u22121324 (\u221241%)] and transcatheter [\u2212284 (\u221221%)] aortic valve replacement; mitral valve replacement; implantation of pacemakers [\u22126450 (\u221244%)], cardiac resynchronization therapy with [\u2212356 (\u221242%)] or without [\u2212491 (\u221246%)] defibrillation devices, and implantable cardioverter-defibrillators [\u2212501 (\u221245%)]; atrial fibrillation ablation [\u22121902 (\u221283%)], and other ablations [\u22121712 (\u221264%)] (all P\u2009&amp;lt;\u20090.001). Over this period, there were 21\u00a0038 fewer procedures than in the reference period in 2019 (P\u2009&amp;lt;\u20090.001). These changes paralleled reductions in hospitalizations for MI [\u221210\u00a0794 (\u221227%)] and HF [\u221263\u00a0058 (\u221228%)] (both P\u2009&amp;lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\u2003<\/jats:title><jats:p>The COVID-19 pandemic has led to substantial reductions in the number of cardiac operations and interventions undertaken. An alternative strategy for healthcare delivery to patients with cardiac conditions during the COVID-19 pandemic is urgently needed.<\/jats:p><\/jats:sec>","DOI":"10.1093\/europace\/euab013","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T15:50:14Z","timestamp":1610553014000},"page":"928-936","source":"Crossref","is-referenced-by-count":36,"title":["Cardiac operations and interventions during the COVID-19 pandemic: a nationwide perspective"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2176-0223","authenticated-orcid":false,"given":"Francisco","family":"Leyva","sequence":"first","affiliation":[{"name":"Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK"},{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbasin","family":"Zegard","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK"},{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osita","family":"Okafor","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK"},{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Stegemann","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK"},{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Ludman","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK"},{"name":"Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"2021070720264719200_euab013-B1","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1016\/S0140-6736(20)30463-3","article-title":"Lessons for managing high-consequence infections from first COVID-19 cases in the UK","volume":"395","author":"Moss","year":"2020","journal-title":"Lancet"},{"key":"2021070720264719200_euab013-B2","author":"Stevens"},{"key":"2021070720264719200_euab013-B3","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/S0140-6736(20)30854-0","article-title":"Estimating excess 1-year mortality associated with the COVID-19 pandemic according to underlying conditions and age: a population-based cohort study","volume":"395","author":"Banerjee","year":"2020","journal-title":"Lancet"},{"key":"2021070720264719200_euab013-B4","doi-asserted-by":"crossref","first-page":"e1003","DOI":"10.1016\/S2214-109X(20)30264-3","article-title":"Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: a modelling study","volume":"8","author":"Clark","year":"2020","journal-title":"Lancet Glob Health"},{"key":"2021070720264719200_euab013-B5","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1056\/NEJMc2009166","article-title":"Reduced rate of hospital admissions for ACS during Covid-19 outbreak in Northern Italy","volume":"383","author":"De Filippo","year":"2020","journal-title":"N Engl J Med"},{"key":"2021070720264719200_euab013-B6","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1002\/ejhf.1925","article-title":"The impact of COVID-19 on heart failure hospitalization and management: report from a Heart Failure Unit in London during the peak of the pandemic","volume":"22","author":"Bromage","year":"2020","journal-title":"Eur J Heart Fail"},{"key":"2021070720264719200_euab013-B7","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1093\/eurheartj\/ehaa409","article-title":", Societ\u00e0 Italiana di Cardiologia and the CCU Academy investigators group. 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