International Impact of COVID-19 on the Diagnosis of Heart Disease

Einstein, A.J.; Shaw, L.J.; Hirschfeld, C.; Williams, M.C.; Villines, T.C.; Better, N.; Vitola, J.V.; Cerci, R.; Dorbala, S.; Raggi, P.; Choi, A.D.; Bin, L.; Sinitsyn, V.; Sergienko, V.; Kudo, T.; Nørgaard, B.L.; Maurovich-Horvat, P.; Campisi, R.; Milan, E.; Louw, L.; Allam, A.H.; Bhatia, M.; Malkovskiy, E.; Goebel, B.; Cohen, Y.; Randazzo, M.; Narula, J.; Pascual, T.N.B.; Pynda, Y.; Dondi, M.; Paez, D.; Hinterleitner, G.; Yao, L.; Morozova, O.; Zhuoran, X.; Lopez-Mattei, J.; Parwani, P.; Mohammad Nawaz Nasery,; Goda, A.; Shirka, E.; Benlabgaa, R.; Bouyoucef, S.; Medjahedi, A.; Nailli, Q.; Agolti, M.; Roberto Nicolas Aguero,; Maria Del Carmen Alak,; Lucia Graciela Alberguina,; Arroñada, G.; Astesiano, A.; Astesiano, A.; Carolina Bas Norton,; Benteo, P.; Blanco, J.; Juan Manuel Bonelli,; Jose Javier Bustos,; Cabrejas, R.; Cachero, J.; Canderoli, A.; Carames, S.; Carrascosa, P.; Castro, R.; Cendoya, O.; Luciano Martin Cognigni,; Collaud, C.; Cortes, C.; Courtis, J.; Cragnolino, D.; Daicz, M.; Alejandro De La Vega,; Silvia Teresa De Maria,; Horacio Del Riego,; Dettori, F.; Deviggiano, A.; Dragonetti, L.; Embon, M.; Ruben Emilio Enriquez,; Ensinas, J.; Faccio, F.; Facello, A.; Garofalo, D.; Geronazzo, R.; Gonza, N.; Gutierrez, L.; Miguel Angel Guzzo,; Hasbani, V.; Huerin, M.; Jäger, V.; Julio Manuel Lewkowicz,; Maria Nieves, A.L.D.M.; Jose Maria Lotti,; Marquez, A.; Masoli, O.; Mastrovito, E.; Mayoraz, M.; Graciela Eva Melado,; Mele, A.; Maria Fernanda Merani,; Alejandro Horacio Meretta,; Molteni, S.; Montecinos, M.; Noguera, E.; Novoa, C.; Claudio Pereyra Sueldo,; Sebastian Perez Ascani,; Pollono, P.; Maria Paula Pujol,; Radzinschi, A.; Raimondi, G.; Redruello, M.; Rodríguez, M.; Rodríguez, M.; Romina Lorena Romero,; Arturo Romero Acuña,; Rovaletti, F.; Lucas San Miguel,; Solari, L.; Strada, B.; Traverso, S.; Sonia Simona Traverzo,; Maria Del Huerto Velazquez Espeche,; Juan Sebastian Weihmuller,; Wolcan, J.; Zeffiro, S.; Sakanyan, M.; Beuzeville, S.; Boktor, R.; Butler, P.; Calcott, J.; Carr, L.; Chan, V.; Chao, C.; Chong, W.; Dobson, M.; Downie, D.; Dwivedi, G.; Elison, B.; Engela, J.; Francis, R.; Gaikwad, A.; Ashok Gangasandra Basavaraj,; Goodwin, B.; Greenough, R.; Hamilton-Craig, C.; Hsieh, V.; Joshi, S.; Lederer, K.; Lee, K.; Lee, J.; Magnussen, J.; Mai, N.; Mander, G.; Murton, F.; Nandurkar, D.; Neill, J.; O'Rourke, E.; O'Sullivan, P.; Pandos, G.; Pathmaraj, K.; Pitman, A.; Poulter, R.; Premaratne, M.; Prior, D.; Ridley, L.; Rutherford, N.; Salehi, H.; Saunders, C.; Scarlett, L.; Seneviratne, S.; Shetty, D.; Shrestha, G.; Shulman, J.; Solanki, V.; Stanton, T.; Stuart, M.; Stubbs, M.; Swainson, I.; Taubman, K.; Taylor, A.; Thomas, P.; Unger, S.; Upton, A.; Vamadevan, S.; William Van Gaal,; Verjans, J.; Voutnis, D.; Wayne, V.; Wilson, P.; Wong, D.; Wong, K.; Younger, J.; Feuchtner, G.; Mirzaei, S.; Weiss, K.; Maroz-Vadalazhskaya, N.; Gheysens, O.; Homans, F.; Moreno-Reyes, R.; Pasquet, A.; Roelants, V.; Caroline, M.V.D.H.; Raúl Araujo Ríos,; Soldat-Stankovic, V.; Stankovic, S.; Maria Helena Albernaz Siqueira,; Almeida, A.; Paulo Henrique Alves Togni,; FISCHEL DE ANDRADE, J.H.; Andrade, L.; Anselmi, C.; Araújo, R.; Azevedo, G.; Bezerra, S.; Biancardi, R.; Gabriel Blacher Grossman,; Brandão, S.; Diego Bromfman Pianta,; Carreira, L.; Castro, B.; Chang, T.; Fernando Cunali Jr,; Cury, R.; Dantas, R.; Fernando de Amorim Fernandes,; Andrea De Lorenzo,; Robson De Macedo Filho,; Erthal, F.; Fernandes, F.; Fernandes, J.; Thiago Ferreira De Souza,; Wilson Furlan Alves,; Ghini, B.; Goncalves, L.; Gottlieb, I.; Hadlich, M.; Kameoka, V.; Lima, R.; Lima, A.; Rafael Willain Lopes,; Ricardo Machado, E.S.; Magalhães, T.; Fábio Martins Silva,; Luiz Eduardo Mastrocola,; Medeiros, F.; José Claudio Meneghetti,; Naue, V.; Naves, D.; Nolasco, R.; Nomura, C.; Joao Bruno Oliveira,; Paixao, E.; Filipe Penna De Carvalho,; Pinto, I.; Possetti, P.; Quinta, M.; Rodrigo Rizzo Nogueira Ramos,; Rocha, R.; Rodrigues, A.; Rodrigues, C.; Romantini, L.; Sanches, A.; Santana, S.; Leonardo Sara da Silva,; Schvartzman, P.; Cristina Sebastião Matushita,; Senra, T.; Shiozaki, A.; Maria Eduarda Menezes de Siqueira,; Siqueira, C.; Smanio, P.; Carlos Eduardo Soares,; José Soares Junior,; Marcio Sommer Bittencourt,; Spiro, B.; Cláudio Tinoco Mesquita,; Torreao, J.; Torres, R.; Uellendahl, M.; Guilherme Urpia Monte,; Veríssimo, O.; Estevan Vieira Cabeda,; Felipe Villela Pedras,; Waltrick, R.; Zapparoli, M.; Naseer, H.; Garcheva-Tsacheva, M.; Kostadinova, I.; Theng, Y.; Abikhzer, G.; Barette, R.; Chow, B.; Dabreo, D.; Friedrich, M.; Garg, R.; Mohammed Nassoh Hafez,; Johnson, C.; Kiess, M.; Leipsic, J.; Leung, E.; Miller, R.; Oikonomou, A.; Probst, S.; Roifman, I.; Small, G.; Tandon, V.; Trivedi, A.; White, J.; Zukotynski, K.; Canessa, J.; Gabriel Castro Muñoz,; Concha, C.; Hidalgo, P.; Lovera, C.; Massardo, T.; Luis Salazar Vargas,; Abad, P.; Arturo, H.; Ayala, S.; Benitez, L.; Cadena, A.; Caicedo, C.; Antonio Calderón Moncayo,; Gomez, S.; Claudia, T.G.V.; Jaimes, C.; Juan Luis Londoño Blair,; Pabon, L.; Pineda, M.; Juan Carlos Rojas,; Ruiz, D.; Manuel Valencia Escobar,; Vasquez, A.; Vergel, D.; Zuluaga, A.; Isabel Berrocal Gamboa,; Castro, G.; González, U.; Baric, A.; Batinic, T.; Franceschi, M.; Maja Hrabak Paar,; Jukic, M.; Medakovic, P.; Persic, V.; Prpic, M.; Punda, A.; Juan Felipe Batista,; Juan Manuel Gómez Lauchy,; Yamile Marcos Gutierrez,; Yamile Marcos Gutierrez,; Menéndez, R.; Peix, A.; Rochela, L.; Panagidis, C.; Petrou, I.; Engelmann, V.; Kaminek, M.; Kincl, V.; Lang, O.; Simanek, M.; Abdulla, J.; Bøttcher, M.; Christensen, M.; Lars Christian Gormsen,; Hasbak, P.; Hess, S.; Holdgaard, P.; Johansen, A.; Kyhl, K.; Kristian Altern Øvrehus,; Niels Peter Rønnow Sand,; Steffensen, R.; Thomassen, A.; Zerahn, B.; Perez, A.; Giovanni Alejandro Escorza Velez,; Mayra Sanchez Velez,; Islam Shawky Abdel Aziz,; Abougabal, M.; Ahmed, T.; Asfour, A.; Hassan, M.; Hassan, A.; Ibrahim, A.; Kaffas, S.; Kandeel, A.; Mohamed Mandour Ali,; Mansy, A.; Maurice, H.; Nabil, S.; Shaaban, M.; Ana Camila Flores,; Poksi, A.; Knuuti, J.; Kokkonen, V.; Larikka, M.; Uusitalo, V.; Bailly, M.; Burg, S.; Deux, J.; Habouzit, V.; Hyafil, F.; Lairez, O.; Proffit, F.; Regaieg, H.; Sarda-Mantel, L.; Tacher, V.; Roman, P.S.; Ayetey, H.; Angelidis, G.; Archontaki, A.; Chatziioannou, S.; Datseris, I.; Fragkaki, C.; Georgoulias, P.; Koukouraki, S.; Koutelou, M.; Kyrozi, E.; Repasos, E.; Stavrou, P.; Valsamaki, P.; Gonzalez, C.; Gutierrez, G.; Maldonado, A.; Buga, K.; Garai, I.; Schmidt, E.; Szilveszter, B.; Várady, E.; Banthia, N.; Jinendra Kumar Bhagat,; Bhargava, R.; Bhat, V.; Choudhury, P.; Vijay Sai Chowdekar,; Irodi, A.; Jain, S.; Joseph, E.; Kumar, S.; Mahapatra, G.; Mitra, D.; Bhagwant Rai Mittal,; Ozair, A.; Patel, C.; Patel, T.; Patel, R.; Patel, S.; Saxena, S.; Sengupta, S.; Singh, S.; Singh, B.; Sood, A.; Verma, A.; Affandi, E.; Padma Savenadia Alam,; Edison, E.; Gunawan, G.; Hapkido, H.; Hidayat, B.; Huda, A.; Anggoro Praja Mukti,; Prawiro, D.; Erwin Affandi Soeriadi,; Syawaluddin, H.; Albadr, A.; Assadi, M.; Emami, F.; Houshmand, G.; Maleki, M.; Maryam Tajik Rostami,; Seyed Rasoul Zakavi,; Eed Abu Zaid,; Agranovich, S.; Arnson, Y.; Bar-Shalom, R.; Frenkel, A.; Knafo, G.; Lugassi, R.; Israel Shlomo Maor Moalem,; Mor, M.; Muskal, N.; Ranser, S.; Shalev, A.; Albano, D.; Alongi, P.; Arnone, G.; Bagatin, E.; Baldari, S.; Bauckneht, M.; Bertelli, P.; Bianco, F.; Bonfiglioli, R.; Boni, R.; Bruno, A.; Bruno, I.; Busnardo, E.; Califaretti, E.; Camoni, L.; Carnevale, A.; Casoni, R.; Armando Ugo Cavallo,; Cavenaghi, G.; Chierichetti, F.; Chiocchi, M.; Cittanti, C.; Colletta, M.; Conti, U.; Cossu, A.; Cuocolo, A.; Cuzzocrea, M.; Maria Luisa De Rimini,; Giuseppe De Vincentis,; Eleonora Del Giudice,; Alberico Del Torto,; Veronica Della Tommasina,; Durmo, R.; Paola Anna Erba,; Evangelista, L.; Faletti, R.; Faragasso, E.; Farsad, M.; Ferro, P.; Florimonte, L.; Frantellizzi, V.; Fabio Massimo Fringuelli,; Gatti, M.; Gaudiano, A.; Gimelli, A.; Giubbini, R.; Giuffrida, F.; Ialuna, S.; Laudicella, R.; Leccisotti, L.; Leva, L.; Liga, R.; Liguori, C.; Longo, G.; Maffione, M.; Maria Elisabetta Mancini,; Marcassa, C.; Nardi, B.; Pacella, S.; Pepe, G.; Pontone, G.; Pulizzi, S.; Quartuccio, N.; Rampin, L.; Ricci, F.; Rossini, P.; Rubini, G.; Russo, V.; Gian Mauro Sacchetti,; Sambuceti, G.; Scarano, M.; Sciagrà, R.; Sperandio, M.; Stefanelli, A.; Ventroni, G.; Zoboli, S.; Baugh, D.; Chambers, D.; Madu, E.; Nunura, F.; Asano, H.; Chimura Misato Chimura,; Fujimoto, S.; Fujisue, K.; Fukunaga, T.; Fukushima, Y.; Fukuyama, K.; Hashimoto, J.; Ichikawa, Y.; Iguchi, N.; Imai, M.; Inaki, A.; Ishimura, H.; Isobe, S.; Kadokami, T.; Kato, T.; Kumita, S.; Maruno, H.; Mataki, H.; Miyagawa, M.; Morimoto, R.; Moroi, M.; Nagamachi, S.; Nakajima, K.; Nakata, T.; Nakazato, R.; Nanasato, M.; Naya, M.; Norikane, T.; Ohta, Y.; Okayama, S.; Okizaki, A.; Otomi, Y.; Otsuka, H.; Saito, M.; Sakata Yasushi Sakata,; Sarai, M.; Sato, D.; Shiraishi, S.; Suwa, Y.; Takanami, K.; Takehana, K.; Taki, J.; Tamaki, N.; Taniguchi, Y.; Teragawa, H.; Tomizawa, N.; Tsujita, K.; Umeji, K.; Wakabayashi, Y.; Yamada, S.; Yamazaki, S.; Yoneyama, T.; Rawashdeh, M.; Batyrkhanov, D.; Dautov, T.; Makhdomi, K.; Ombati, K.; Alkandari, F.; Garashi, M.; Tchoyoson Lim Coie,; Rajvong, S.; Kalinin, A.; Kalnina, M.; Haidar, M.; Komiagiene, R.; Kviecinskiene, G.; Mataciunas, M.; Vajauskas, D.; Picard, C.; Noor Khairiah, A.K.; Reichmuth, L.; Samuel, A.; Mohammad Aaftaab Allarakha,; Ambedhkar Shantaram Naojee,; Alexanderson-Rosas, E.; Barragan, E.; Alejandro Becerril González-Montecinos,; Cabada, M.; Daniel Calderon Rodriguez,; Carvajal-Juarez, I.; Cortés, V.; Cortés, F.; Erasmo De La Peña,; Gama-Moreno, M.; González, L.; Nelsy Gonzalez Ramírez,; Jiménez-Santos, M.; Matos, L.; Monroy, E.; Morelos, M.; Ornelas, M.; Jose Alberto Ortga Ramirez,; Preciado-Anaya, A.; Óscar Ulises Preciado-Gutiérrez,; Adriana Puente Barragan,; Sandra Graciela Rosales Uvera,; Sandoval, S.; Miguel Santaularia Tomas,; Lilia, M.S.; Siu, S.; Vallejo, E.; Valles, M.; Faraggi, M.; Sereegotov, E.; Ilic, S.; Ben-Rais, N.; Nadia Ismaili Alaoui,; Taleb, S.; Khin Pa Pa Myo,; Phyo Si Thu,; Ram Kumar Ghimire,; Rajbanshi, B.; Barneveld, P.; Glaudemans, A.; Habets, J.; Klaas Pieter Koopmans,; Manders, J.; Pool, S.; Scholte, A.; Scholtens, A.; Slart, R.; Thimister, P.; Erik-Jan Van Asperen,; Veltman, N.; Verschure, D.; Wagenaar, N.; Edmond, J.; Ellis, C.; Johnson, K.; Keenan, R.; Shaw Hua Anthony Kueh,; Occleshaw, C.; Sasse, A.; Andrew, T.; Niels Van Pelt,; Young, C.; Cuadra, T.; Hector Bladimir Roque Vanegas,; Idrissa Adamou Soli,; Djibrillou Moussa Issoufou,; Ayodele, T.; Madu, C.; Onimode, Y.; Efros-Monsen, E.; Signe Helene Forsdahl,; Jenni-Mari Hildre Dimmen,; Jørgensen, A.; Krohn, I.; Løvhaugen, P.; Anders Tjellaug Bråten,; Humoud Al Dhuhli,; Faiza Al Kindi,; Al-Bulushi, N.; Jawa, Z.; Tag, N.; Muhammad Shehzad Afzal,; Fatima, S.; Muhammad Numair Younis,; Riaz, M.; Saadullah, M.; Herrera, Y.; Lenturut-Katal, D.; Manuel Castillo Vázquez,; Ortellado, J.; Akhter, A.; Cao, D.; Cheung, S.; Dai, X.; Gong, L.; Han, D.; Hou, Y.; Caiying, L.; Tao, L.; Dong, L.; Sijin, L.; Liu, J.; Liu, H.; Ming Yen Ng,; Sun, K.; Tang, G.; Wang, J.; Wang, X.; Wang, Z.; Wang, Y.; Wang, Y.; Jiang, W.; Zhifang, W.; Xia, L.; Xiao, J.; Lei, X.; Yang, Y.; Yin, W.; Jianqun, Y.; Yuan, L.; Zhang, T.; Zhang, L.; Zhang, Y.; Zhang, X.; Zhu, L.; Alfaro, A.; Abrihan, P.; Barroso, A.; Cruz, E.; Marie Rhiamar Gomez,; Vincent Peter Magboo,; John Michael Medina,; Obaldo, J.; Pastrana, D.; Christian Michael Pawhay,; Quinon, A.; Jeanelle Margareth Tang,; Tecson, B.; Kristine Joy Uson,; Mila, U.; Kostkiewicz, M.; Kunikowska, J.; Bettencourt, N.; Cantinho, G.; Ferreira, A.; Syed, G.; Arnous, S.; Atyani, S.; Byrne, A.; Gleeson, T.; Kerins, D.; Meehan, C.; Murphy, D.; Murphy, M.; Murray, J.; O'Brien, J.; Bang, J.; Bom, H.; Cho, S.; Chae Moon Hong,; Su Jin Jang,; Yong Hyu Jeong,; Won Jun Kang,; Kim, J.; Lee, J.; Chang Kyeong Namgung,; Young, S.; Kyoung Sook Won,; Majstorov, V.; Vavlukis, M.; Barbara Gužic Salobir,; Štalc, M.; Benedek, T.; Benedek, I.; Mititelu, R.; Claudiu Adrian Stan,; Ansheles, A.; Dariy, O.; Drozdova, O.; Gagarina, N.; Vsevolod Milyevich Gulyaev,; Itskovich, I.; Karalkin, A.; Kokov, A.; Migunova, E.; Pospelov, V.; Ryzhkova, D.; Saifullina, G.; Sazonova, S.; Shurupova, I.; Trifonova, T.; Wladimir Yurievich Ussov,; Vakhromeeva, M.; Valiullina, N.; Zavadovsky, K.; Zhuravlev, K.; Alasnag, M.; Okarvi, S.; Dragana Sobic Saranovic,; Keng, F.; Jia Hao Jason See,; Sekar, R.; Min Sen Yew,; Vondrak, A.; Bejai, S.; Bennie, G.; Bester, R.; Engelbrecht, G.; Evbuomwan, O.; Gongxeka, H.; Magritha Jv Vuuren,; Kaplan, M.; Khushica, P.; Lakhi, H.; Malan, N.; Milos, K.; Modiselle, M.; More, S.; Naidoo, M.; Scholtz, L.; Vangu, M.; Aguadé-Bruix, S.; Blanco, I.; Cabrera, A.; Camarero, A.; Casáns-Tormo, I.; Cuellar-Calabria, H.; Flotats, A.; Maria Eugenia Fuentes Cañamero,; María Elia García,; Jimenez-Heffernan, A.; Leta, R.; Javier Lopez Diaz,; Lumbreras, L.; Juan Javier Marquez-Cabeza,; Martin, F.; Anxo Martinez de Alegria,; Medina, F.; Maria Pedrera Canal,; Peiro, V.; Pubul-Nuñez, V.; Juan Ignacio Rayo Madrid,; Cristina Rodríguez Rey,; Ricardo Ruano Perez,; Ruiz, J.; Gertrudis Sabatel Hernández,; Sevilla, A.; Zeidán, N.; Nanayakkara, D.; Udugama, C.; Simonsson, M.; Alkadhi, H.; Ronny Ralf Buechel,; Burger, P.; Ceriani, L.; Bart De Boeck,; Gräni, C.; Alix Juillet de Saint Lager Lucas,; Christel, H.K.; Kawel-Boehm, N.; Manka, R.; John, O.P.; Rominger, A.; Vallée, J.; Khiewvan, B.; Premprabha, T.; Thientunyakit, T.; Sellem, A.; Kemal Metin Kir,; Sayman, H.; Mugisha Julius Sebikali,; Muyinda, Z.; Kmetyuk, Y.; Korol, P.; Mykhalchenko, O.; Pliatsek, V.; Satyr, M.; Albalooshi, B.; Mohamed Ismail Ahmed Hassan,; Anderson, J.; Bedi, P.; Biggans, T.; Bularga, A.; Bull, R.; Burgul, R.; Carpenter, J.; Coles, D.; Cusack, D.; Deshpande, A.; Dougan, J.; Fairbairn, T.; Farrugia, A.; Gopalan, D.; Gummow, A.; Prasad Guntur Ramkumar,; Hamilton, M.; Harbinson, M.; Hartley, T.; Hudson, B.; Joshi, N.; Kay, M.; Kelion, A.; Khokhar, A.; Kitt, J.; Lee, K.; Low, C.; Sze Mun Mak,; Marousa, N.; Martin, J.; Mcalindon, E.; Menezes, L.; Morgan-Hughes, G.; Moss, A.; Murray, A.; Nicol, E.; Patel, D.; Peebles, C.; Pugliese, F.; Jonathan Carl Luis Rodrigues,; Rofe, C.; Sabharwal, N.; Schofield, R.; Semple, T.; Sharma, N.; Strouhal, P.; Subedi, D.; Topping, W.; Tweed, K.; Weir-Mccall, J.; Abbara, S.; Abbasi, T.; Abbott, B.; Abohashem, S.; Abramson, S.; Al-Abboud, T.; Al-Mallah, M.; Almousalli, O.; Ananthasubramaniam, K.; Mohan Ashok Kumar,; Askew, J.; Attanasio, L.; Balmer-Swain, M.; Richard, R.B.; Bernheim, A.; Bhatti, S.; Bieging, E.; Blankstein, R.; Bloom, S.; Blue, S.; Bluemke, D.; Borges, A.; Branch, K.; Bravo, P.; Brothers, J.; Budoff, M.; Bullock-Palmer, R.; Burandt, A.; Floyd, W.B.; Bush, K.; Candela, C.; Capasso, E.; Cavalcante, J.; Chang, D.; Chatterjee, S.; Chatzizisis, Y.; Cheezum, M.; Chen, T.; Chen, J.; Chen, M.; Choi, A.; Clarcq, J.; Cordero, A.; Crim, M.; Danciu, S.; Decter, B.; Dhruva, N.; Doherty, N.; Doukky, R.; Dunbar, A.; Duvall, W.; Edwards, R.; Esquitin, K.; Farah, H.; Fentanes, E.; Ferencik, M.; Fisher, D.; Fitzpatrick, D.; Foster, C.; Fuisz, T.; Gannon, M.; Gastner, L.; Gerson, M.; Ghoshhajra, B.; Goldberg, A.; Goldner, B.; Gonzalez, J.; Gore, R.; Gracia-López, S.; Hage, F.; Haider, A.; Haider, S.; Hamirani, Y.; Hassen, K.; Hatfield, M.; Hawkins, C.; Hawthorne, K.; Heath, N.; Hendel, R.; Hernandez, P.; Hill, G.; Horgan, S.; Huffman, J.; Hurwitz, L.; Iskandrian, A.; Janardhanan, R.; Jellis, C.; Jerome, S.; Kalra, D.; Kaviratne, S.; Kay, F.; Kelly, F.; Khalique, O.; Kinkhabwala, M.; George Kinzfogl Iii,; Kircher, J.; Kirkbride, R.; Kontos, M.; Kottam, A.; Krepp, J.; Layer, J.; Steven, H.L.; Leppo, J.; Lesser, J.; Leung, S.; Lewin, H.; Litmanovich, D.; Liu, Y.; Lopez-Mattei, J.; Magurany, K.; Markowitz, J.; Marn, A.; Stephen, E.M.; Mckenna, M.; Mcrae, T.; Mendoza, F.; Merhige, M.; Min, D.; Moffitt, C.; Moncher, K.; Moore, W.; Morayati, S.; Morris, M.; Mossa-Basha, M.; Mrsic, Z.; Murthy, V.; Nagpal, P.; Napier, K.; Nelson, K.; Nijjar, P.; Osman, M.; Parwani, P.; Passen, E.; Patel, A.; Patil, P.; Paul, R.; Phillips, L.; Polsani, V.; Poludasu, R.; Pomerantz, B.; Porter, T.; Prentice, R.; Pursnani, A.; Rabbat, M.; Ramamurti, S.; Rich, F.; Hiram Rivera Luna,; Robinson, A.; Robles, K.; Rodríguez, C.; Rorie, M.; Rumberger, J.; Russell, R.; Sabra, P.; Sadler, D.; Schemmer, M.; U Joseph Schoepf,; Shah, S.; Shah, N.; Shanbhag, S.; Sharma, G.; Shayani, S.; Shirani, J.; Shivaram, P.; Sigman, S.; Simon, M.; Slim, A.; Smith, D.; Smith, A.; Soman, P.; Sood, A.; Monvadi Barbara Srichai-Parsia,; Streeter, J.; Albert, T.A.T.; Thomas, D.; Thompson, R.; Torbet, T.; Trinidad, D.; Ullery, S.; Unzek, S.; Uretsky, S.; Vallurupalli, S.; Verma, V.; Waller, A.; Wang, E.; Ward, P.; Weissman, G.; Wesbey, G.; White, K.; Winchester, D.; Wolinsky, D.; Yost, S.; Zgaljardic, M.; Alonso, O.; Beretta, M.; Ferrando, R.; Kapitan, M.; Mut, F.; Djuraev, O.; Rozikhodjaeva, G.; Ha Le Ngoc,; Son Hong Mai,; Xuan Canh Nguyen,

doi:10.1016/j.jacc.2020.10.054

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified.OBJECTIVES The study sought to assess COVID-19`s impact on global cardiovascular diagnostic procedural volumes and safety practices.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained.RESULTS Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoradc echocardiography decreased by 59%, transesophageat echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p < 0.001 for each procedure). hi multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower-middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and teteheatth.CONCLUSIONS COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19-related changes in care delivery is warranted. (C) 2021 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.

International Impact of COVID-19 on the Diagnosis of Heart Disease / E. Andrew J, S. Leslee J, H. Cole, W. Michelle C, V. Todd C, B. Nathan, V. Joao V, C. Rodrigo, D. Sharmila, R. Paolo, C. Andrew D, L. Bin, S. Valentin, S. Vladimir, K. Takashi, N. Bjarne Linde, M. Pál, C. Roxana, M. Elisa, L. Lizette, A. Adel H, B. Mona, M. Eli, G. Benjamin, C. Yosef, R. Michael, N. Jagat, P. Thomas N B, P. Yaroslav, D. Maurizio, P. Diana, G. Hinterleitner, Y. Lu, O. Morozova, Z. Xu, J. Lopez-Mattei, P. Parwani, M. Nawaz Nasery, A. Goda, E. Shirka, R. Benlabgaa, S. Bouyoucef, A. Medjahedi, Q. Nailli, M. Agolti, R. Nicolas Aguero, M. Del Carmen Alak, L. Graciela Alberguina, G. Arroñada, A. Astesiano, A. Astesiano, C. Bas Norton, P. Benteo, J. Blanco, J. Manuel Bonelli, J. Javier Bustos, R. Cabrejas, J. Cachero, A. Canderoli, S. Carames, P. Carrascosa, R. Castro, O. Cendoya, L. Martin Cognigni, C. Collaud, C. Cortes, J. Courtis, D. Cragnolino, M. Daicz, A. De La Vega, S. Teresa De Maria, H. 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International Impact of COVID-19 on the Diagnosis of Heart Disease

Einstein, Andrew J;Shaw, Leslee J;Hirschfeld, Cole;Williams, Michelle C;Villines, Todd C;Better, Nathan;Vitola, Joao V;Cerci, Rodrigo;Dorbala, Sharmila;Raggi, Paolo;Choi, Andrew D;Lu, Bin;Sinitsyn, Valentin;Sergienko, Vladimir;Kudo, Takashi;Nørgaard, Bjarne Linde;Maurovich-Horvat, Pál;Campisi, Roxana;Milan, Elisa;Louw, Lizette;Allam, Adel H;Bhatia, Mona;Malkovskiy, Eli;Goebel, Benjamin;Cohen, Yosef;Randazzo, Michael;Narula, Jagat;Pascual, Thomas N B;Pynda, Yaroslav;Dondi, Maurizio;Paez, Diana;Gerd Hinterleitner;Yao Lu;Olga Morozova;Zhuoran Xu;Juan Lopez-Mattei;Purvi Parwani;Mohammad Nawaz Nasery;Artan Goda;Ervina Shirka;Rabie Benlabgaa;Salah Bouyoucef;Abdelkader Medjahedi;Qais Nailli;Mariela Agolti;Roberto Nicolas Aguero;Maria Del Carmen Alak;Lucia Graciela Alberguina;Guillermo Arroñada;Andrea Astesiano;Alfredo Astesiano;Carolina Bas Norton;Pablo Benteo;Juan Blanco;Juan Manuel Bonelli;Jose Javier Bustos;Raul Cabrejas;Jorge Cachero;Alejandro Canderoli;Silvia Carames;Patrícia Carrascosa;Ricardo Castro;Oscar Cendoya;Luciano Martin Cognigni;Carlos Collaud;Claudia Cortes;Javier Courtis;Daniel Cragnolino;Mariana Daicz;Alejandro De La Vega;Silvia Teresa De Maria;Horacio Del Riego;Fernando Dettori;Alejandro Deviggiano;Laura Dragonetti;Mario Embon;Ruben Emilio Enriquez;Jorge Ensinas;Fernando Faccio;Adolfo Facello;Diego Garofalo;Ricardo Geronazzo;Natalia Gonza;Lucas Gutierrez;Miguel Angel Guzzo;Victor Hasbani;Melina Huerin;Victor Jäger;Julio Manuel Lewkowicz;Maria Nieves A López De Munaín;Jose Maria Lotti;Alejandra Marquez;Osvaldo Masoli;Edgardo Mastrovito;Matias Mayoraz;Graciela Eva Melado;Anibal Mele;Maria Fernanda Merani;Alejandro Horacio Meretta;Susana Molteni;Marcos Montecinos;Eduardo Noguera;Carlos Novoa;Claudio Pereyra Sueldo;Sebastian Perez Ascani;Pablo Pollono;Maria Paula Pujol;Alejandro Radzinschi;Gustavo Raimondi;Marcela Redruello;Marina Rodríguez;Matías Rodríguez;Romina Lorena Romero;Arturo Romero Acuña;Federico Rovaletti;Lucas San Miguel;Lucrecia Solari;Bruno Strada;Sonia Traverso;Sonia Simona Traverzo;Maria Del Huerto Velazquez Espeche;Juan Sebastian Weihmuller;Juan Wolcan;Susana Zeffiro;Mari Sakanyan;Scott Beuzeville;Raef Boktor;Patrick Butler;Jennifer Calcott;Loretta Carr;Virgil Chan;Charles Chao;Woon Chong;Mark Dobson;D'Arne Downie;Girish Dwivedi;Barry Elison;Jean Engela;Roslyn Francis;Anand Gaikwad;Ashok Gangasandra Basavaraj;Bruce Goodwin;Robert Greenough;Christian Hamilton-Craig;Victar Hsieh;Subodh Joshi;Karin Lederer;Kenneth Lee;Joseph Lee;John Magnussen;Nghi Mai;Gordon Mander;Fiona Murton;Dee Nandurkar;Johanne Neill;Edward O'Rourke;Patricia O'Sullivan;George Pandos;Kunthi Pathmaraj;Alexander Pitman;Rohan Poulter;Manuja Premaratne;David Prior;Lloyd Ridley;Natalie Rutherford;Hamid Salehi;Connor Saunders;Luke Scarlett;Sujith Seneviratne;Deepa Shetty;Ganesh Shrestha;Jonathan Shulman;Vijay Solanki;Tony Stanton;Murch Stuart;Michael Stubbs;Ian Swainson;Kim Taubman;Andrew Taylor;Paul Thomas;Steven Unger;Anthony Upton;Shankar Vamadevan;William Van Gaal;Johan Verjans;Demetrius Voutnis;Victor Wayne;Peter Wilson;David Wong;Kirby Wong;John Younger;Gudrun Feuchtner;Siroos Mirzaei;Konrad Weiss;Natallia Maroz-Vadalazhskaya;Olivier Gheysens;Filip Homans;Rodrigo Moreno-Reyes;Agnès Pasquet;Veronique Roelants;Caroline M Van De Heyning;Raúl Araujo Ríos;Valentina Soldat-Stankovic;Sinisa Stankovic;Maria Helena Albernaz Siqueira;Augusto Almeida;Paulo Henrique Alves Togni;J.H. FISCHEL DE ANDRADE;Luciana Andrade;Carlos Anselmi;Roberta Araújo;Guilherme Azevedo;Sabbrina Bezerra;Rodrigo Biancardi;Gabriel Blacher Grossman;Simone Brandão;Diego Bromfman Pianta;Lara Carreira;Bruno Castro;Tien Chang;Fernando Cunali Jr;Roberto Cury;Roberto Dantas;Fernando de Amorim Fernandes;Andrea De Lorenzo;Robson De Macedo Filho;Fernanda Erthal;Fabio Fernandes;Juliano Fernandes;Thiago Ferreira De Souza;Wilson Furlan Alves;Bruno Ghini;Luiz Goncalves;Ilan Gottlieb;Marcelo Hadlich;Vinícius Kameoka;Ronaldo Lima;Adna Lima;Rafael Willain Lopes;Ricardo Machado E Silva;Tiago Magalhães;Fábio Martins Silva;Luiz Eduardo Mastrocola;Fábio Medeiros;José Claudio Meneghetti;Vania Naue;Danilo Naves;Roberto Nolasco;Cesar Nomura;Joao Bruno Oliveira;Eduardo Paixao;Filipe Penna De Carvalho;Ibraim Pinto;Priscila Possetti;Mayra Quinta;Rodrigo Rizzo Nogueira Ramos;Ricardo Rocha;Alfredo Rodrigues;Carlos Rodrigues;Leila Romantini;Adelina Sanches;Sara Santana;Leonardo Sara da Silva;Paulo Schvartzman;Cristina 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Rich;Hiram Rivera Luna;Austin Robinson;Kim Robles;Cesar Rodríguez;Mark Rorie;John Rumberger;Raymond Russell;Philip Sabra;Diego Sadler;Mary Schemmer;U Joseph Schoepf;Samir Shah;Nishant Shah;Sujata Shanbhag;Gaurav Sharma;Steven Shayani;Jamshid Shirani;Pushpa Shivaram;Steven Sigman;Mitch Simon;Ahmad Slim;David Smith;Alexandra Smith;Prem Soman;Aditya Sood;Monvadi Barbara Srichai-Parsia;James Streeter;Albert T Ahmed Tawakol;Dustin Thomas;Randall Thompson;Tara Torbet;Desiree Trinidad;Shawn Ullery;Samuel Unzek;Seth Uretsky;Srikanth Vallurupalli;Vikas Verma;Alfonso Waller;Ellen Wang;Parker Ward;Gaby Weissman;George Wesbey;Kelly White;David Winchester;David Wolinsky;Sandra Yost;Michael Zgaljardic;Omar Alonso;Mario Beretta;Rodolfo Ferrando;Miguel Kapitan;Fernando Mut;Omoa Djuraev;Gulnora Rozikhodjaeva;Ha Le Ngoc;Son Hong Mai;Xuan Canh Nguyen

2021

Abstract

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified.OBJECTIVES The study sought to assess COVID-19`s impact on global cardiovascular diagnostic procedural volumes and safety practices.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained.RESULTS Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoradc echocardiography decreased by 59%, transesophageat echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p < 0.001 for each procedure). hi multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower-middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and teteheatth.CONCLUSIONS COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19-related changes in care delivery is warranted. (C) 2021 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.

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	Parole chiave
	
			COVID-19; cardiac testing; cardiovascular disease; coronavirus; global health
		
	Settori scientifico-disciplinari dell'articolo
	
			Settore MED/11 - Malattie dell'Apparato Cardiovascolare
		
	Data di pubblicazione
	
			19-gen-2021
		
	Rivista in ANCE
	
			JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
		
	DOI
	
			https://dx.doi.org/10.1016/j.jacc.2020.10.054
		
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/955354

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