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.
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) / Boriani, G.; Palmisano, P.; Guerra, F.; Bertini, M.; Zanotto, G.; Lavalle, C.; Notarstefano, P.; Accogli, M.; Bisignani, G.; Forleo, G. B.; Landolina, M.; D'Onofrio, A.; Ricci, R.; De Ponti, R.; Luise, R.; Grieco, P.; Pangallo, A.; Quirino, G.; Talarico, A.; De Bonis, S.; Carbone, A.; De Simone, A.; D'Onofrio, A.; Nappi, F.; Rotondi, F.; Stabile, G.; Uran, C.; Bertini, M.; Balla, C.; Boggian, G.; Carinci, V.; Barbato, G.; Corzani, A.; Sabbatani, P.; Erminio, M.; Imberti, J. F.; Malavasi, N.; Pastori, P.; Quartieri, F.; Bottoni, N.; Saporito, D.; Virzi, S.; Sassone, B.; Zardini, M.; Placci, A.; Ziacchi, M.; Massaro, G.; Adamo, F.; Scaccia, A.; Spampinato, A.; Biscione, F.; Castro, A.; Cauti, F.; Rossi, P.; Cinti, C.; Gatto, M.; Kol, A.; Narducci, M. L.; Pelargonio, G.; Patruno, N.; Pignalberi, C.; Ricci, R. P.; Ricciardi, D.; Santini, L.; Tancredi, M.; Di Belardino, N.; Pentimalli, F.; Zoni-Berisso, M.; Belotti, G.; Chieffo, E.; Cilloni, S.; Doni, L. A.; Forleo, G. B.; Gardini, A.; Malaspina, D.; Mazzone, P.; Della Bella, P.; Negro, R.; Perego, G. B.; Rordorf, R.; Cipolletta, L.; Russo, A. D.; Luzi, M.; Amellone, C.; Ebrille, E.; Favro, E.; Lucciola, M. T.; Devecchi, C.; Rametta, F.; Devecchi, F.; Matta, M.; Sant'Andrea, A. O.; Santagostino, M.; Dell'Era, G.; Candida, T. R.; Bonfantino, V. M.; Gianfrancesco, D.; Guido, A.; Pellegrino, P. L.; Pisano, E. C. L.; Rillo, M.; Palama, Z.; Sai, R.; Santobuono, V. E.; Favale, S.; Scicchitano, P.; Nissardi, V.; Campisi, G.; Sgarito, G.; Arena, G.; Casorelli, E.; Fumagalli, S.; Giaccardi, M.; Notarstefano, P.; Nesti, M.; Padeletti, M.; Rossi, A.; Piacenti, M.; Del Greco, M.; Catanzariti, D.; Manfrin, M.; Werner, R.; Marini, M.; Andreoli, C.; Fedeli, F.; Mazza, A.; Pagnotta, F.; Ridarelli, M.; Molon, G.; Rossillo, A.. - In: INTERNAL AND EMERGENCY MEDICINE. - ISSN 1828-0447. - 15:8(2020), pp. 1445-1456. [10.1007/s11739-020-02487-w]
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)
Boriani G.;Zanotto G.;Talarico A.;De Simone A.;Stabile G.;Barbato G.;Imberti J. F.;Malavasi N.;Adamo F.;Castro A.;Cinti C.;Cilloni S.;Guido A.;Sai R.;Campisi G.;Fumagalli S.;
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.
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