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Cardiac operations and interventions during the COVID-19 pandemic: a nationwide perspective

Francisco Leyva1,2, Abbasin Zegard1,2, Osita Okafor1,2

  • 1Department of Cardiology, Aston Medical School, Aston University, Birmingham B4 7ET, UK.

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|March 29, 2021
PubMed

Insights

The COVID-19 pandemic significantly reduced cardiac operations and interventions in England, with substantial decreases in procedures like coronary artery bypass grafting and percutaneous coronary intervention. This highlights an urgent need for new healthcare strategies for cardiac patients.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • The COVID-19 pandemic has impacted healthcare systems globally, leading to reduced hospitalizations for various conditions.
  • Cardiac operations and interventions are critical for managing cardiovascular diseases.

Purpose of the Study:

  • To investigate the impact of the COVID-19 pandemic on cardiac operations and interventions in England.
  • To quantify the reduction in specific cardiac procedures during the pandemic.

Main Methods:

  • Utilized the Health Episodes Statistics administrative database for England.
  • Analyzed hospitalizations for cardiac operations, interventions, myocardial infarction (MI), and heart failure (HF) from January 2019 to July 2020.
  • Compared procedure rates during the 3-month 'lockdown' period with the same period in 2019.

Main Results:

  • Significant reductions observed in weekly rates for numerous cardiac procedures during lockdown compared to 2019.
  • Coronary artery bypass grafting decreased by 64%, percutaneous coronary intervention by 28%, and aortic valve replacements by 41% (surgical) and 21% (transcatheter).
  • Hospitalizations for myocardial infarction dropped by 27% and heart failure by 28% during the same period.

Conclusions:

  • The COVID-19 pandemic caused substantial reductions in cardiac operations and interventions in England.
  • There is an urgent need for alternative healthcare delivery strategies for patients with cardiac conditions during the pandemic.
  • The findings underscore the significant disruption to essential cardiovascular care caused by the pandemic.
Abstract

Keywords:
Aortic valve replacementCOVID-19Cardiac ablationCardiac resynchronization therapyHeart failureImplantable cardioverter-defibrillatorMitral valve replacementMyocardial infarctionPacemakerTranscatheter aortic valve implantation

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