Background: The COVID-19 pandemic has disrupted the delivery of care for cardiovascular diseases in Latin America. However, the effect of the pandemic on the cardiac diagnostic procedure volumes has not been quantified. Objective: To assess (1) the impact of COVID-19 on cardiac diagnostic volumes in Latin America and (2) determine its relationship with COVID-19 case incidence and social distancing measures. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing changes in cardiac diagnostic volumes resulting from COVID-19. Cardiac diagnostic volumes were obtained from participating sites for March and April 2020 and compared to March 2019. Social distancing data were collected from Google COVID-19 community mobility reports and COVID-19 incidence per country from the Our World in Data. Results: Surveys were conducted in 194 centers performing cardiac diagnostic procedures, in 19 countries in Latin America. Procedure volumes decreased 36% from March 2019 to March 2020, and 82% from March 2019 to April 2020. The greatest decreases occurred in echocardiogram stress tests (91%), exercise treadmill tests (88%), and computed tomography calcium scores (87%), with slight variations between sub-regions of Latin America. Changes in social distancing patterns (p < 0.001) were more strongly associated with volume reduction than COVID-19 incidence (p = 0.003). Conclusions: COVID-19 was associated with a significant reduction in cardiac diagnostic procedures in Latin America, which was more related to social distancing than to the COVID-19 incidence. Better balance and timing of social distancing measures and planning to maintain access to medical care is warranted during a pandemic surge, especially in regions with high cardiovascular mortality.
The impact of COVID-19 on diagnosis of heart disease in Latin America an INCAPS COVID sub-analysis / Julio Cerci, Rodrigo; Vicente Vitola, Jo??o; Paez, Diana; Zuluaga, Alejandro; Sommer Bittencourt, Marcio; Sierra-Galan, Lilia M.; Carrascosa, Patricia; Campisi, Roxana; Gutierrez-Villamil, Claudia; Peix, Amalia; Chambers, Duane; S??nches Velez, Mayra; Alvarado, Carla M. G.; Ventura, Ana C. F.; Maldonado, Alejandro; Castanos, Alfredo P.; Diaz, Teresa C.; Herrera, Yariela; Vasquez, Manuel C.; Arrieta, Ana A.; Mut, Fernando; Hirschfeld, Cole; Malkovskiy, Eli; Goebel, Benjamin; Cohen, Yosef; Randazzo, Michael; Shaw, Leslee J.; Williams, Michelle C.; Villines, Todd C.; Better, Nathan; Dorbala, Sharmila; Raggi, Paolo; Pascual, Thomas N. B.; Pynda, Yaroslav; Dondi, Maurizio; Frantellizzi, Viviana; DE VINCENTIS, Giuseppe; Einstein, Andrew J.. - In: ARQUIVOS BRASILEIROS DE CARDIOLOGIA. - ISSN 0066-782X. - 118:4(2022), pp. 745-753. [10.36660/abc.20210388]
The impact of COVID-19 on diagnosis of heart disease in Latin America an INCAPS COVID sub-analysis
Viviana Frantellizzi;Giuseppe De Vincentis;
2022
Abstract
Background: The COVID-19 pandemic has disrupted the delivery of care for cardiovascular diseases in Latin America. However, the effect of the pandemic on the cardiac diagnostic procedure volumes has not been quantified. Objective: To assess (1) the impact of COVID-19 on cardiac diagnostic volumes in Latin America and (2) determine its relationship with COVID-19 case incidence and social distancing measures. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing changes in cardiac diagnostic volumes resulting from COVID-19. Cardiac diagnostic volumes were obtained from participating sites for March and April 2020 and compared to March 2019. Social distancing data were collected from Google COVID-19 community mobility reports and COVID-19 incidence per country from the Our World in Data. Results: Surveys were conducted in 194 centers performing cardiac diagnostic procedures, in 19 countries in Latin America. Procedure volumes decreased 36% from March 2019 to March 2020, and 82% from March 2019 to April 2020. The greatest decreases occurred in echocardiogram stress tests (91%), exercise treadmill tests (88%), and computed tomography calcium scores (87%), with slight variations between sub-regions of Latin America. Changes in social distancing patterns (p < 0.001) were more strongly associated with volume reduction than COVID-19 incidence (p = 0.003). Conclusions: COVID-19 was associated with a significant reduction in cardiac diagnostic procedures in Latin America, which was more related to social distancing than to the COVID-19 incidence. Better balance and timing of social distancing measures and planning to maintain access to medical care is warranted during a pandemic surge, especially in regions with high cardiovascular mortality.File | Dimensione | Formato | |
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Cerci_Impact-of-COVID-19_2022.pdf
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Cerci_Impact-of-COVID-19_2022.Supplemental-material.pdf
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