Guidance for Cardiac Electrophysiology During the COVID-19 Pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart Association

Author:

Lakkireddy Dhanunjaya R.1,Chung Mina K.2,Gopinathannair Rakesh1,Patton Kristen K.3,Gluckman Ty J.4,Turagam Mohit5,Cheung Jim6,Patel Parin7,Sotomonte Juan8,Lampert Rachel9,Han Janet K.10,Rajagopalan Bharath11,Eckhardt Lee12,Joglar Jose13,Sandau Kristin14,Olshansky Brian15,Wan Elaine16,Noseworthy Peter A.17,Leal Miguel12,Kaufman Elizabeth18,Gutierrez Alejandra19,Marine Joseph E.20,Wang Paul J.21,Russo Andrea M.22

Affiliation:

1. The Kansas City Heart Rhythm Institute and Research Foundation, Overland Park, KS (D.R.L., R.G.).

2. Heart, Vascular, and Thoracic Institute and Lerner Research Institute, Cleveland Clinic, OH (M.K.C.).

3. University of Washington, Seattle (K.K.P.).

4. Center for Cardiovascular Analytics, Research and Data Science, Providence Heart Institute, Providence St Joseph Health, Portland, OR (T.J.G.).

5. Mt Sinai School of Medicine, New York, NY (M.T.).

6. Weill Cornell School of Medicine, New York, NY (J.C.).

7. Ascension Health System, Indianapolis, IN (P.P.).

8. Centro Cardiovascular, San Juan, PR (J.S.).

9. Yale School of Medicine, Hartford, CT (R.L.).

10. VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at University of California, Los Angeles (J.K.H.).

11. Prairie Heart Institute, Springfield, IL (B.R.).

12. University of Wisconsin, Madison (L.E., M.L.).

13. University of Texas Southwestern, Dallas (J.J.).

14. Bethel University, St Paul, MN (K.S.).

15. Mason City Clinic, IA (B.O.).

16. Columbia University Medical Center, New York, NY (E.W.).

17. Mayo Clinic, Rochester, MN (P.A.N.).

18. Metro Health Medical Center, Cleveland, OH (E.K.).

19. University of Minnesota School of Medicine, Minneapolis (A.G.).

20. Johns Hopkins School of Medicine, Baltimore, MD (J.M.M.).

21. Stanford University, Palo Alto, CA (P.J.W.).

22. Cooper Medical School of Rowan University, Camden, NJ (A.M.R.).

Abstract

Coronavirus disease 2019 (COVID-19) is a global pandemic that is wreaking havoc on the health and economy of much of human civilization. Electrophysiologists have been impacted personally and professionally by this global catastrophe. In this joint article from representatives of the Heart Rhythm Society, the American College of Cardiology, and the American Heart Association, we identify the potential risks of exposure to patients, allied healthcare staff, industry representatives, and hospital administrators. We also describe the impact of COVID-19 on cardiac arrhythmias and methods of triage based on acuity and patient comorbidities. We provide guidance for managing invasive and noninvasive electrophysiology procedures, clinic visits, and cardiac device interrogations. In addition, we discuss resource conservation and the role of telemedicine in remote patient care along with management strategies for affected patients.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference19 articles.

1. Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): cases in the U.S. Updated March 30 2020. https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcases-in-us.html.

2. World Health Organization. Coronavirus disease (COVID-19) situation reports. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/.

3. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

4. Presumed asymptomatic carrier transmission of COVID-19 [published online February 21, 2020].;Bai Y;JAMA

5. SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients

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