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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)

2020; Springer Science+Business Media; Volume: 15; Issue: 8 Linguagem: Inglês

10.1007/s11739-020-02487-w

1970-9366

Giuseppe Boriani, Pietro Palmisano, Federico Guerra, Matteo Bertini, Gabriele Zanotto, Carlo Lavalle, Pasquale Notarstefano, Michele Accogli, Giovanni Bisignani, Giovanni B. Forleo, Maurizio Landolina, Antonio D’Onofrio, Renato Pietro Ricci, Roberto De Ponti, R. Luise, Paul L.E. Grieco, Antonio Pangallo, Glauberto da Silva Quirino, Antonello Talarico, Silvana De Bonis, A. Carbone, Alessio SİMONE, Antonio D’Onofrio, Felice Nappi, Francesco Rotondi, Giuseppe Stabile, Carlo Uran, Matteo Bertini, Cristina Balla, Giulio Boggian, Valeria Carinci, G. Barbato, Alessandro Corzani, Paolo Sabbatani, M. Erminio, Jacopo Francesco Imberti, N. Malavasi, Paolo Pastori, Fabio Quartieri, Nicola Bottoni, Davide Saporito, Santo Virzì, Biagio Sassone, Marco Zardini, Angelo Placci, Matteo Ziacchi, Giulia Massaro, Francesco Maria Adamo, Alberto Scaccia, A. Spampinato, Francesco Biscione, A. Castro, Filippo Maria Cauti, Pietro Rossi, Claudio Cinti, Miriam Gatto, Amir Kol, Maria Lucia Narducci, Gemma Pelargonio, N Patruno, Carlo Pignalberi, Renato Pietro Ricci, Danilo Ricciardi, Luca Santini, Mauro Tancredi, Natale Di Belardino, F. Pentimalli, Massimo Zoni-Berisso, Giuseppina Belotti, Enrico Chieffo, Silvia Cilloni, Lorenzo A. Doni, Giovanni B. Forleo, Andrea Gardini, Daniele Malaspina, Patrizio Mazzone, P. Della Bella, Roberto W. Dal Negro, Giovanni Battista Perego, Roberto Rordorf, Laura Cipolletta, Alessandra Russo, Mario Luzi, Claudia Amellone, Elisa Ebrille, Elisa Favro, Maria Teresa Lucciola, Chiara Devecchi, Francesco Rametta, Fausto Devecchi, Mario Matta, A. O. Sant’Andrea, Matteo Santagostino, Gabriele Dell’Era, T. R. Candida, V Bonfantino, Domenico Gianfrancesco, Alessandro Guido, P. L. Pellegrino, Ennio Pisanò, Mariano Rillo, Zefferino Palamà, R. Sai, Vincenzo Ezio Santobuono, Stefano Favale, Pietro Scicchitano, Vincenzo Nissardi, Giovanni Campisi, Giuseppe Sgarito, Giuseppe Arena, Ernesto Casorelli, Stefano Fumagalli, Marzia Giaccardi, Pasquale Notarstefano, Martina Nesti, Margherita Padeletti, Andrea Rossi, Marcello Piacenti, Massimiliano Greco, Domenico Catanzariti, Massimiliano Manfrin, Romy Werner, Massimiliano Marini, C Andreoli, Francesca Fedeli, Andrea Mazza, F. Pagnotta, M. Ridarelli, Giulio Molon, Antonio Rossillo,

COVID-19 and healthcare impacts

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.