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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.
SUBMITTER: Cerci RJ
PROVIDER: S-EPMC9007020 | biostudies-literature | 2022 Apr
REPOSITORIES: biostudies-literature
Cerci Rodrigo Julio RJ Vitola João Vicente JV Paez Diana D Zuluaga Alejandro A Bittencourt Marcio Sommer MS Sierra-Galan Lilia M LM Carrascosa Patricia P Campisi Roxana R Gutierrez-Villamil Claudia C Peix Amalia A Chambers Duane D Velez Mayra Sánches MS Alvarado Carla M G CMG Ventura Ana C F ACF Maldonado Alejandro A Castanos Alfredo P AP Diaz Teresa C TC Herrera Yariela Y Vasquez Manuel C MC Arrieta Ana A AA Mut Fernando F Hirschfeld Cole C Malkovskiy Eli E Goebel Benjamin B Cohen Yosef Y Randazzo Michael M Shaw Leslee J LJ Williams Michelle C MC Villines Todd C TC Better Nathan N Dorbala Sharmila S Raggi Paolo P Pascual Thomas N B TNB Pynda Yaroslav Y Dondi Maurizio M Einstein Andrew J AJ
Arquivos brasileiros de cardiologia 20220401 4
<h4>Background</h4>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.<h4>Objective</h4>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.<h4>Methods</h4>The International Atomic Energy Agency conducted a worldwide ...[more]