Guidance for Rebooting Electrophysiology Through the COVID-19 Pandemic From the
Heart Rhythm Society and the American Heart Association Electrocardiography and
Arrhythmias Committee of the Council on Clinical Cardiology: Endorsed by the
American College of Cardiology
#MMPMID32819525
Lakkireddy DR
; Chung MK
; Deering TF
; Gopinathannair R
; Albert CM
; Epstein LM
; Harding CV
; Hurwitz JL
; Jeffery CC
; Krahn AD
; Kusumoto FM
; Lampert R
; Mansour M
; Natale A
; Patton KK
; Seiler A
; Shah MJ
; Wang PJ
; Russo AM
JACC Clin Electrophysiol
2020[Aug]; 6
(8
): 1053-1066
PMID32819525
show ga
Coronavirus disease 2019 (COVID-19) has presented substantial challenges to
patient care and impacted health care delivery, including cardiac
electrophysiology practice throughout the globe. Based upon the undetermined
course and regional variability of the pandemic, there is uncertainty as to how
and when to resume and deliver electrophysiology services for arrhythmia
patients. This joint document from representatives of the Heart Rhythm Society,
American Heart Association, and American College of Cardiology seeks to provide
guidance for clinicians and institutions reestablishing safe electrophysiological
care. To achieve this aim, we address regional and local COVID-19 disease status,
the role of viral screening and serologic testing, return-to-work considerations
for exposed or infected health care workers, risk stratification and management
strategies based on COVID-19 disease burden, institutional preparedness for
resumption of elective procedures, patient preparation and communication,
prioritization of procedures, and development of outpatient and periprocedural
care pathways.
|*Cardiology
[MESH]
|*Delivery of Health Care
[MESH]
|*Electrophysiologic Techniques, Cardiac
[MESH]
|Ambulatory Care
[MESH]
|American Heart Association
[MESH]
|Arrhythmias, Cardiac/*diagnosis/*therapy
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|COVID-19 Testing
[MESH]
|Clinical Laboratory Techniques
[MESH]
|Coronavirus Infections/diagnosis/*epidemiology/prevention & control
[MESH]
|Decision Making, Shared
[MESH]
|Health Personnel
[MESH]
|Humans
[MESH]
|Mass Screening
[MESH]
|Organizational Policy
[MESH]
|Pandemics/prevention & control
[MESH]
|Patient Selection
[MESH]
|Personal Protective Equipment/supply & distribution
[MESH]
|Pneumonia, Viral/diagnosis/*epidemiology/prevention & control
[MESH]