Impact of hard lockdown on interventional cardiology procedures in congenital heart disease: a survey on behalf of the Italian Society of Congenital Heart Disease

Biagio Castaldi, Domenico Sirico, Giovanni Meliota, Ugo Vairo, Giovanni Battista Luciani, Mara Pilati, Maria Giovanna Russo, Giuseppe Limongelli, Silvia Favilli, Giuseppe Santoro, Paolo Guccione, Gabriele Rinelli, Gabriella Agnoletti, Mario Carminati, Serena Flocco, Andrea Donti, Gabriele Egidy Assenza, Matteo Ciuffreda, Michele Saitta, Giovanni Di SalvoRoberto Formigari

Research output: Contribution to journalArticlepeer-review

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic has thoroughly and deeply affected the provision of healthcare services worldwide. In order to limit the in-hospital infections and to redistribute the healthcare professionals, cardiac percutaneous intervention in Pediatric and Adult Congenital Heart Disease (ACHD) patients were limited to urgent or emergency ones. The aim of this article is to describe the impact of the COVID-19 pandemic on Pediatric and ACHD cath laboratory activity during the so-called 'hard lockdown' in Italy. Eleven out of 12 Italian institutions with a dedicated Invasive Cardiology Unit in Congenital Heart Disease actively participated in the survey. The interventional cardiology activity was reduced by more than 50% in 6 out of 11 centers. Adolescent and ACHD patients suffered the highest rate of reduction. There was an evident discrepancy in the management of the hard lockdown, irrespective of the number of COVID-19 positive cases registered, with a higher reduction in Southern Italy compared with the most affected regions (Lombardy, Piedmont, Veneto and Emilia Romagna). Although the pandemic was brilliantly addressed in most cases, we recognize the necessity for planning new, and hopefully homogeneous, strategies in order to be prepared for an upcoming new outbreak.

Original languageEnglish
Pages (from-to)701-705
Number of pages5
JournalJournal of cardiovascular medicine (Hagerstown, Md.)
Volume22
Issue number9
DOIs
Publication statusPublished - Sep 1 2021

Keywords

  • Adolescent
  • Adult
  • COVID-19/diagnosis
  • Cardiac Surgical Procedures/methods
  • Civil Defense/methods
  • Disease Transmission, Infectious/prevention & control
  • Emergency Medical Services/methods
  • Female
  • Heart Defects, Congenital/epidemiology
  • Humans
  • Infection Control/methods
  • Italy/epidemiology
  • Male
  • Organizational Innovation
  • Risk Management/methods
  • SARS-CoV-2

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