The Impact of COVID-19 on Diagnosis of Heart Disease in Latin America an INCAPS COVID Sub-analysis

被引：15

作者：

Cerci, Rodrigo Julio ^{[1
]}

Vitola, Joao Vicente ^{[1
]}

Paez, Diana ^{[2
]}

Zuluaga, Alejandro ^{[3
,4
]}

Bittencourt, Marcio Sommer ^{[5
]}

Sierra-Galan, Lilia M. ^{[6
]}

Carrascosa, Patricia ^{[7
]}

Campisi, Roxana ^{[7
,8
]}

Gutierrez-Villamil, Claudia ^{[9
]}

Peix, Amalia ^{[10
]}

Chambers, Duane ^{[11
]}

Velez, Mayra Sanches ^{[12
]}

Alvarado, Carla M. G. ^{[13
]}

Ventura, Ana C. F. ^{[14
]}

Maldonado, Alejandro ^{[15
]}

Castanos, Alfredo P. ^{[16
]}

Diaz, Teresa C. ^{[17
]}

Herrera, Yariela ^{[18
]}

Vasquez, Manuel C. ^{[19
]}

Arrieta, Ana A. ^{[20
]}

Mut, Fernando ^{[21
]}

Hirschfeld, Cole ^{[22
,23
]}

Malkovskiy, Eli ^{[22
,23
,24
]}

Goebel, Benjamin ^{[25
,26
]}

Cohen, Yosef ^{[27
]}

Randazzo, Michael ^{[22
,23
]}

Shaw, Leslee J. ^{[25
,26
]}

Williams, Michelle C. ^{[28
]}

Villines, Todd C. ^{[29
]}

Better, Nathan ^{[30
,31
]}

Dorbala, Sharmila ^{[32
]}

Raggi, Paolo ^{[33
,34
]}

Pascual, Thomas N. B. ^{[35
]}

Pynda, Yaroslav ^{[36
]}

Dondi, Maurizio ^{[36
]}

Einstein, Andrew J. ^{[22
,23
,24
]}

机构：

[1] Quanta Diagnost Imagem Cardiovasc CT, Almirante Tamandare 1000, BR-80035170 Curitiba, Parana, Brazil

[2] IAEA, Div Human Hlth, Vienna, Austria

[3] Univ Pontificia Bolivariana, Cedimed Quirosalud, Medellin, Colombia

[4] Univ CES, Medellin, Colombia

[5] Diagnost Amer SA DASA, Barueri, SP, Brazil

[6] Amer British Cowdray Med Ctr IAP, Mexico City, DF, Mexico

[7] Diagnost Maipu, Buenos Aires, DF, Argentina

[8] Inst Argentino Diagnost & Tratamiento SA, Buenos Aires, DF, Argentina

[9] Fdn Cardioinfantil Inst Cardiol, Bogota, Colombia

[10] Inst Cardiol & Cardiovasc Surg, Dept Nucl Med, Havana, Cuba

[11] Radiol West, Montego Bay, Jamaica

[12] Carlos Andrade Marin Specialty Hosp, Quito, Ecuador

[13] Tecnodiagnosis, Guatemala City, Guatemala

[14] Radiol Clin Brito Mejia Pena, San Salvador, El Salvador

[15] Serv Med Nucl Nancy, Tegucigalpa, Honduras

[16] Ctr Diagnost Especializado, Santo Domingo, Dominican Rep

[17] Hosp Salud Integral, Panama City, Panama

[18] Hosp Santo Tomas, Nucl Med Sect, Panama City, Panama

[19] Hosp Cent, Inst Previs Social, Asuncion, Paraguay

[20] Hosp Dr Rafael Angel Calderon Guardia, San Jose, Costa Rica

[21] Italian Hosp Nucl Med Serv, Montevideo, Uruguay

[22] Columbia Univ, Irving Med Ctr, New York, NY USA

[23] New York Presbyterian Hosp, Dept Med, New York, NY USA

[24] Seymour Paul & Gloria Milstein Div Cardiol, New York, NY USA

[25] Weill Cornell Med Coll, New York, NY USA

[26] New York Presbyterian Hosp, New York, NY USA

[27] Technion Israel Inst Technol, Haifa, Israel

[28] Univ Edinburgh, BHF Ctr Cardiovasc Sci, Edinburg, TX USA

[29] Univ Virginia, Charlottesville, VA USA

[30] Royal Melbourne Hosp, Melbourne, Vic, Australia

[31] Univ Melbourne, Melbourne, Vic, Australia

[32] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[33] Univ Alberta, Dept Med, Edmonton, AB, Canada

[34] Univ Alberta, Div Cardiol, Edmonton, AB, Canada

[35] Philipines Nucl Res Inst, Manila, Philippines

[36] IAEA, Div Human Hlth, Vienna, Austria

来源：

ARQUIVOS BRASILEIROS DE CARDIOLOGIA | 2022年 / 118卷 / 04期

关键词：

Cardiac Testing; Coronavirus; COVID-19; Cardiovascular Disease; Global Health;

D O I：

10.36660/abc.20210388

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：745 / 753

页数：9

共 28 条

[1] Responses to COVID-19 in five Latin American countries [J].

Alejandra Benitez, Maria ;

Velasco, Carolina ;

Sequeira, Ana Rita ;

Henriquez, Josefa ;

Menezes, Flavio M. ;

Paolucci, Francesco .

HEALTH POLICY AND TECHNOLOGY, 2020, 9 (04) :525-559

[2] Will the Colombian intensive care units collapse due to the COVID-19 pandemic? [J].

Andres Diaz-Guio, Diego ;

Villamil-Gomez, Wilmer E. ;

Dajud, Luis ;

Perez-Diaz, Carlos E. ;

Katterine Bonilla-Aldana, D. ;

Mondragon-Cardona, Alvaro ;

Cardona-Ospina, Jaime A. ;

Gomez, Jose F. ;

Rodriguez-Morales, Alfonso J. .

TRAVEL MEDICINE AND INFECTIOUS DISEASE, 2020, 38

[3]

[Anonymous], 2020, COVID-19 Community Mobility Reports

[4]

[Anonymous], 2020, ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic

[5] Out-of-Hospital Cardiac Arrest during the Covid-19 Outbreak in Italy [J].

Baldi, Enrico ;

Mare, Claudio ;

Savastano, Simone .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (05) :496-498

[6] Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association (vol 135, pg e146, 2017) [J].

Benjamin .

CIRCULATION, 2017, 136 (10) :E196-E196

[7] Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities [J].

Brant, Luisa Campos Caldeira ;

Nascimento, Bruno Ramos ;

Teixeira, Renato Azeredo ;

Lopes, Marcelo Antonio Cartaxo Queiroga ;

Malta, Deborah Carvalho ;

Oliveira, Glaucia Maria Moraes ;

Ribeiro, Antonio Luiz Pinho .

HEART, 2020, 106 (24) :1898-1905

[8] Cardiovascular Implications in Patients Infected with Covid-19 and the Importance of Social Isolation to Reduce Dissemination of the Disease [J].

Costa, Juliana Alves ;

Silveira, Juliana de Almeida ;

Marques dos Santos, Sara Cristine ;

Nogueira, Patricia Pereira .

ARQUIVOS BRASILEIROS DE CARDIOLOGIA, 2020, 114 (05) :834-838

[9]

Dhama K, 2020, CLIN MICROBIOL REV, V33, DOI [10.1128/CMR.00028-20, 10.1038/s41432-020-0088-4]

[10]

Einstein AJ, 2021, J AM COLL CARDIOL, V77, P173, DOI 10.1016/j.jacc.2020.10.054

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