Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States
Background: The COVID-19 pandemic has greatly altered the practice of cardiac electrophysiology around the world for the foreseeable future. Professional organizations have provided guidance for practitioners, but real-world examples of the consults and responsibilities cardiac electrophysiologists...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-11-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629220300929 |
| _version_ | 1828803720524070912 |
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| author | Jeremy P. Berman Mark P. Abrams Alexander Kushnir Geoffrey A. Rubin Frederick Ehlert Angelo Biviano John P. Morrow Jose Dizon Elaine Y. Wan Hirad Yarmohammadi Marc P. Waase David A. Rubin Hasan Garan Deepak Saluja |
| author_facet | Jeremy P. Berman Mark P. Abrams Alexander Kushnir Geoffrey A. Rubin Frederick Ehlert Angelo Biviano John P. Morrow Jose Dizon Elaine Y. Wan Hirad Yarmohammadi Marc P. Waase David A. Rubin Hasan Garan Deepak Saluja |
| author_sort | Jeremy P. Berman |
| collection | DOAJ |
| description | Background: The COVID-19 pandemic has greatly altered the practice of cardiac electrophysiology around the world for the foreseeable future. Professional organizations have provided guidance for practitioners, but real-world examples of the consults and responsibilities cardiac electrophysiologists face during a surge of COVID-19 patients is lacking. Methods: In this observational case series we report on 29 consecutive inpatient electrophysiology consultations at a major academic medical center in New York City, the epicenter of the pandemic in the United States, during a 2 week period from March 30-April 12, 2020, when 80% of hospital beds were occupied by COVID-19 patients, and the New York City metropolitan area accounted for 10% of COVID-19 cases worldwide. Results: Reasons for consultation included: Atrial tachyarrhythmia (31%), cardiac implantable electronic device management (28%), bradycardia (14%), QTc prolongation (10%), ventricular arrhythmia (7%), post-transcatheter aortic valve replacement conduction abnormality (3.5%), ventricular pre-excitation (3.5%), and paroxysmal supraventricular tachycardia (3.5%). Twenty-four patients (86%) were positive for COVID-19 by nasopharyngeal swab. All elective procedures were canceled, and only one urgent device implantation was performed. Thirteen patients (45%) required in-person evaluation and the remainder were managed remotely. Conclusion: Our experience shows that the application of a massive alteration in workflow and personnel forced by the pandemic allowed our team to efficiently address the intersection of COVID-19 with a range of electrophysiology issues. This experience will prove useful as guidance for emerging hot spots or areas affected by future waves of the pandemic. |
| first_indexed | 2024-12-12T07:28:27Z |
| format | Article |
| id | doaj.art-c2d3561a89f04769a96f1af1d374b3d7 |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-12-12T07:28:27Z |
| publishDate | 2020-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-c2d3561a89f04769a96f1af1d374b3d72022-12-22T00:33:05ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922020-11-01206250256Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United StatesJeremy P. Berman0Mark P. Abrams1Alexander Kushnir2Geoffrey A. Rubin3Frederick Ehlert4Angelo Biviano5John P. Morrow6Jose Dizon7Elaine Y. Wan8Hirad Yarmohammadi9Marc P. Waase10David A. Rubin11Hasan Garan12Deepak Saluja13Corresponding author. Cardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, 177 Fort Washington Avenue, Room 637, New York, NY, 10032, USA.; Cardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USACardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USABackground: The COVID-19 pandemic has greatly altered the practice of cardiac electrophysiology around the world for the foreseeable future. Professional organizations have provided guidance for practitioners, but real-world examples of the consults and responsibilities cardiac electrophysiologists face during a surge of COVID-19 patients is lacking. Methods: In this observational case series we report on 29 consecutive inpatient electrophysiology consultations at a major academic medical center in New York City, the epicenter of the pandemic in the United States, during a 2 week period from March 30-April 12, 2020, when 80% of hospital beds were occupied by COVID-19 patients, and the New York City metropolitan area accounted for 10% of COVID-19 cases worldwide. Results: Reasons for consultation included: Atrial tachyarrhythmia (31%), cardiac implantable electronic device management (28%), bradycardia (14%), QTc prolongation (10%), ventricular arrhythmia (7%), post-transcatheter aortic valve replacement conduction abnormality (3.5%), ventricular pre-excitation (3.5%), and paroxysmal supraventricular tachycardia (3.5%). Twenty-four patients (86%) were positive for COVID-19 by nasopharyngeal swab. All elective procedures were canceled, and only one urgent device implantation was performed. Thirteen patients (45%) required in-person evaluation and the remainder were managed remotely. Conclusion: Our experience shows that the application of a massive alteration in workflow and personnel forced by the pandemic allowed our team to efficiently address the intersection of COVID-19 with a range of electrophysiology issues. This experience will prove useful as guidance for emerging hot spots or areas affected by future waves of the pandemic.http://www.sciencedirect.com/science/article/pii/S0972629220300929ElectrophysiologyArrhythmiaCoronavirusCOVID-19 |
| spellingShingle | Jeremy P. Berman Mark P. Abrams Alexander Kushnir Geoffrey A. Rubin Frederick Ehlert Angelo Biviano John P. Morrow Jose Dizon Elaine Y. Wan Hirad Yarmohammadi Marc P. Waase David A. Rubin Hasan Garan Deepak Saluja Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States Indian Pacing and Electrophysiology Journal Electrophysiology Arrhythmia Coronavirus COVID-19 |
| title | Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States |
| title_full | Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States |
| title_fullStr | Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States |
| title_full_unstemmed | Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States |
| title_short | Cardiac electrophysiology consultative experience at the epicenter of the COVID-19 pandemic in the United States |
| title_sort | cardiac electrophysiology consultative experience at the epicenter of the covid 19 pandemic in the united states |
| topic | Electrophysiology Arrhythmia Coronavirus COVID-19 |
| url | http://www.sciencedirect.com/science/article/pii/S0972629220300929 |
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