Subject(s)
Arrhythmias, Cardiac/therapy , Coronavirus Infections , Electrophysiologic Techniques, Cardiac/standards , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Pacemaker, Artificial , Pandemics , Personal Protective Equipment , Pneumonia, Viral , Arrhythmias, Cardiac/complications , Betacoronavirus , COVID-19 , COVID-19 Testing , Clinical Laboratory Techniques , Coronavirus Infections/complications , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Electrophysiologic Techniques, Cardiac/methods , Humans , Infection Control/methods , Pandemics/prevention & control , Pneumonia, Viral/complications , Pneumonia, Viral/diagnosis , Pneumonia, Viral/prevention & control , Prosthesis Implantation/methods , Risk Assessment , SARS-CoV-2Subject(s)
Acute Coronary Syndrome , Coronavirus Infections , Infection Control , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Pandemics , Patient Transfer , Pneumonia, Viral , Risk Assessment , Acute Coronary Syndrome/complications , Acute Coronary Syndrome/therapy , Acute Coronary Syndrome/virology , Betacoronavirus , COVID-19 , Coronavirus Infections/complications , Coronavirus Infections/epidemiology , Humans , Infection Control/methods , Patient Admission , Patient Care , Patient Isolation , Pneumonia, Viral/complications , Pneumonia, Viral/epidemiology , Risk Factors , SARS-CoV-2 , ST Elevation Myocardial Infarction/complications , ST Elevation Myocardial Infarction/diagnosisSubject(s)
Algorithms , Ambulatory Care Facilities/standards , Cardiovascular Diseases , Coronavirus Infections , Infection Control/methods , Pandemics , Pneumonia, Viral , Referral and Consultation , Betacoronavirus , COVID-19 , COVID-19 Testing , Cardiology , Cardiovascular Diseases/complications , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/therapy , Clinical Laboratory Techniques , Coronavirus Infections/complications , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Humans , Pneumonia, Viral/complications , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , SARS-CoV-2 , TelemedicineABSTRACT
The aim of this document is the management and organization of patients in need of urgent access to electrophysiology (EP) and pacing procedures during the COVID-19 emergency. Specifically, non-deferrable procedures or irreplaceable with a drug therapy prior to the resolution of the COVID-19 virus emergency [pacemaker (PM) implant/replacement/urgent defibrillator (implantable cardioverter-defibrillator, ICD) or arrhythmic storm or other indication of non-deferrable ablation]. The pacing and electrophysiological procedures urgent as they may be, less and less frequently represent situations of emergency, therefore for almost all cases, it is possible to perform a swab test to determine the positivity to COVID-19 of the patient. In cases where this is not possible, due to situations of emergency, the recommendations and procedures we have indicated are advisable, if not mandatory, in order to avoid the spreading of the virus to healthcare personnel and other patients.