RT Journal Article T1 Impact of COVID-19 on the imaging diagnosis of cardiac disease in Europe. A1 Williams, Michelle Claire A1 Shaw, Leslee A1 Hirschfeld, Cole B A1 Maurovich-Horvat, Pal A1 Nørgaard, Bjarne L A1 Pontone, Gianluca A1 Jimenez-Heffernan, Amelia A1 Sinitsyn, Valentin A1 Sergienko, Vladimir A1 Ansheles, Alexey A1 Bax, Jeroen J A1 Buechel, Ronny A1 Milan, Elisa A1 Slart, Riemer H J A A1 Nicol, Edward A1 Bucciarelli-Ducci, Chiara A1 Pynda, Yaroslav A1 Better, Nathan A1 Cerci, Rodrigo A1 Dorbala, Sharmila A1 Raggi, Paolo A1 Villines, Todd C A1 Vitola, Joao A1 Malkovskiy, Eli A1 Goebel, Benjamin A1 Cohen, Yosef A1 Randazzo, Michael A1 Pascual, Thomas N B A1 Dondi, Maurizio A1 Paez, Diana A1 Einstein, Andrew J A1 INCAPS COVID Investigators Group, K1 COVID-19 K1 cardiac imaging techniques K1 coronary artery disease AB We aimed to explore the impact of the COVID-19 pandemic on cardiac diagnostic testing and practice and to assess its impact in different regions in Europe. The online survey organised by the International Atomic Energy Agency Division of Human Health collected information on changes in cardiac imaging procedural volumes between March 2019 and March/April 2020. Data were collected from 909 centres in 108 countries. Centres in Northern and Southern Europe were more likely to cancel all outpatient activities compared with Western and Eastern Europe. There was a greater reduction in total procedure volumes in Europe compared with the rest of the world in March 2020 (45% vs 41%, p=0.003), with a more marked reduction in Southern Europe (58%), but by April 2020 this was similar in Europe and the rest of the world (69% vs 63%, p=0.261). Regional variations were apparent between imaging modalities, but the largest reductions were in Southern Europe for nearly all modalities. In March 2020, location in Southern Europe was the only independent predictor of the reduction in procedure volume. However, in April 2020, lower gross domestic product and higher COVID-19 deaths were the only independent predictors. The first wave of the COVID-19 pandemic had a significant impact on care of patients with cardiac disease, with substantial regional variations in Europe. This has potential long-term implications for patients and plans are required to enable the diagnosis of non-COVID-19 conditions during the ongoing pandemic. SN 2053-3624 YR 2021 FD 2021 LK http://hdl.handle.net/10668/18296 UL http://hdl.handle.net/10668/18296 LA en DS RISalud RD Apr 12, 2025