ArticleJournal of the American College of Cardiology2022
Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19.
Article in Journal of the American College of Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- Ischemia-guided vs routine non-culprit vessel angioplasty for patients with ST segment elevation myocardial infarction and multi-vessel disease: the IAEA SPECT STEMI trial.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023Trial
- Article
- Trends in pulmonary exercise testing utilization after the COVID-19 pandemic in Ontario: A population-cohort study.PloS one · 2026Article
- Impact of the COVID-19 pandemic on cardiac magnetic resonance imaging practices: insights from the MRCT registry.European radiology · 2025Article
- Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study.Open heart · 2025Article
- Exploring the impact of recent COVID-19 infection on perfusion and functional parameters derived from gated myocardial perfusion imaging in patients undergoing evaluation for coronary artery disease.Annals of nuclear medicine · 2024Article
- Deep learning reconstruction for coronary CT angiography in patients with origin anomaly, stent or bypass graft.La Radiologia medica · 2024Article
- Trends in Atrial Fibrillation and Ablation Therapy During the Coronavirus Disease 2019 Pandemic.The Journal of innovations in cardiac rhythm management · 2024Article
- Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.International journal of cardiology. Heart & vasculature · 2024Article
- Recovery of cardiovascular diagnostic testing in Italy 1 year after coronavirus disease-2019 outbreak compared with other countries in Europe and worldwide: results from the International Atomic Energy Agency INCAPS COVID 2 survey.European heart journal. Imaging methods and practice · 2024Article
- How international organizations can support the development of cardio-oncology in the Latin American and the Caribbean region.European heart journal. Imaging methods and practice · 2024Article
- ASNC without borders: A global effort in nuclear cardiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023Article
- Cardiovascular Testing in the United States during the COVID-19 Pandemic: Volume Recovery and Worldwide Comparison.Radiology. Cardiothoracic imaging · 2023Article
- A comparison of cardiovascular imaging practices in Africa, North America, and Europe: two faces of the same coin.European heart journal. Imaging methods and practice · 2023Article
- Clinical and economic outcomes of pharmacological stress tests in patients with a history of COVID-19.Clinical cardiology · 2023Article
- The impact of the COVID-19 pandemic on the use of diagnostic imaging examinations in the Brazilian unified healthcare system (SUS).Health policy and technology · 2023Article
- Excess cardiovascular mortality across multiple COVID-19 waves in the United States from March 2020 to March 2022.Nature cardiovascular research · 2023Article
- Letter to the Editor: A Response to "Increasing Collaborative Discussion in Case-Based Learning Improves Student Engagement and Knowledge Acquisition".Medical science educator · 2023Article
- Unbiased COVID-19 Pandemic With Biased Global Recovery.Journal of the American College of Cardiology · 2022Article
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Authors and funding
34 authors at 20 institutions in 15 countries.
Funding
Abstract
backgroundThe extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.
objectivesThe aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.
methodsThe International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.
resultsSurveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.
conclusionsCardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.