Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study
Background Understanding pandemic-related reductions and subsequent recovery of cardiovascular testing in Asia is important for guiding regional public health efforts.Objectives This study sought to evaluate the recovery of cardiovascular testing in Asia 1 year into the COVID-19 pandemic.Methods In...
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BMJ Publishing Group
2025-03-01
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| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/12/1/e002935.full |
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| author | Leslee J Shaw Todd C Villines Francesco Giammarile Michelle C Williams Ganesan Karthikeyan Bin Lu Andrew D Choi Andrew J Einstein Chetan Patel Felix Yj Keng Yaroslav Pynda Nathan Better Sharmila Dorbala Eli Malkovskiy Yosef Cohen Michael Randazzo Maurizio Dondi Diana Paez Kathy Z Dai Luca Bremner Thomas NB Pascual Amjed Albadr Hee-Seung Henry Bom Tairkhan Dautov Shazia Fatima Mohamad Haidar Nobuo Iguchi Benjapa Khiewvan Damayanthi Nanayakkara Phuoc Minh Hiep Nguyen Gulnora Rozikhodjaeva Rodrigo J Cerci João V Vitola |
| author_facet | Leslee J Shaw Todd C Villines Francesco Giammarile Michelle C Williams Ganesan Karthikeyan Bin Lu Andrew D Choi Andrew J Einstein Chetan Patel Felix Yj Keng Yaroslav Pynda Nathan Better Sharmila Dorbala Eli Malkovskiy Yosef Cohen Michael Randazzo Maurizio Dondi Diana Paez Kathy Z Dai Luca Bremner Thomas NB Pascual Amjed Albadr Hee-Seung Henry Bom Tairkhan Dautov Shazia Fatima Mohamad Haidar Nobuo Iguchi Benjapa Khiewvan Damayanthi Nanayakkara Phuoc Minh Hiep Nguyen Gulnora Rozikhodjaeva Rodrigo J Cerci João V Vitola |
| author_sort | Leslee J Shaw |
| collection | DOAJ |
| description | Background Understanding pandemic-related reductions and subsequent recovery of cardiovascular testing in Asia is important for guiding regional public health efforts.Objectives This study sought to evaluate the recovery of cardiovascular testing in Asia 1 year into the COVID-19 pandemic.Methods In this subanalysis of a worldwide survey on the impact of COVID-19 on cardiovascular diagnostic care in April 2020 and April 2021, recovery of testing volume in Asia was compared among subregions, World Bank income groups and imaging modalities.Results Of 669 sites worldwide, 164 sites were in 33 Asian countries. Cardiovascular testing volumes in Asia decreased by 53% from March 2019 to April 2020, then recovered 96% of this decrease by April 2021, compared with 98% recovery in the rest of the world. Eastern Asia and Western and Central Asia reported recovery rates of 123% and 110%, compared with 50% and 80% recovery in Southern and South-eastern Asia. Testing volumes among high-income and upper-middle-income Asian countries recovered to 117% and 121% but remained depressed at 49% and 14% recovery in lower-middle and low-income countries, respectively. Stress ECG, stress echo and stress positron emission tomography studies experienced median reductions of 48%, 35% and 57% in testing volume between March 2019 and April 2021, while volumes of coronary artery calcium, coronary CT angiography and cardiac MR remained stable during this period.Conclusions The recovery of cardiovascular testing in Asia 1 year into the COVID-19 pandemic lagged in the Southern and South-eastern subregions, as well as in lower-income countries. Recovery favoured advanced cardiac imaging modalities over standard stress testing modalities. |
| format | Article |
| id | doaj-art-003adfe687da431689f504e136c7a4b4 |
| institution | DOAJ |
| issn | 2053-3624 |
| language | English |
| publishDate | 2025-03-01 |
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| series | Open Heart |
| spelling | doaj-art-003adfe687da431689f504e136c7a4b42025-08-20T02:40:39ZengBMJ Publishing GroupOpen Heart2053-36242025-03-0112110.1136/openhrt-2024-002935Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 studyLeslee J Shaw0Todd C Villines1Francesco Giammarile2Michelle C Williams3Ganesan Karthikeyan4Bin Lu5Andrew D Choi6Andrew J Einstein7Chetan Patel8Felix Yj Keng9Yaroslav Pynda10Nathan Better11Sharmila Dorbala12Eli Malkovskiy13Yosef Cohen14Michael Randazzo15Maurizio Dondi16Diana Paez17Kathy Z Dai18Luca Bremner19Thomas NB Pascual20Amjed Albadr21Hee-Seung Henry Bom22Tairkhan Dautov23Shazia Fatima24Mohamad Haidar25Nobuo Iguchi26Benjapa Khiewvan27Damayanthi Nanayakkara28Phuoc Minh Hiep Nguyen29Gulnora Rozikhodjaeva30Rodrigo J Cerci31João V Vitola32Blavatnik Family Women’s Health Research Institute, Mount Sinai Medical Center, New York, New York, USAUniversity of Virginia, Charlottesville, Virginia, USAInternational Atomic Energy Agency, Vienna, AustriaCentre for Cardiovascular Sciences, University of Edinburgh, Edinburgh, UKCardiology, All India Institute of Medical Sciences, New Delhi, IndiaFuwai Hospital, Beijing, ChinaDepartment of Medicine, Division of Cardiology, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USASeymour, Paul and Gloria Milstein Division of Cardiology, Department of Medicine, and Department of Radiology, Columbia University, New York, New York, USAAll India Institute of Medical Sciences, New Delhi, IndiaNational Heart Centre SingaporeDivision of Human Health, Department of Nuclear Sciences and Applications, IAEA, Vienna, AustriaCabrini Health, Malvern, Victoria, AustraliaHarvard Medical School, Boston, Massachusetts, USASeymour, Paul and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USAPediatrics, Children’s Hospital, New York, New York, USASection of Cardiology, The University of Chicago Medical Center, Chicago, Illinois, USADivision of Human Health, Department of Nuclear Sciences and Applications, IAEA, Vienna, AustriaInternational Atomic Energy Agency, Vienna, AustriaMedicine, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USAColumbia University Vagelos College of Physicians and Surgeons, New York, New York, USAPhilippine Nuclear Research Institute, Quezon City, PhilippinesOncology, Al-Amal National Hospital, Baghdad, IraqDepartment of Nuclear Medicine, Chonnam National University Hwasun Hospital, Hwasun-gun, Korea (the Republic of)National Research Cardiac Surgery Center, Astana, KazakhstanPakistan Atomic Energy Commission, Islamabad, PakistanAmerican University of Beirut Medical Center, Beirut, LebanonSakakibara Heart Institute, Fuchu, JapanDepartment of Radiology, Mahidol University Faculty of Medicine Siriraj Hospital, Bangkok, ThailandNuclear Medicine Unit, University of Peradeniya Faculty of Medicine, Peradeniya, Sri LankaDepartment of Nuclear Medicine, Chợ Rẫy Hospital, Ho Chi Minh, VietnamCentral Clinical Hospital No. 1 of the Main Medical Directorate at the Republic of Uzbekistan Administration, Tashkent, UzbekistanResearch and Innovation, Quanta Diagnostico, Curitiba, BrazilQuanta Diagnóstico por Imagem, Curitiba, BrazilBackground Understanding pandemic-related reductions and subsequent recovery of cardiovascular testing in Asia is important for guiding regional public health efforts.Objectives This study sought to evaluate the recovery of cardiovascular testing in Asia 1 year into the COVID-19 pandemic.Methods In this subanalysis of a worldwide survey on the impact of COVID-19 on cardiovascular diagnostic care in April 2020 and April 2021, recovery of testing volume in Asia was compared among subregions, World Bank income groups and imaging modalities.Results Of 669 sites worldwide, 164 sites were in 33 Asian countries. Cardiovascular testing volumes in Asia decreased by 53% from March 2019 to April 2020, then recovered 96% of this decrease by April 2021, compared with 98% recovery in the rest of the world. Eastern Asia and Western and Central Asia reported recovery rates of 123% and 110%, compared with 50% and 80% recovery in Southern and South-eastern Asia. Testing volumes among high-income and upper-middle-income Asian countries recovered to 117% and 121% but remained depressed at 49% and 14% recovery in lower-middle and low-income countries, respectively. Stress ECG, stress echo and stress positron emission tomography studies experienced median reductions of 48%, 35% and 57% in testing volume between March 2019 and April 2021, while volumes of coronary artery calcium, coronary CT angiography and cardiac MR remained stable during this period.Conclusions The recovery of cardiovascular testing in Asia 1 year into the COVID-19 pandemic lagged in the Southern and South-eastern subregions, as well as in lower-income countries. Recovery favoured advanced cardiac imaging modalities over standard stress testing modalities.https://openheart.bmj.com/content/12/1/e002935.full |
| spellingShingle | Leslee J Shaw Todd C Villines Francesco Giammarile Michelle C Williams Ganesan Karthikeyan Bin Lu Andrew D Choi Andrew J Einstein Chetan Patel Felix Yj Keng Yaroslav Pynda Nathan Better Sharmila Dorbala Eli Malkovskiy Yosef Cohen Michael Randazzo Maurizio Dondi Diana Paez Kathy Z Dai Luca Bremner Thomas NB Pascual Amjed Albadr Hee-Seung Henry Bom Tairkhan Dautov Shazia Fatima Mohamad Haidar Nobuo Iguchi Benjapa Khiewvan Damayanthi Nanayakkara Phuoc Minh Hiep Nguyen Gulnora Rozikhodjaeva Rodrigo J Cerci João V Vitola Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study Open Heart |
| title | Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study |
| title_full | Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study |
| title_fullStr | Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study |
| title_full_unstemmed | Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study |
| title_short | Recovery of cardiovascular testing in Asia during the COVID-19 pandemic: findings from the INCAPS COVID 2 study |
| title_sort | recovery of cardiovascular testing in asia during the covid 19 pandemic findings from the incaps covid 2 study |
| url | https://openheart.bmj.com/content/12/1/e002935.full |
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