Characteristics and Outcomes of Patients Deferred for TAVR Because of COVID-19 | Valvular Heart Disease | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Characteristics and Outcomes of Patients Deferred for Transcatheter Aortic Valve Replacement Because of COVID-19

Educational Objective
To understand the characteristics and outcomes of patients deferred for transcatheter aortic valve replacement because of COVID-19
1 Credit CME

Coronavirus disease 2019 (COVID-19) is a global pandemic that has led to diversion of resources to the front lines and postponement of elective procedures. Patients with structural heart disease are a high-risk cohort because of their age and comorbidities. Management of their underlying condition has sometimes been delayed as a result of efforts to avoid community and health care setting exposure to COVID-19. An executive order was enacted by the New York State government on March 22, 2020, leading to cancellation of elective procedures. We describe here the outcomes of patients with symptomatic, severe aortic stenosis (AS) from our structural heart disease program during the COVID-19 pandemic.

Sign in to take quiz and track your certificates

Buy This Activity
Article Information

Accepted for Publication: July 27, 2020.

Published: September 30, 2020. doi:10.1001/jamanetworkopen.2020.19801

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Ro R et al. JAMA Network Open.

Corresponding Author: Stamatios Lerakis, MD, PhD, Division of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029 (stamatios.lerakis@mountsinai.org).

Author Contributions: Drs Ro and Lerakis had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Khera, Kini, Lerakis.

Acquisition, analysis, or interpretation of data: Ro, Khera, Tang, Krishnamoorthy, Sharma, Lerakis.

Drafting of the manuscript: Ro, Krishnamoorthy, Lerakis.

Critical revision of the manuscript for important intellectual content: Khera, Tang, Sharma, Kini.

Statistical analysis: Krishnamoorthy, Lerakis.

Administrative, technical, or material support: Khera, Tang, Sharma.

Supervision: Khera, Tang, Kini, Lerakis.

Conflict of Interest Disclosures: Dr Khera reported being a consultant for Abbott, Medtronic, and Boston Scientific, and receiving speakers’ honoraria from Medtronic. Dr Tang reported being a physician proctor for Medtronic and a consultant for Medtronic, Abbott Structural Heart, and W. L. Gore & Associates. No other disclosures were reported.

Additional Contributions: Malcolm Anastasius, MBBS, PhD (Mount Sinai Hospital), provided assistance with data analysis; he was not compensated for this work.

References
1.
Shah  PB , Welt  FGP , Mahmud  E ,  et al.  Triage considerations for patients referred for structural heart disease intervention during the COVID-19 pandemic: an ACC /SCAI position statement.   JACC Cardiovasc Interv. 2020;13(12):1484-1488. doi:10.1016/j.jcin.2020.04.001PubMedGoogle ScholarCrossref
2.
Chung  CJ , Nazif  TM , Wolbinski  M ,  et al.  The restructuring of structural heart disease during the COVID-19 pandemic.   J Am Coll Cardiol. 2020;75(23):2974-2983. doi:10.1016/j.jacc.2020.04.009PubMedGoogle ScholarCrossref
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close