[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

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

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
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
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
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close
Close

Lookup An Activity

or

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close