• Pinak B Shah, Welt Frederick G P FGP American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Cardiovascular Division, University of Utah He, Ehtisham Mahmud, Alistair Phillips, Neal S Kleiman, Michael N Young, Matthew Sherwood, Wayne Batchelor, Dee Dee Wang, Laura Davidson, Janet Wyman, Sabeeda Kadavath, Molly Szerlip, James Hermiller, David Fullerton, Saif Anwaruddin, and American College of Cardiology and the Society for Cardiovascular Angiography and Interventions.
• American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: pbshah@partners.org.
• JACC Cardiovasc Interv. 2020 Jun 22; 13 (12): 1484-1488.

AbstractThe coronavirus disease-2019 (COVID-19) pandemic has strained health care resources around the world, causing many institutions to curtail or stop elective procedures. This has resulted in an inability to care for patients with valvular and structural heart disease in a timely fashion, potentially placing these patients at increased risk for adverse cardiovascular complications, including CHF and death. The effective triage of these patients has become challenging in the current environment as clinicians have had to weigh the risk of bringing susceptible patients into the hospital environment during the COVID-19 pandemic against the risk of delaying a needed procedure. In this document, the authors suggest guidelines for how to triage patients in need of structural heart disease interventions and provide a framework for how to decide when it may be appropriate to proceed with intervention despite the ongoing pandemic. In particular, the authors address the triage of patients in need of transcatheter aortic valve replacement and percutaneous mitral valve repair. The authors also address procedural issues and considerations for the function of structural heart disease teams during the COVID-19 pandemic.Copyright © 2020 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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