• Dhanunjaya R Lakkireddy, Mina K Chung, Thomas F Deering, Rakesh Gopinathannair, Christine M Albert, Laurence M Epstein, Clifford V Harding, Jodie L Hurwitz, Courtney C Jeffery, Andrew D Krahn, Fred M Kusumoto, Rachel Lampert, Moussa Mansour, Andrea Natale, Kristen K Patton, Amber Seiler, Maully J Shah, Paul J Wang, and Andrea M Russo.
• Kansas City Heart Rhythm Institute and Research Foundation, Overland Park, Kansas.
• Heart Rhythm. 2020 Sep 1; 17 (9): e242-e254.

AbstractCoronavirus disease 2019 (COVID-19) has presented substantial challenges to patient care and impacted health care delivery, including cardiac electrophysiology practice throughout the globe. Based upon the undetermined course and regional variability of the pandemic, there is uncertainty as to how and when to resume and deliver electrophysiology services for arrhythmia patients. This joint document from representatives of the Heart Rhythm Society, American Heart Association, and American College of Cardiology seeks to provide guidance for clinicians and institutions reestablishing safe electrophysiological care. To achieve this aim, we address regional and local COVID-19 disease status, the role of viral screening and serologic testing, return-to-work considerations for exposed or infected health care workers, risk stratification and management strategies based on COVID-19 disease burden, institutional preparedness for resumption of elective procedures, patient preparation and communication, prioritization of procedures, and development of outpatient and periprocedural care pathways.Copyright © 2020 The Heart Rhythm Society, the American Heart Association, Inc., and the American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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