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488 of performed ablations has decreased considerably (by 74%), especially in case of pulmonary vein isolation (by 80%). Restrictions in performing procedures that can be safely postponed by a few months without any harm to those awaiting are entirely justified by the need to limit the risk of potential infection of patients and medical personnel in healthcare centers by the undiagnosed carriers. However, the delay in emergency and urgent procedures may result in significant health deterioration or may even lead to immediate lifethreatening situations.2 On the one hand, the current epidemic situation in Poland indicates the rising number of infected individuals, which increases the potential risk of new infections in healthcare centers. On the other hand, the constantly rising number of tests excluding the infection enables to minimize this risk. The course of epidemic and the estimated time necessary for its reduction remain unknown.3,4 For that reason, the periodic reevaluation of the urgency of indications to perform invasive Update Due to the ongoing pandemic of coronavirus disease 2019 (COVID-19) and the dynamically changing epidemic situation, and taking into account the growing body of knowledge on the disease itself as well as predictions of its further spread, the Board of the Heart Rhythm Section supplements the previous opinion dated March 23, 20201 with the following information: The number of invasive electrotherapy and electrophysiology procedures has drastically fallen in the recent weeks. It applies both to urgent and elective procedures. According to the analysis of unpublished data collected from 10 main electrotherapy centers in Poland comparing the number of procedures in the previous and current year in the period from March 15 to April 14, the number of electrotherapy procedures has dropped by 41%, including implantation of pacemakers by 39%, placement of implantable cardioverter -defibrillators (ICD) by 52%, and resynchronization therapy devices by 35%. A remarkable reduction in the number of corrective surgeries of lead extraction (by 43%) was also observed. Moreover, the number Correspondence to: Maciej Kempa, MD, PhD, Department of Cardiology and Electrotherapy, Medical University of Gdańsk, ul. Dębinki 7, 80-952 Gdańsk, Poland, phone: +48 58 349 39 10, email: kempa@gumed.edu.pl Received: May 3, 2020. Accepted: May 4, 2020. Published online: May 5, 2020. Kardiol Pol. 2020; 78 (5): 488-492 doi:10.33963/KP.15338 Copyright by the Polish Cardiac Society, Warsaw 2020

kardiologia polska

Electrotherapy and electrophysiology procedures during the coronavirus disease 2019 pandemic: an opinion of the Heart Rhythm Section of the Polish Cardiac Society (with an update)