<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202021000301204</article-id>
<article-id pub-id-type="doi">10.29277/cardio.36.3.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la pandemia COVID-19 en la práctica de la electrofisiología cardíaca en Latinoamérica: Una encuesta de la Sociedad Latinoamericana del Ritmo Cardíaco]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of the COVID-19 pandemic on the practice of cardiac electrophysiology in Latin America: A Survey of the Latin American Heart Rhythm Society]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto da pandemia COVID-19 na prática da eletrofisiologia cardíaca na América Latina: uma pesquisa da Sociedade Latino-Americana de Ritmo Cardíaco]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuesta]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-Murillo]]></surname>
<given-names><![CDATA[Manlio F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saenz]]></surname>
<given-names><![CDATA[Luis C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira-Figueiredo]]></surname>
<given-names><![CDATA[Marcio Jansen De]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Centro Cardiovascular Universitario]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cardiología &#8220;Ignacio Chávez&#8221; Unidad Coronaria ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Cardio Infantil Centro Internacional de Arritmias ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Campinas, (UNICAMP) Cardiología Servicio de Electrofisiología]]></institution>
<addr-line><![CDATA[Campinas ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202021000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202021000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202021000301204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Al comienzo de la pandemia COVID-19 se implementaron pautas clínicas restrictivas de la asistencia que incluyeron los Servicios de Electrofisiología (SEF).  Objetivo: analizar la actividad asistencial y conocer la situación de los SEF en Latinoamérica a dos meses de iniciadas las restricciones.  Método:  estudio observacional descriptivo-analítico y transversal, utilizando una encuesta a médicos electrofisiólogos en marzo/2020. Se comparó la actividad clínica e invasiva que se realizaba antes y durante la pandemia.  Resultados : se incluyeron 147 encuestas, de 74 ciudades y 18 países de Latinoamérica. Los actos clínicos semanales se redujeron de 75 (45/127) a 20 (10/40) (p&lt;0,001), bajaron 71%. Los procedimientos invasivos mensuales se redujeron de 26 (13/39) a 4 (2/9) (p&lt;0,001), bajaron 77%. El 49% encuestado trabajaban en &#8805;3 centros asistenciales y 89% compartía laboratorio con un servicio de hemodinamia. La ocupación de camas en los hospitales era baja 37%, intermedia 28% y alta 35%. El 30% refirió algún médico de su equipo fue puesto en cuarentena por infección/contacto. El 53% refirió no se hacía ninguna prueba de tamizaje a los pacientes previa a los procedimientos y 77% al personal. La mayoría percibía dificultades como importantes o muy importantes, pero 63% estaba considerando la reapertura al funcionamiento normal.  Conclusiones:  hubo una reducción importante de la actividad clínica e invasiva. La mayoría no tenía alta ocupación de camas. Los encuestados trabajaban en varios centros y en salas de hemodinamia. Aún no se habían implementado totalmente las medidas de prevención. Existía la percepción de que en poco tiempo se retomaría la normalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: At the beginning of the COVID-19 pandemic, restrictive clinical guidelines were implemented, including Electrophysiology Services (EFS).  Objectives:  analyze the healthcare activity and to know the situation of the EFS in Latin America two months after the restrictions began.  Method:  descriptive-analytical and cross-sectional observational study, using a survey of electrophysiologists in March / 2020. The clinical and invasive activity carried out before and during the pandemic was compared.  Results:  147 surveys were included, from 74 cities in 18 Latin American countries. Weekly clinical events were reduced from 75 (45/127) to 20 (10/40) (p &lt;0.001), they fell 71%. Monthly invasive procedures were reduced from 26 (13/39) to 4 (2/9) (p &lt;0.001), down 77%. Forty-nine percent surveyed worked in &#8805;3 healthcare centers and 89% shared a laboratory with a hemodynamic service. Hospital bed occupancy was low 37%, intermediate 28% and high 35%. Thirty percent referred a doctor from their team was quarantined for infection / contact. Fifty-three percent reported that no screening test was done on the patients prior to the procedures and 77% on the staff. Most perceived difficulties as important or very important, but 63% were considering reopening to normal functioning.  Conclusion : There was a significant reduction in clinical and invasive activity. Most did not have high bed occupancy. Respondents worked in various centers and in hemodynamic rooms. Prevention measures had not yet been fully implemented yet. There was a perception that in a short time normality would return.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: No início da pandemia de COVID-19 foram implementadas diretrizes clínicas, incluindo os Serviços de Eletrofisiologia (SEF).  Objetivo:  analisar a atividade assistencial e conhecer a situação do SEF na América Latina dois meses após o início das restrições.  Método: estudo descritivo-analítico e observacional transversal, por meio de questionário com eletrofisiologistas em março / 2020. Foi comparada a atividade clínica e invasiva realizada antes e durante a pandemia.  Resultados : foram incluídos 147 inquéritos, de 74 cidades e 18 países latino-americanos. O número de procedimentos semanais foi reduzido de 75 (45/127) para 20 (10/40) (p &lt;0,001), com redução de 71%. Os procedimentos invasivos mensais foram reduzidos de 26 (13/39) para 4 (2/9) (p &lt;0,001), com redução de 77%. Dos eletrofisiologistas que responderam ao questionário, 49% trabalhavam em 3 ou mais centros, e 89% compartilhavam o laboratório com serviço de hemodinâmica. A ocupação de leitos hospitalares foi baixa em 37%, intermediária em 28% e alta em 35%. Dos que responderam al questionário, 30% relataram que um médico de sua equipe foi colocado em quarentena por infecção ou contato. Foi relatado que, dentre os que responderam, 53% não realizava teste de triagem nos pacientes antes dos procedimentos, e em 77% na equipe. A maioria percebeu as dificuldades como importantes ou muito importantes, mas 63% consideravam a reabertura ao funcionamento.  Conclusões:  houve redução significativa da atividade clínica e invasiva. A maioria não tinha grande ocupação de leitos. Os entrevistados trabalhavam em vários centros e em salas de hemodinâmica. As medidas de prevenção ainda não haviam sido totalmente implementadas, porém havia a percepção de que em pouco tempo a normalidade voltaria.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pandemia]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Electrofisiología]]></kwd>
<kwd lng="es"><![CDATA[Pautas clínicas]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Electrophysiology]]></kwd>
<kwd lng="en"><![CDATA[Clinical guidelines]]></kwd>
<kwd lng="pt"><![CDATA[Pandemia]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Eletrofisiologia]]></kwd>
<kwd lng="pt"><![CDATA[Diretrizes Clínicas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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