Table 2

Reduction in procedure volumes across European regions compared with the rest of the world

European regionP valueEuropeWorldP value
WesternSouthernEasternNorthern
Centres38953870241605
Total procedure volume
 March 201924 01848 34013 14956 956142 463536 175
 March 202013 43320 51710 34334 67678 969315 656
 April 2020906010 865581918 72544 469199 967
Reduction in total procedures
 March 2019–March 202044%58%21%39% <0.001 45%41% 0.003
 March 2019–April 202062%78%56%67% <0.001 69%63%0.261
Reduction in procedures by modality (March 2019–April 2020)—functional imaging
 Stress ECG76%93%49%82%0.11583%85%0.923
 Stress echocardiography86%89%51%93%0.16084%82%0.428
 Stress SPECT73%83%76%77%0.11279%73% 0.002
 Stress PET094%88%13% 0.006 42%59%0.739
 Stress nuclear
 (SPECT and PET)
67%84%78%72% 0.014 77%72% 0.012
 Stress CMR45%89%40%76%0.08168%75%0.948
Reduction in procedures by modality (March 2019–April 2020)—anatomical imaging
 CT calcium score88%77%45%93%0.55278%70%0.534
 CCTA58%75%68%68%0.89669%50% 0.003
 TTE67%73%50%66%0.17467%57%0.331
 TEE65%84%54%72%0.13974%76%0.070
 PET infection27%71%92%13% <0.001 53%71%0.714
 CMR (non-stress)45%78%55%78% 0.010 72%59%0.067
 Invasive coronary angiography34%63%45%50% 0.009 51%59%0.951
  • Bold text indicates a p value of <0.05.

  • CCTA, coronary CT angiography; CMR, cardiac magnetic resonance; PET, positron emission tomography; SPECT, single-photon emission CT; TEE, transoesophageal echocardiography; TTE, transthoracic echocardiography.