Reduction in procedure volumes across European regions compared with the rest of the world
European region | P value | Europe | World | P value | ||||
Western | Southern | Eastern | Northern | |||||
Centres | 38 | 95 | 38 | 70 | – | 241 | 605 | – |
Total procedure volume | ||||||||
March 2019 | 24 018 | 48 340 | 13 149 | 56 956 | – | 142 463 | 536 175 | – |
March 2020 | 13 433 | 20 517 | 10 343 | 34 676 | – | 78 969 | 315 656 | – |
April 2020 | 9060 | 10 865 | 5819 | 18 725 | – | 44 469 | 199 967 | – |
Reduction in total procedures | ||||||||
March 2019–March 2020 | 44% | 58% | 21% | 39% | <0.001 | 45% | 41% | 0.003 |
March 2019–April 2020 | 62% | 78% | 56% | 67% | <0.001 | 69% | 63% | 0.261 |
Reduction in procedures by modality (March 2019–April 2020)—functional imaging | ||||||||
Stress ECG | 76% | 93% | 49% | 82% | 0.115 | 83% | 85% | 0.923 |
Stress echocardiography | 86% | 89% | 51% | 93% | 0.160 | 84% | 82% | 0.428 |
Stress SPECT | 73% | 83% | 76% | 77% | 0.112 | 79% | 73% | 0.002 |
Stress PET | 0 | 94% | 88% | 13% | 0.006 | 42% | 59% | 0.739 |
Stress nuclear (SPECT and PET) | 67% | 84% | 78% | 72% | 0.014 | 77% | 72% | 0.012 |
Stress CMR | 45% | 89% | 40% | 76% | 0.081 | 68% | 75% | 0.948 |
Reduction in procedures by modality (March 2019–April 2020)—anatomical imaging | ||||||||
CT calcium score | 88% | 77% | 45% | 93% | 0.552 | 78% | 70% | 0.534 |
CCTA | 58% | 75% | 68% | 68% | 0.896 | 69% | 50% | 0.003 |
TTE | 67% | 73% | 50% | 66% | 0.174 | 67% | 57% | 0.331 |
TEE | 65% | 84% | 54% | 72% | 0.139 | 74% | 76% | 0.070 |
PET infection | 27% | 71% | 92% | 13% | <0.001 | 53% | 71% | 0.714 |
CMR (non-stress) | 45% | 78% | 55% | 78% | 0.010 | 72% | 59% | 0.067 |
Invasive coronary angiography | 34% | 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.