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. 2020 Dec 16;42(5):520–528. doi: 10.1093/eurheartj/ehaa893

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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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(A) A map of the USA colour coded to denote which states saw an increase vs. a decrease in VAs during COVID-19, compared with the control period. (B) The number of VA episodes per week, before (control period: green) and during (COVID-19 period: blue) COVID-19. The figure demonstrates the natural incidental decline and incline in VA burden in the control period and highlights the markedly reducing burden of VAs during the COVID-19 period with social lockdown strategies.