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. 2021 Jun 16;14(9):1787–1799. doi: 10.1016/j.jcmg.2021.03.007

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© 2021 by the American College of Cardiology Foundation. Published by Elsevier.

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Central Illustration — Geographic Differences in Diagnostic Cardiovascular Procedure Volume Reductions in the United States

U.S. maps demonstrate the percentage of reduction in diagnostic cardiovascular procedures from March 2019 to March 2020 (left map) and March 2019 to April 2020 (right map). States are grouped together by U.S. census regions: West (left), Midwest (top middle), Northeast (top right), and South (bottom right). Alaska and Hawaii are included in the West region. Differences in overall volume reductions were similar between U.S. regions in March 2020 (p = 0.069) but different in April 2020 (p < 0.001), with the greatest declines seen in the Northeast and Midwest.