Priority I. Emergent/Urgent
Procedures and scenarios in this category have class I or IIa
recommendations with patients at high short-term risk for mortality or
major morbidity. Examples include catheter ablation for medically
refractory monomorphic ventricular tachycardia in nonischemic
cardiomyopathy; catheter ablation for Wolff-Parkinson-White Syndrome
associated with rapid atrial fibrillation and syncope; permanent
pacemaker for symptomatic complete heart block; and lead extraction for
an infected cardiovascular implantable electronic device in the setting
of persistent bacteremia. A secondary prevention ICD has a class I
recommendation and is preferred prior to discharge. However, a temporary
wearable cardioverter-defibrillator may be a reasonable option to
explore given unique circumstances that may arise from the COVID-19
pandemic.