Second Wave of COVID-19 Pandemic in Malaysia and the Impact on Nuclear Cardiology Services: An Institutional Experience

Ahmad Zaid Zanial
Syifaa Aminudin
FatinHayani Mohamad Najib
Siti Zarina Amir Hassan

Introduction: Nuclear cardiology applying radioactive tracer and hybrid imaging techniques are able to provide information needed to detect and evaluate ischaemic heart diseases. In our centre, nuclear cardiology services involving stress and rest myocardial perfusion scans and viability studies contribute about 40% of overall scan workload. The second wave of COVID- 19 pandemic in Malaysia announced by the end of February 2020 has affected nuclear cardiology services.Objectives: Our aims were to determine the impact of COVID-19 pandemic second wave on the nuclear cardiology imaging studies performed as well as to ascertain crucial institutional experience especially unavoidable problem and adjustment during the period.Methods: A review of Technetium-99m tetrofosmin radiopharmaceutical dispensing data and scan records for 1st February to 31st August 2019 and 2020 was conducted at Nuclear Medicine Department, Hospital Kuala Lumpur. Figures were compiled and statistical analysis done. Survey and focus discussion conducted involving nuclear medicine physicians, pharmacists and physic officers to identify the main difficulty faced and most important Job-adapting measure taken.Results: A total of 1109 cardiac radiopharmaceutical doses dispensed during the studied period but were less when compared to 1342 doses dispensed last year. Significant reduction was noted in April and May 2020 with only 69 and 67 cases respectively in comparison with monthly average of 192 cases in 2019. Although some scan appointments were postponed to avoid the usual waiting area congestions, the main difficulty faced was Technetium-99m generator supply disruption with limited production in Europe and international transportation restriction. Implementing infection control standard operating procedure (SOP) instructions as part of routine work practice with emphasis of time, distance and shielding concept was the most important Job-adapting measure.Conclusion: Nuclear cardiology services were affected by the second wave of COVID-19 pandemic locally. Main problem ascertained was disruption of radioactive supply. Most important adjustment was infection control SOP implementation.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S25

2011 ◽
Vol 32(3)
pp. 210-219
Mamoon A. Aldeyab
Michael J. Devine
Peter Flanagan
Michael Mannion
Avril Craig
Michael G. Scott
Stephan Harbarth
Nathalie Vernaz
Elizabeth Davies
Jon S. Brazier
Brian Smyth
James C. McElnay
Brendan F. Gilmore
Geraldine Conlon
Fidelma A. Magee
Feras W. Darwish Elhajji
Shaunagh Small
Collette Edwards
Chris Funston
Mary P. Kearney

2008 ◽
Vol 29(7)
pp. 600-606
Christine Moore
Jastej Dhaliwal
Agnes Tong
Sarah Eden
Cindi Wigston
Barbara Willey
Allison McGeer

Carla Benea
Laura Rendon
Jesse Papenburg
Charles Frenette
Ahmed Imacoudene
Emily G. McDonald
Quoc D. Nguyen
Ewa Rajda
Estelle Tran
Motahareh Vameghestahbanati
Andrea Benedetti
Marcel A. Behr
Benjamin M. Smith

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