id author title date pages extension mime words sentences flesch summary cache txt cord-287721-qsx1eov0 Berman, Adam E Elective cardiovascular care in the era of the COVID-19 pandemic: managing tragic choices 2020-09-28 .txt text/plain 2090 110 38 We propose a clinical heuristic to guide individual physicians and governing bodies in their decision making regarding which cardiac procedures should be performed during the COVID-19 pandemic using the behavioural economics concept of heuristics and ecological rationality. On 18 March 2020, the Centers for Medicare & Medicaid Services (CMS), the federal agency that sets US healthcare policy and reimbursement regulations, announced that all elective surgeries and medical and dental procedures would be postponed during the COVID-19 pandemic largely due to the need to restrict the non-urgent use of personal protective equipment. In our experiences, clinical heuristics developed for elective CV procedures within what can be regarded as an environment of ecological rationality may afford CV clinicians with additional tools helped us manage the tragic choices presented by COVID-19 while minimising what could be tragic outcomes to our patients, staff and population. ./cache/cord-287721-qsx1eov0.txt ./txt/cord-287721-qsx1eov0.txt