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.