Goals 1. Ensure that critical resources are used efficiently, namely staff and personal protective equipment (PPE). 2. Provide guidance for the appropriate use of EP and CIED services during the pandemic. 3. Minimise adverse patient outcomes during the pandemic period where resources are limited. 4. Minimise exposure of patients and health care workers. Key Considerations 1. Mandatory training of staff on use of PPE. 2. Tailoring of the current document to local demand for EP and CIED services, local outbreak patterns, local hospital recommendations, hospital PPE supply chain, and hospital contingency plans and/or crisis capacity status. 3. Encourage patient specific risk assessment and sound clinical judgment, weighing the risk vs. benefits of delaying intervention versus risk of patient and staff infection with COVID-19, and use of precious PPE resources. 4. Realignment of the delivery of EP and CIED services with a switch to telehealth and remote monitoring, where feasible. 5. Division of physicians and allied health professionals into separate teams, with minimal in-person interaction between team members 6. Where feasible, segregation of labs and equipment for use in patients with suspected or confirmed COVID-19. 7. Temporary deferment of non-critical ambulatory monitoring services to minimise direct patient contact. 8. Rapid completion of inpatient EP and CIED procedures which cannot be deferred for 1-3 months. 9. Temporary deferment of non-urgent elective EP and CIED procedures. 10. Outpatient procedures limited to only those deemed urgent or deemed ''semi-urgent" where risks of prolonged deferment are unacceptably high. 11. Individual patient screening for COVID-19 exposure risk as per local hospital recommendations, and appropriate use of PPE. Keywords COVID-19 Cardiac electrophysiology Cardiac implantable electronic devices Personal protective equipment Congenital heart disease e58 S. Kumar et al.

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