PT - JOURNAL ARTICLE AU - Adam E Berman AU - Douglas Miller AU - Robert A Sorrentino AU - Elias A Mossialos TI - Elective cardiovascular care in the era of the COVID-19 pandemic: managing tragic choices AID - 10.1136/bmjoq-2020-001069 DP - 2020 Sep 01 TA - BMJ Open Quality PG - e001069 VI - 9 IP - 3 4099 - http://bmjopenquality.bmj.com/content/9/3/e001069.short 4100 - http://bmjopenquality.bmj.com/content/9/3/e001069.full SO - BMJ Open Qual2020 Sep 01; 9 AB - The COVID-19 pandemic has led to significant morbidity and mortality globally. As health systems grapple with caring for patients affected with COVID-19, cardiovascular procedures that are deemed ‘elective’ have been postponed. Guidelines concerning which cardiac procedures should be performed during the pandemic vary by specialty and geography in the USA. 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.