Considerations for cardiac imaging in the COVID-19 era include thoughtful patient and study selection with a goal to limit the overall number of tests. General recommendations are as follows:

Defer routine or low-risk studies that are unlikely to change short-term management.

Ensure proper PPE during exercise protocols and TEE (if they cannot be avoided).

Judicious study selection to maximize information yield using the fewest tests.

Advanced discussion with imaging staff to minimize repetitions and optimize study protocols.

Lastly, an opportunity to improve patient care is evident when considering reports of late presentation of acute coronary syndrome, stroke, and other illnesses.

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