Each urgent or scheduled patient had a mandatory screening for SARS-CoV-2, which always included a chest computed tomography (CT) scan, nasal swab, corporal temperature monitoring and blood tests. The clinical discussion and daily surgical programme for ND patients included all members of the telematic heart team (THT), one goal being to allow surgeons from the spokes to perform surgery on their own referred patients in the hub. Daily morning briefings were held internally at the Monzino hospital to monitor every aspect of all in-patients (COVID-19 status, number of available beds) and to share news from the Health Care Lombardy Regional System and the national government.