Article ; Online: Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions.
2021 Volume 36, Issue 11, Page(s) 1694–1700
Abstract: ... RM) of implantable cardioverter and cardiac resynchronization therapy defibrillators (ICDs/CRT-Ds ... disease 2019 (COVID-19). We explored the effect of this lockdown on data transmitted by remote monitoring ... patients, the lockdown imposed to contain COVID-19 outbreak significantly reduced the amount ...
| Abstract | In Italy, a strict lockdown was imposed from 8 March 2020 to stop the spread of the coronavirus disease 2019 (COVID-19). We explored the effect of this lockdown on data transmitted by remote monitoring (RM) of implantable cardioverter and cardiac resynchronization therapy defibrillators (ICDs/CRT-Ds). RM daily transmissions from ICDs and CRT-Ds were analyzed and compared in two consecutive 1 month frames pre and post-lockdown: period I (7 February-7 March 2020) and period II (8 March-7 April 2020). The study cohort included 180 patients (81.1% male, 63.3% ICDs and 36.7% CRT-Ds) with a median age of 70 (interquartile range 62-78) years. The median value of physical activity provided by accelerometric sensors showed a significant reduction between period I and II [13.1% (8.2-18.1%) versus 9.4% (6.3-13.8%), p < 0.001]. Eighty nine % of patients decreased their activity, for 43.3% the relative reduction was ≥ 25%. The mean heart rate decreased significantly [69.2 (63.8-75.6) bpm vs 67.9 (62.7-75.3) bpm, p < 0.001], but with greater reduction (≈3 beats/minute) in patients aged < 70 years. Resting heart rate and thoracic impedance showed minor variations. No differences were observed in device pacing % and arrhythmias. In cardiac patients, the lockdown imposed to contain COVID-19 outbreak significantly reduced the amount of physical activity and the mean heart rate. These side effects of in-home confinement quarantine should be taken in consideration for frail patients. |
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| MeSH term(s) | Actigraphy ; Aged ; Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/physiopathology ; Arrhythmias, Cardiac/therapy ; COVID-19 ; Cardiac Resynchronization Therapy/adverse effects ; Cardiac Resynchronization Therapy Devices ; Defibrillators, Implantable ; Electric Countershock/adverse effects ; Electric Countershock/instrumentation ; Exercise ; Female ; Health Status ; Heart Rate ; Humans ; Italy ; Male ; Middle Aged ; Predictive Value of Tests ; Remote Sensing Technology/instrumentation ; Retrospective Studies ; Time Factors | |||||
| Language | English | |||||
| Publishing date | 2021-03-29 | |||||
| Publishing country | Japan | |||||
| Document type | Comparative Study ; Journal Article | |||||
| ZDB-ID | 89678-0 | |||||
| ISSN | 1615-2573 ; 0910-8327 ; 0935-736X | |||||
| ISSN (online) | 1615-2573 | |||||
| ISSN | 0910-8327 ; 0935-736X | |||||
| DOI | 10.1007/s00380-021-01843-w | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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