Cargando…
Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions
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...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006504/ https://www.ncbi.nlm.nih.gov/pubmed/33779824 http://dx.doi.org/10.1007/s00380-021-01843-w |
_version_ | 1783672324606656512 |
---|---|
author | Mascioli, Giosuè Lucca, Elena Napoli, Paola Giacopelli, Daniele |
author_facet | Mascioli, Giosuè Lucca, Elena Napoli, Paola Giacopelli, Daniele |
author_sort | Mascioli, Giosuè |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8006504 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-80065042021-03-29 Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions Mascioli, Giosuè Lucca, Elena Napoli, Paola Giacopelli, Daniele Heart Vessels Original Article 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. Springer Japan 2021-03-29 2021 /pmc/articles/PMC8006504/ /pubmed/33779824 http://dx.doi.org/10.1007/s00380-021-01843-w Text en © Springer Japan KK, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Mascioli, Giosuè Lucca, Elena Napoli, Paola Giacopelli, Daniele Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title | Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title_full | Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title_fullStr | Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title_full_unstemmed | Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title_short | Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
title_sort | impact of covid-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006504/ https://www.ncbi.nlm.nih.gov/pubmed/33779824 http://dx.doi.org/10.1007/s00380-021-01843-w |
work_keys_str_mv | AT mascioligiosue impactofcovid19lockdowninpatientswithimplantablecardioverterandcardiacresynchronizationtherapydefibrillatorsinsightsfromdailyremotemonitoringtransmissions AT luccaelena impactofcovid19lockdowninpatientswithimplantablecardioverterandcardiacresynchronizationtherapydefibrillatorsinsightsfromdailyremotemonitoringtransmissions AT napolipaola impactofcovid19lockdowninpatientswithimplantablecardioverterandcardiacresynchronizationtherapydefibrillatorsinsightsfromdailyremotemonitoringtransmissions AT giacopellidaniele impactofcovid19lockdowninpatientswithimplantablecardioverterandcardiacresynchronizationtherapydefibrillatorsinsightsfromdailyremotemonitoringtransmissions |