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Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic
BACKGROUND: Coronavirus Disease‐2019 (COVID‐19) has been associated with myocardial injury and higher risk of arrhythmic complications. However, no reports are available about the effect of the ongoing pandemic on arrhythmias in patients at risk. OBJECTIVE: To describe the effect of COVID‐19 pandemi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014654/ https://www.ncbi.nlm.nih.gov/pubmed/33821178 http://dx.doi.org/10.1002/joa3.12518 |
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author | Malanchini, G. Ferrari, P. Leidi, C. Ferrari, G. Racheli, M. Senni, M. De Filippo, P. |
author_facet | Malanchini, G. Ferrari, P. Leidi, C. Ferrari, G. Racheli, M. Senni, M. De Filippo, P. |
author_sort | Malanchini, G. |
collection | PubMed |
description | BACKGROUND: Coronavirus Disease‐2019 (COVID‐19) has been associated with myocardial injury and higher risk of arrhythmic complications. However, no reports are available about the effect of the ongoing pandemic on arrhythmias in patients at risk. OBJECTIVE: To describe the effect of COVID‐19 pandemic on arrhythmic burden among high‐risk patients. METHODS: This is a cross‐sectional study on the incidence of ventricular arrhythmia (VA) during the pandemic outbreak (study period), compared to the same timeframe in 2019 (reference period). Inclusion criteria were age (>18 years) and having an implantable cardiac defibrillator (ICD). RESULTS: Among 455 patients enrolled (mean age 64.9 ± 15.7 years; 25.1% females and 39.6% with CRTD), in the study period, 45 (9.9%) patients experienced a total of 86 VA; 8 patients (1.7%) required antitachycardia‐pacing (ATP) and 6 (1.3%) at least one shock. In the reference period, a total of 69 events occurred in 36 patients (7.9%). Six patients (1.3%) required ATP and three (0.7%) at least one shock. The number of patients that suffered from any arrhythmic events in the study period (9.9% vs 7.9%) did not significantly differ from the reference period (χ(2) = 1.09, P = .29). The main predictor of VA during the COVID‐19 pandemic was the previous history of any ICD therapy (OR = 3.84, P < .001). CONCLUSIONS: No evidence of an increase of arrhythmic burden was found during the COVID‐19 pandemic among patients with an ICD. |
format | Online Article Text |
id | pubmed-8014654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80146542021-04-01 Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic Malanchini, G. Ferrari, P. Leidi, C. Ferrari, G. Racheli, M. Senni, M. De Filippo, P. J Arrhythm Original Articles BACKGROUND: Coronavirus Disease‐2019 (COVID‐19) has been associated with myocardial injury and higher risk of arrhythmic complications. However, no reports are available about the effect of the ongoing pandemic on arrhythmias in patients at risk. OBJECTIVE: To describe the effect of COVID‐19 pandemic on arrhythmic burden among high‐risk patients. METHODS: This is a cross‐sectional study on the incidence of ventricular arrhythmia (VA) during the pandemic outbreak (study period), compared to the same timeframe in 2019 (reference period). Inclusion criteria were age (>18 years) and having an implantable cardiac defibrillator (ICD). RESULTS: Among 455 patients enrolled (mean age 64.9 ± 15.7 years; 25.1% females and 39.6% with CRTD), in the study period, 45 (9.9%) patients experienced a total of 86 VA; 8 patients (1.7%) required antitachycardia‐pacing (ATP) and 6 (1.3%) at least one shock. In the reference period, a total of 69 events occurred in 36 patients (7.9%). Six patients (1.3%) required ATP and three (0.7%) at least one shock. The number of patients that suffered from any arrhythmic events in the study period (9.9% vs 7.9%) did not significantly differ from the reference period (χ(2) = 1.09, P = .29). The main predictor of VA during the COVID‐19 pandemic was the previous history of any ICD therapy (OR = 3.84, P < .001). CONCLUSIONS: No evidence of an increase of arrhythmic burden was found during the COVID‐19 pandemic among patients with an ICD. John Wiley and Sons Inc. 2021-02-16 /pmc/articles/PMC8014654/ /pubmed/33821178 http://dx.doi.org/10.1002/joa3.12518 Text en © 2021 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Malanchini, G. Ferrari, P. Leidi, C. Ferrari, G. Racheli, M. Senni, M. De Filippo, P. Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title | Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title_full | Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title_fullStr | Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title_full_unstemmed | Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title_short | Ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the COVID‐19 pandemic |
title_sort | ventricular arrhythmias among patients with implantable cardioverter‐defibrillator during the covid‐19 pandemic |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014654/ https://www.ncbi.nlm.nih.gov/pubmed/33821178 http://dx.doi.org/10.1002/joa3.12518 |
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