Cargando…
Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic
Background: The in-hospital management of patients with cardiac implantable electronic devices (CIEDs) changed early in the COVID-19 pandemic. Routine in-hospital controls of CIEDs were converted into remote home monitoring (HM). The aim of our study was to investigate the impact of the lockdown per...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069073/ https://www.ncbi.nlm.nih.gov/pubmed/33920350 http://dx.doi.org/10.3390/jcm10081618 |
_version_ | 1783683151766224896 |
---|---|
author | Matteucci, Andrea Bonanni, Michela Centioni, Marco Zanin, Federico Geuna, Francesco Massaro, Gianluca Sangiorgi, Giuseppe |
author_facet | Matteucci, Andrea Bonanni, Michela Centioni, Marco Zanin, Federico Geuna, Francesco Massaro, Gianluca Sangiorgi, Giuseppe |
author_sort | Matteucci, Andrea |
collection | PubMed |
description | Background: The in-hospital management of patients with cardiac implantable electronic devices (CIEDs) changed early in the COVID-19 pandemic. Routine in-hospital controls of CIEDs were converted into remote home monitoring (HM). The aim of our study was to investigate the impact of the lockdown period on CIEDs patients and its influence on in-hospital admissions through the analysis of HM data. Methods: We analysed data recorded from 312 patients with HM during the national quarantine related to COVID-19 and then compared data from the same period of 2019. Results: We observed a reduction in the number of HM events in 2020 when compared to 2019. Non-sustained ventricular tachycardia episodes decreased (18.3% vs. 9.9% p = 0.002) as well as atrial fibrillation episodes (29.2% vs. 22.4% p = 0.019). In contrast, heart failure (HF) alarm activation was lower in 2019 than in 2020 (17% vs. 25.3% p = 0.012). Hospital admissions for critical events recorded with CIEDs dropped in 2020, including those for HF. Conclusions: HM, combined with telemedicine use, has ensured the surveillance of CIED patients. In 2020, arrhythmic events and hospital admissions decreased significantly compared to 2019. Moreover, in 2020, patients with HF arrived in hospital in a worse clinical condition compared to previous months. |
format | Online Article Text |
id | pubmed-8069073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80690732021-04-26 Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic Matteucci, Andrea Bonanni, Michela Centioni, Marco Zanin, Federico Geuna, Francesco Massaro, Gianluca Sangiorgi, Giuseppe J Clin Med Article Background: The in-hospital management of patients with cardiac implantable electronic devices (CIEDs) changed early in the COVID-19 pandemic. Routine in-hospital controls of CIEDs were converted into remote home monitoring (HM). The aim of our study was to investigate the impact of the lockdown period on CIEDs patients and its influence on in-hospital admissions through the analysis of HM data. Methods: We analysed data recorded from 312 patients with HM during the national quarantine related to COVID-19 and then compared data from the same period of 2019. Results: We observed a reduction in the number of HM events in 2020 when compared to 2019. Non-sustained ventricular tachycardia episodes decreased (18.3% vs. 9.9% p = 0.002) as well as atrial fibrillation episodes (29.2% vs. 22.4% p = 0.019). In contrast, heart failure (HF) alarm activation was lower in 2019 than in 2020 (17% vs. 25.3% p = 0.012). Hospital admissions for critical events recorded with CIEDs dropped in 2020, including those for HF. Conclusions: HM, combined with telemedicine use, has ensured the surveillance of CIED patients. In 2020, arrhythmic events and hospital admissions decreased significantly compared to 2019. Moreover, in 2020, patients with HF arrived in hospital in a worse clinical condition compared to previous months. MDPI 2021-04-11 /pmc/articles/PMC8069073/ /pubmed/33920350 http://dx.doi.org/10.3390/jcm10081618 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Matteucci, Andrea Bonanni, Michela Centioni, Marco Zanin, Federico Geuna, Francesco Massaro, Gianluca Sangiorgi, Giuseppe Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title | Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title_full | Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title_fullStr | Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title_full_unstemmed | Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title_short | Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic |
title_sort | home management of heart failure and arrhythmias in patients with cardiac devices during pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069073/ https://www.ncbi.nlm.nih.gov/pubmed/33920350 http://dx.doi.org/10.3390/jcm10081618 |
work_keys_str_mv | AT matteucciandrea homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT bonannimichela homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT centionimarco homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT zaninfederico homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT geunafrancesco homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT massarogianluca homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic AT sangiorgigiuseppe homemanagementofheartfailureandarrhythmiasinpatientswithcardiacdevicesduringpandemic |