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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...

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Autores principales: Matteucci, Andrea, Bonanni, Michela, Centioni, Marco, Zanin, Federico, Geuna, Francesco, Massaro, Gianluca, Sangiorgi, Giuseppe
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
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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.
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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
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