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Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review

BACKGROUND: Current implantable cardioverter-defibrillator (ICD) devices are equipped with a device-embedded accelerometer capable of capturing physical activity (PA). In contrast, wearable accelerometer-based methods enable the measurement of physical behavior (PB) that encompasses not only PA but...

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Autores principales: Kolk, Maarten Z.H., Frodi, Diana M., Andersen, Tariq O., Langford, Joss, Diederichsen, Soeren Z., Svendsen, Jesper H., Tan, Hanno L., Knops, Reinoud E., Tjong, Fleur V.Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890329/
https://www.ncbi.nlm.nih.gov/pubmed/35265934
http://dx.doi.org/10.1016/j.cvdhj.2021.11.006
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author Kolk, Maarten Z.H.
Frodi, Diana M.
Andersen, Tariq O.
Langford, Joss
Diederichsen, Soeren Z.
Svendsen, Jesper H.
Tan, Hanno L.
Knops, Reinoud E.
Tjong, Fleur V.Y.
author_facet Kolk, Maarten Z.H.
Frodi, Diana M.
Andersen, Tariq O.
Langford, Joss
Diederichsen, Soeren Z.
Svendsen, Jesper H.
Tan, Hanno L.
Knops, Reinoud E.
Tjong, Fleur V.Y.
author_sort Kolk, Maarten Z.H.
collection PubMed
description BACKGROUND: Current implantable cardioverter-defibrillator (ICD) devices are equipped with a device-embedded accelerometer capable of capturing physical activity (PA). In contrast, wearable accelerometer-based methods enable the measurement of physical behavior (PB) that encompasses not only PA but also sleep behavior, sedentary time, and rest-activity patterns. OBJECTIVE: This systematic review evaluates accelerometer-based methods used in patients carrying an ICD or at high risk of sudden cardiac death. METHODS: Papers were identified via the OVID MEDLINE and OVID EMBASE databases. PB could be assessed using a wearable accelerometer or an embedded accelerometer in the ICD. RESULTS: A total of 52 papers were deemed appropriate for this review. Out of these studies, 30 examined device-embedded accelerometry (189,811 patients), 19 examined wearable accelerometry (1601 patients), and 3 validated wearable accelerometry against device-embedded accelerometry (106 patients). The main findings were that a low level of PA after implantation of the ICD and a decline in PA were both associated with an increased risk of mortality, heart failure hospitalization, and appropriate ICD shock. Second, PA was affected by cardiac factors (eg, onset of atrial fibrillation, ICD shocks) and noncardiac factors (eg, seasonal differences, societal factors). CONCLUSION: This review demonstrated the potential of accelerometer-measured PA as a marker of clinical deterioration and ventricular arrhythmias. Notwithstanding that the evidence of PB assessed using wearable accelerometry was limited, there seems to be potential for accelerometers to improve early warning systems and facilitate preventative and proactive strategies.
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spelling pubmed-88903292022-03-08 Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review Kolk, Maarten Z.H. Frodi, Diana M. Andersen, Tariq O. Langford, Joss Diederichsen, Soeren Z. Svendsen, Jesper H. Tan, Hanno L. Knops, Reinoud E. Tjong, Fleur V.Y. Cardiovasc Digit Health J Review BACKGROUND: Current implantable cardioverter-defibrillator (ICD) devices are equipped with a device-embedded accelerometer capable of capturing physical activity (PA). In contrast, wearable accelerometer-based methods enable the measurement of physical behavior (PB) that encompasses not only PA but also sleep behavior, sedentary time, and rest-activity patterns. OBJECTIVE: This systematic review evaluates accelerometer-based methods used in patients carrying an ICD or at high risk of sudden cardiac death. METHODS: Papers were identified via the OVID MEDLINE and OVID EMBASE databases. PB could be assessed using a wearable accelerometer or an embedded accelerometer in the ICD. RESULTS: A total of 52 papers were deemed appropriate for this review. Out of these studies, 30 examined device-embedded accelerometry (189,811 patients), 19 examined wearable accelerometry (1601 patients), and 3 validated wearable accelerometry against device-embedded accelerometry (106 patients). The main findings were that a low level of PA after implantation of the ICD and a decline in PA were both associated with an increased risk of mortality, heart failure hospitalization, and appropriate ICD shock. Second, PA was affected by cardiac factors (eg, onset of atrial fibrillation, ICD shocks) and noncardiac factors (eg, seasonal differences, societal factors). CONCLUSION: This review demonstrated the potential of accelerometer-measured PA as a marker of clinical deterioration and ventricular arrhythmias. Notwithstanding that the evidence of PB assessed using wearable accelerometry was limited, there seems to be potential for accelerometers to improve early warning systems and facilitate preventative and proactive strategies. Elsevier 2021-11-24 /pmc/articles/PMC8890329/ /pubmed/35265934 http://dx.doi.org/10.1016/j.cvdhj.2021.11.006 Text en © 2021 Heart Rhythm Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kolk, Maarten Z.H.
Frodi, Diana M.
Andersen, Tariq O.
Langford, Joss
Diederichsen, Soeren Z.
Svendsen, Jesper H.
Tan, Hanno L.
Knops, Reinoud E.
Tjong, Fleur V.Y.
Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title_full Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title_fullStr Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title_full_unstemmed Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title_short Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review
title_sort accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890329/
https://www.ncbi.nlm.nih.gov/pubmed/35265934
http://dx.doi.org/10.1016/j.cvdhj.2021.11.006
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