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10.1007/s00380-021-01843-w

http://scihub22266oqcxt.onion/10.1007/s00380-021-01843-w
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suck abstract from ncbi


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pmid33779824      Heart+Vessels 2021 ; 36 (11): 1694-1700
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  • Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions #MMPMID33779824
  • Mascioli G; Lucca E; Napoli P; Giacopelli D
  • Heart Vessels 2021[Nov]; 36 (11): 1694-1700 PMID33779824show ga
  • 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 ( approximately 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.
  • |*COVID-19[MESH]
  • |*Cardiac Resynchronization Therapy Devices[MESH]
  • |*Cardiac Resynchronization Therapy/adverse effects[MESH]
  • |*Defibrillators, Implantable[MESH]
  • |*Remote Sensing Technology/instrumentation[MESH]
  • |Actigraphy[MESH]
  • |Aged[MESH]
  • |Arrhythmias, Cardiac/diagnosis/physiopathology/*therapy[MESH]
  • |Electric Countershock/adverse effects/*instrumentation[MESH]
  • |Exercise[MESH]
  • |Female[MESH]
  • |Health Status[MESH]
  • |Heart Rate[MESH]
  • |Humans[MESH]
  • |Italy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Predictive Value of Tests[MESH]
  • |Retrospective Studies[MESH]


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