Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy
Abstract Background The effects of lockdown on non‐COVID patients are varied and unexpected. The aim is to evaluate the burden of cardiac arrhythmias during a lockdown period because of COVID‐19 pandemics in a population implanted with cardiac defibrillators and followed by remote monitoring. Method...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.12713 |
| _version_ | 1818216749618692096 |
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| author | Valentino Ducceschi Marcello deDivitiis Valter Bianchi Raimondo Calvanese Gregorio Covino Antonio Rapacciuolo Vincenzo Russo Michelangelo Canciello Mario Volpicelli Giuseppe Ammirati Raffaele Sangiuolo Giovanni Papaccioli Carmine Ciardiello Sara Innocenti Antonio D'Onofrio |
| author_facet | Valentino Ducceschi Marcello deDivitiis Valter Bianchi Raimondo Calvanese Gregorio Covino Antonio Rapacciuolo Vincenzo Russo Michelangelo Canciello Mario Volpicelli Giuseppe Ammirati Raffaele Sangiuolo Giovanni Papaccioli Carmine Ciardiello Sara Innocenti Antonio D'Onofrio |
| author_sort | Valentino Ducceschi |
| collection | DOAJ |
| description | Abstract Background The effects of lockdown on non‐COVID patients are varied and unexpected. The aim is to evaluate the burden of cardiac arrhythmias during a lockdown period because of COVID‐19 pandemics in a population implanted with cardiac defibrillators and followed by remote monitoring. Methods In this retrospective, multicentre cohort study, we included 574 remotely monitored implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy‐defibrillator (CRT‐D) recipients implanted before January 1, 2019, at seven hospitals in the Campania region, comparing the burden of arrhythmias occurred during the lockdown period because of COVID‐19 epidemics (from March 9 to May 1, 2020) with the arrhythmias burden of the corresponding period in 2019 (reference period). Data collection was performed through remote monitoring. Results During the lockdown period, we observed ventricular tachyarrhythmias (ventricular tachycardia or fibrillation) in 25 (4.8%) patients while in seasonal reference period we documented ventricular tachyarrhythmias in 12 (2.3%) patients; the comparison between the periods is statistically significant (P < .04). Atrial arrhythmias were detected in 38 (8.2%) subjects during the lockdown period and in 24 (5.2%) during the reference period (P < .004). Conclusion In seven hospitals in the Campania region, during the pandemic lockdown period, we observed a higher burden of arrhythmic events in ICD/CRT‐D patients through device remote monitoring. |
| first_indexed | 2024-12-12T06:56:55Z |
| format | Article |
| id | doaj.art-62f0faa6e9d54545aa88dc352a33e3a7 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-12-12T06:56:55Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-62f0faa6e9d54545aa88dc352a33e3a72022-12-22T00:33:56ZengWileyJournal of Arrhythmia1880-42761883-21482022-06-0138343944510.1002/joa3.12713Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern ItalyValentino Ducceschi0Marcello deDivitiis1Valter Bianchi2Raimondo Calvanese3Gregorio Covino4Antonio Rapacciuolo5Vincenzo Russo6Michelangelo Canciello7Mario Volpicelli8Giuseppe Ammirati9Raffaele Sangiuolo10Giovanni Papaccioli11Carmine Ciardiello12Sara Innocenti13Antonio D'Onofrio14Pellegrini Hospital Naples ItalyPellegrini Hospital Naples ItalyElectrophysiology and Cardiac Pacing Unit Monaldi Hospital Naples ItalyDepartment of Cardiology Ospedale Del Mare Naples ItalySan Giovanni Bosco Hospital Naples ItalyDepartment of Advanced Biomedical Sciences Federico II University of Naples Naples ItalyDeparatment of Cardiology University of Campania "Luigi Vanvitelli," Monaldi Hospital Naples ItalyDepartment of Cardiology Ospedale Del Mare Naples ItalySan Giovanni Bosco Hospital Naples ItalyDepartment of Advanced Biomedical Sciences Federico II University of Naples Naples ItalyFatebenefratelli Hospital Naples ItalyDeparatment of Cardiology University of Campania "Luigi Vanvitelli," Monaldi Hospital Naples ItalyClinical Affairs H.T. Med Pozzuoli ItalyClinical Affairs H.T. Med Pozzuoli ItalyElectrophysiology and Cardiac Pacing Unit Monaldi Hospital Naples ItalyAbstract Background The effects of lockdown on non‐COVID patients are varied and unexpected. The aim is to evaluate the burden of cardiac arrhythmias during a lockdown period because of COVID‐19 pandemics in a population implanted with cardiac defibrillators and followed by remote monitoring. Methods In this retrospective, multicentre cohort study, we included 574 remotely monitored implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy‐defibrillator (CRT‐D) recipients implanted before January 1, 2019, at seven hospitals in the Campania region, comparing the burden of arrhythmias occurred during the lockdown period because of COVID‐19 epidemics (from March 9 to May 1, 2020) with the arrhythmias burden of the corresponding period in 2019 (reference period). Data collection was performed through remote monitoring. Results During the lockdown period, we observed ventricular tachyarrhythmias (ventricular tachycardia or fibrillation) in 25 (4.8%) patients while in seasonal reference period we documented ventricular tachyarrhythmias in 12 (2.3%) patients; the comparison between the periods is statistically significant (P < .04). Atrial arrhythmias were detected in 38 (8.2%) subjects during the lockdown period and in 24 (5.2%) during the reference period (P < .004). Conclusion In seven hospitals in the Campania region, during the pandemic lockdown period, we observed a higher burden of arrhythmic events in ICD/CRT‐D patients through device remote monitoring.https://doi.org/10.1002/joa3.12713arrhythmiasCOVID‐19ICD/CRT‐Dlockdownremote monitoring |
| spellingShingle | Valentino Ducceschi Marcello deDivitiis Valter Bianchi Raimondo Calvanese Gregorio Covino Antonio Rapacciuolo Vincenzo Russo Michelangelo Canciello Mario Volpicelli Giuseppe Ammirati Raffaele Sangiuolo Giovanni Papaccioli Carmine Ciardiello Sara Innocenti Antonio D'Onofrio Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy Journal of Arrhythmia arrhythmias COVID‐19 ICD/CRT‐D lockdown remote monitoring |
| title | Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy |
| title_full | Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy |
| title_fullStr | Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy |
| title_full_unstemmed | Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy |
| title_short | Effects of COVID‐19 lockdown on arrhythmias in patients with implantable cardioverter‐defibrillators in southern Italy |
| title_sort | effects of covid 19 lockdown on arrhythmias in patients with implantable cardioverter defibrillators in southern italy |
| topic | arrhythmias COVID‐19 ICD/CRT‐D lockdown remote monitoring |
| url | https://doi.org/10.1002/joa3.12713 |
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