Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study

BackgroundVentricular arrhythmias (VAs) increase with stress and national disasters. Prior research has reported that VA did not increase during the onset of the COVID-19 lockdown in March 2020, and the mechanism for this is unknown. ObjectiveThis study aimed to r...

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Main Authors: Sikander Z Texiwala, Russell J de Souza, Suzette Turner, Sheldon M Singh
Format: Article
Language:English
Published: JMIR Publications 2024-02-01
Series:JMIR Cardio
Online Access:https://cardio.jmir.org/2024/1/e51399
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author Sikander Z Texiwala
Russell J de Souza
Suzette Turner
Sheldon M Singh
author_facet Sikander Z Texiwala
Russell J de Souza
Suzette Turner
Sheldon M Singh
author_sort Sikander Z Texiwala
collection DOAJ
description BackgroundVentricular arrhythmias (VAs) increase with stress and national disasters. Prior research has reported that VA did not increase during the onset of the COVID-19 lockdown in March 2020, and the mechanism for this is unknown. ObjectiveThis study aimed to report the presence of VA and changes in 2 factors associated with VA (physical activity and heart rate variability [HRV]) at the onset of COVID-19 lockdown measures in Ontario, Canada. MethodsPatients with implantable cardioverter defibrillator (ICD) followed at a regional cardiac center in Ontario, Canada with data available for both HRV and physical activity between March 1 and 31, 2020, were included. HRV, physical activity, and the presence of VA were determined during the pre- (March 1-10, 2020) and immediate postlockdown (March 11-31) period. When available, these data were determined for the same period in 2019. ResultsIn total, 68 patients had complete data for 2020, and 40 patients had complete data for 2019. Three (7.5%) patients had VA in March 2019, whereas none had VA in March 2020 (P=.048). Physical activity was reduced during the postlockdown period (mean 2.3, SD 1.6 hours vs mean 2.1, SD 1.6 hours; P=.003). HRV was unchanged during the pre- and postlockdown period (mean 91, SD 30 ms vs mean 92, SD 28 ms; P=.84). ConclusionsVA was infrequent during the COVID-19 pandemic. A reduction in physical activity with lockdown maneuvers may explain this observation.
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spelling doaj.art-707fa74f726847e781e82e622f2e3f4b2024-02-05T14:30:28ZengJMIR PublicationsJMIR Cardio2561-10112024-02-018e5139910.2196/51399Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort StudySikander Z Texiwalahttps://orcid.org/0000-0002-4868-4865Russell J de Souzahttps://orcid.org/0000-0001-8945-513XSuzette Turnerhttps://orcid.org/0000-0001-7699-0053Sheldon M Singhhttps://orcid.org/0000-0002-8210-3112 BackgroundVentricular arrhythmias (VAs) increase with stress and national disasters. Prior research has reported that VA did not increase during the onset of the COVID-19 lockdown in March 2020, and the mechanism for this is unknown. ObjectiveThis study aimed to report the presence of VA and changes in 2 factors associated with VA (physical activity and heart rate variability [HRV]) at the onset of COVID-19 lockdown measures in Ontario, Canada. MethodsPatients with implantable cardioverter defibrillator (ICD) followed at a regional cardiac center in Ontario, Canada with data available for both HRV and physical activity between March 1 and 31, 2020, were included. HRV, physical activity, and the presence of VA were determined during the pre- (March 1-10, 2020) and immediate postlockdown (March 11-31) period. When available, these data were determined for the same period in 2019. ResultsIn total, 68 patients had complete data for 2020, and 40 patients had complete data for 2019. Three (7.5%) patients had VA in March 2019, whereas none had VA in March 2020 (P=.048). Physical activity was reduced during the postlockdown period (mean 2.3, SD 1.6 hours vs mean 2.1, SD 1.6 hours; P=.003). HRV was unchanged during the pre- and postlockdown period (mean 91, SD 30 ms vs mean 92, SD 28 ms; P=.84). ConclusionsVA was infrequent during the COVID-19 pandemic. A reduction in physical activity with lockdown maneuvers may explain this observation.https://cardio.jmir.org/2024/1/e51399
spellingShingle Sikander Z Texiwala
Russell J de Souza
Suzette Turner
Sheldon M Singh
Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
JMIR Cardio
title Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
title_full Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
title_fullStr Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
title_full_unstemmed Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
title_short Physical Activity, Heart Rate Variability, and Ventricular Arrhythmia During the COVID-19 Lockdown: Retrospective Cohort Study
title_sort physical activity heart rate variability and ventricular arrhythmia during the covid 19 lockdown retrospective cohort study
url https://cardio.jmir.org/2024/1/e51399
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