ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China
BackgroundThe COVID-19 pandemic has led to concerns around its subsequent impact on global health.ObjectiveTo investigate the health-seeking behavior, reflected by ECG utilization patterns, of patients with non-COVID-19 diseases during and after COVID-19 epidemic.MethodsTaking advantage of the remot...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.829679/full |
| _version_ | 1817991095845388288 |
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| author | Cheng Li Mu Chen Mohan Li Haicheng Wang Xiangjun Qiu Xiaoliang Hu Qunshan Wang Jian Sun Mei Yang Yuling Zhu Peng Liao Baohong Zhou Min Chen Xia Liu Yuelin Zhao Mingzhen Shen Jinkang Huang Li Luo Hong Wu Yi-Gang Li Yi-Gang Li |
| author_facet | Cheng Li Mu Chen Mohan Li Haicheng Wang Xiangjun Qiu Xiaoliang Hu Qunshan Wang Jian Sun Mei Yang Yuling Zhu Peng Liao Baohong Zhou Min Chen Xia Liu Yuelin Zhao Mingzhen Shen Jinkang Huang Li Luo Hong Wu Yi-Gang Li Yi-Gang Li |
| author_sort | Cheng Li |
| collection | DOAJ |
| description | BackgroundThe COVID-19 pandemic has led to concerns around its subsequent impact on global health.ObjectiveTo investigate the health-seeking behavior, reflected by ECG utilization patterns, of patients with non-COVID-19 diseases during and after COVID-19 epidemic.MethodsTaking advantage of the remote ECG system covering 278 medical institutions throughout Shanghai, the numbers of medical visits with ECG examinations during the lockdown (between January 23 and April 7, 2020), post-lockdown (between April 8 and December 31, 2020) and post-SARS-CoV-2 (between January 23 and April 7, 2021) periods were analyzed and compared against those during the same periods of the preceding years (2018 and 2019).ResultsCompared with the same period during pre-COVID years, the number of medical visits decreased during the lockdown (a 38% reduction), followed by a rebound post-lockdown (a 17% increase) and a fall to the baseline level in post-SARS-CoV-2 period. The number of new COVID-19 cases announced on a given day significantly correlated negatively with the numbers of medical visits during the following 7 days. Medical visit dynamics differed for various arrhythmias. Whereas medical visits for sinus bradycardia exhibited a typical decrease-rebound-fallback pattern, medical visits for atrial fibrillation did not fall during the lockdown but did exhibit a subsequent increase during the post-lockdown period. By comparison, the volume for ventricular tachycardia remained constant throughout this entire period.ConclusionThe ECG utilization patterns of patients with arrhythmias exhibited a decrease-rebound-fallback pattern following the COVID-19 lockdowns. Medical visits for diseases with more severe symptoms were less influenced by the lockdowns, showing a resilient demand for healthcare. |
| first_indexed | 2024-04-14T01:08:31Z |
| format | Article |
| id | doaj.art-d0b6537e77c6478ea3cac80abe26d673 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-14T01:08:31Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-d0b6537e77c6478ea3cac80abe26d6732022-12-22T02:21:10ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-04-01910.3389/fcvm.2022.829679829679ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, ChinaCheng Li0Mu Chen1Mohan Li2Haicheng Wang3Xiangjun Qiu4Xiaoliang Hu5Qunshan Wang6Jian Sun7Mei Yang8Yuling Zhu9Peng Liao10Baohong Zhou11Min Chen12Xia Liu13Yuelin Zhao14Mingzhen Shen15Jinkang Huang16Li Luo17Hong Wu18Yi-Gang Li19Yi-Gang Li20Department of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Siwei Medical Co. Ltd., Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaShanghai Siwei Medical Co. Ltd., Shanghai, ChinaShanghai Siwei Medical Co. Ltd., Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaShanghai Health Commission, Shanghai, ChinaDepartment of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaMedical Information Telemonitoring Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaBackgroundThe COVID-19 pandemic has led to concerns around its subsequent impact on global health.ObjectiveTo investigate the health-seeking behavior, reflected by ECG utilization patterns, of patients with non-COVID-19 diseases during and after COVID-19 epidemic.MethodsTaking advantage of the remote ECG system covering 278 medical institutions throughout Shanghai, the numbers of medical visits with ECG examinations during the lockdown (between January 23 and April 7, 2020), post-lockdown (between April 8 and December 31, 2020) and post-SARS-CoV-2 (between January 23 and April 7, 2021) periods were analyzed and compared against those during the same periods of the preceding years (2018 and 2019).ResultsCompared with the same period during pre-COVID years, the number of medical visits decreased during the lockdown (a 38% reduction), followed by a rebound post-lockdown (a 17% increase) and a fall to the baseline level in post-SARS-CoV-2 period. The number of new COVID-19 cases announced on a given day significantly correlated negatively with the numbers of medical visits during the following 7 days. Medical visit dynamics differed for various arrhythmias. Whereas medical visits for sinus bradycardia exhibited a typical decrease-rebound-fallback pattern, medical visits for atrial fibrillation did not fall during the lockdown but did exhibit a subsequent increase during the post-lockdown period. By comparison, the volume for ventricular tachycardia remained constant throughout this entire period.ConclusionThe ECG utilization patterns of patients with arrhythmias exhibited a decrease-rebound-fallback pattern following the COVID-19 lockdowns. Medical visits for diseases with more severe symptoms were less influenced by the lockdowns, showing a resilient demand for healthcare.https://www.frontiersin.org/articles/10.3389/fcvm.2022.829679/fullepidemicCOVID-19health-seeking behaviorarrhythmiasatrial fibrillation |
| spellingShingle | Cheng Li Mu Chen Mohan Li Haicheng Wang Xiangjun Qiu Xiaoliang Hu Qunshan Wang Jian Sun Mei Yang Yuling Zhu Peng Liao Baohong Zhou Min Chen Xia Liu Yuelin Zhao Mingzhen Shen Jinkang Huang Li Luo Hong Wu Yi-Gang Li Yi-Gang Li ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China Frontiers in Cardiovascular Medicine epidemic COVID-19 health-seeking behavior arrhythmias atrial fibrillation |
| title | ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China |
| title_full | ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China |
| title_fullStr | ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China |
| title_full_unstemmed | ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China |
| title_short | ECG Utilization Patterns of Patients With Arrhythmias During COVID-19 Epidemic and Post-SARS-CoV-2 Eras in Shanghai, China |
| title_sort | ecg utilization patterns of patients with arrhythmias during covid 19 epidemic and post sars cov 2 eras in shanghai china |
| topic | epidemic COVID-19 health-seeking behavior arrhythmias atrial fibrillation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.829679/full |
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