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J Clin Med. 2021 Nov 29;10(23). doi: 10.3390/jcm10235626.

The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring.

Journal of clinical medicine

Igor Diemberger, Alessandro Vicentini, Giuseppe Cattafi, Matteo Ziacchi, Saverio Iacopino, Giovanni Morani, Ennio PisanĂ², Giulio Molon, Tiziana Giovannini, Antonio Dello Russo, Giuseppe Boriani, Emanuele Bertaglia, Mauro Biffi, Maria Grazia Bongiorni, Roberto Rordorf, Giulio Zucchelli

Affiliations

  1. Department of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum-University of Bologna, 40126 Bologna, Italy.
  2. UOC di Cardiologia, IRCCS Policlinico S.Orsola-Malpighi, 40138 Bologna, Italy.
  3. Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  4. Cardiologia 3, Dipartimento Cardiotoracovascolare, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, Italy.
  5. Maria Cecilia Hospital, 48033 Cotignola, Italy.
  6. UOC di Cardiologia, Azienda Ospedaliero Universitaria Integrata di Verona, 37126 Verona, Italy.
  7. UOC di Cardiologia, Ospedale Vito Fazzi Lecce, 73100 Lecce, Italy.
  8. UOC di Cardiologia, IRCCS Ospedale Sacro Cuore Don Calabria, 37024 Negrar, Italy.
  9. UOC di Cardiologia, Ospedale Misericordia e Dolce, 59100 Prato, Italy.
  10. Cardiology and Arrhythmology Clinic, University Hospital "Ospedali Riuniti", 60126 Ancona, Italy.
  11. Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, 41125 Modena, Italy.
  12. Department of Cardio-Thoraco-Vascular Sciences and Public Health, Azienda Ospedaliera Universitaria di Padova, 35128 Padova, Italy.
  13. Second Division of Cardiology, Cardio Thoracic and Vascular Department, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.

PMID: 34884329 PMCID: PMC8658316 DOI: 10.3390/jcm10235626

Abstract

From 2020, many countries have adopted several restrictions to limit the COVID-19 pandemic. The forced containment impacted on healthcare organizations and the everyday life of patients with heart disease. We prospectively analyzed data recorded from implantable defibrillators and/or cardiac resynchronization devices of Italian patients during the lockdown (LDP), post-lockdown period (PLDP) and a control period (CP) of the previous year. We analyzed device data of the period 9 March 2019-31 May 2020 of remotely monitored patients from 34 Italian centers. Patients were also categorized according to areas with high/low infection prevalence. Among 696 patients, we observed a significant drop in median activity in LDP as compared to CP that significantly increased in the PLDP, but well below CP (all

Keywords: COVID-19; arrhythmias; heart failure; pandemia; physical activity; telemonitoring

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