دورية أكاديمية

[Changes in cardiac implantable electronic device follow-up induced by the COVID-19 pandemic in 2020: report of a single-centre experience].

التفاصيل البيبلوغرافية
العنوان: [Changes in cardiac implantable electronic device follow-up induced by the COVID-19 pandemic in 2020: report of a single-centre experience].
عنوان ترانسليتريتد: Variazioni del follow-up dei dispositivi elettronici cardiaci impiantabili indotte dalla pandemia COVID-19 nel 2020: esperienza di un singolo centro.
المؤلفون: Argnani MS; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Tomasi C; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Amatulli N; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Calderoni L; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Castellini A; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Dal Monte A; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Drudi D; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Fabbri L; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Gianelli M; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Giannotti F; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Rigon M; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Rubino I; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Smarrazzo V; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna., Rubboli A; U.O.C. Cardiologia di Ravenna, Faenza e Lugo, Ospedale 'S. Maria delle Croci', Ravenna; Azienda Unità Sanitaria Locale della Romagna, Ravenna.
المصدر: Giornale italiano di cardiologia (2006) [G Ital Cardiol (Rome)] 2022 Jan; Vol. 23 (1), pp. 4-9.
نوع المنشور: Journal Article
اللغة: Italian
بيانات الدورية: Publisher: Il Pensiero Scientifico Editore Country of Publication: Italy NLM ID: 101263411 Publication Model: Print Cited Medium: Internet ISSN: 1972-6481 (Electronic) Linking ISSN: 18276806 NLM ISO Abbreviation: G Ital Cardiol (Rome) Subsets: MEDLINE
أسماء مطبوعة: Publication: Roma : Il Pensiero Scientifico Editore
Original Publication: Roma : CEPI-AIM Group, [2006]-
مواضيع طبية MeSH: COVID-19* , Defibrillators, Implantable* , Pacemaker, Artificial*, Electronics ; Follow-Up Studies ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2
مستخلص: Background: The COVID-19 pandemic caused by SARS-CoV-2 has greatly modified outpatient follow-ups. The aim of this retrospective study was to evaluate the organizational modalities and clinical effects of rearrangements of pacemaker (PM) and implantable cardioverter-defibrillator (ICD) outpatient visits performed in our centers at Ravenna and Lugo Hospitals, Italy, during the pandemic outbreak in 2020.
Methods: All scheduled in-person device follow-up visits in March-December 2020 have been considered. On the basis of documented past functioning of each device and of remote monitoring (RM) capabilities, in-person visits were either performed or postponed at variable times. The characteristics of the follow-ups and the device-related clinically relevant events were analyzed, the latter being further divided into serious malfunction and problems to be corrected by device reprogramming.
Results: Overall, 27% of in-person visits were postponed (n = 576) (36% of ICDs and 25% of PMs), peaking 62% in March-May 2020. RM compensated nearly all hold-ups in ICDs and just 63% of postponements in PMs. The postponement-caused delay between in-person visits was 5.6 ± 1.1 months for ICDs and 4.7 ± 1.2 months for PMs; in 24% of ICDs the time interval between in-person visits was ≥18 months. Clinically relevant events were 56 (18 [4.4%] in ICDs, 38 [2.1%] in PMs), with no deaths and 21 serious malfunctions (4 [1%] in ICDs, 15 [0.8%] in PMs). RM identified all ICD malfunctions, while it was not available in the affected PMs. In comparison with the year 2019, serious malfunctions increased, though the difference was not significant. Monthly RM transmissions increased by 2.3 fold.
Conclusions: In our single-center experience during the COVID-19 pandemic, numerous in-person PM/ICD follow-up visits were postponed, and delays were well beyond the previously recommended time limits. However, device-related malfunctions did not increase, notably, when RM capabilities were used.
تواريخ الأحداث: Date Created: 20220105 Date Completed: 20220107 Latest Revision: 20220401
رمز التحديث: 20240628
DOI: 10.1714/3715.37054
PMID: 34985454
قاعدة البيانات: MEDLINE
الوصف
تدمد:1972-6481
DOI:10.1714/3715.37054