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Implantable Cardioverter Defibrillator Multisensor Monitoring during Home Confinement Caused by the COVID-19 Pandemic

Authors :
Matteo Ziacchi
Leonardo Calò
Antonio D’Onofrio
Michele Manzo
Antonio Dello Russo
Luca Santini
Giovanna Giubilato
Cosimo Carriere
Vincenzo Ezio Santobuono
Gianluca Savarese
Carmelo La Greca
Giuseppe Arena
Antonello Talarico
Ennio Pisanò
Massimo Giammaria
Antonio Pangallo
Monica Campari
Sergio Valsecchi
Igor Diemberger
Source :
Biology, Vol 11, Iss 1, p 120 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Aims: The utilization of remote monitoring platforms was recommended amidst the COVID-19 pandemic. The HeartLogic index combines multiple implantable cardioverter defibrillator (ICD) sensors and has proved to be a predictor of impending heart failure (HF) decompensation. We examined how multiple ICD sensors behave in the periods of anticipated restrictions pertaining to physical activity. Methods: The HeartLogic feature was active in 349 ICD and cardiac resynchronization therapy ICD patients at 20 Italian centers. The period from 1 January to 19 July 2020, was divided into three phases: pre-lockdown (weeks 1–11), lockdown (weeks 12–20), post-lockdown (weeks 21–29). Results: Immediately after the implementation of stay-at-home orders (week 12), we observed a significant drop in median activity level whereas there was no difference in the other contributing parameters. The median composite HeartLogic index increased at the end of the Lockdown. The weekly rate of alerts was significantly higher during the lockdown (1.56 alerts/week/100 pts, 95%CI: 1.15–2.06; IRR = 1.71, p = 0.014) and post-lockdown (1.37 alerts/week/100 pts, 95%CI: 0.99–1.84; IRR = 1.50, p = 0.072) than that reported in pre-lockdown (0.91 alerts/week/100 pts, 95%CI: 0.64–1.27). However, the median duration of alert state and the maximum index value did not change among phases, as well as the proportion of alerts followed by clinical actions at the centers and the proportion of alerts fully managed remotely. Conclusions: During the lockdown, the system detected a significant drop in the median activity level and generated a higher rate of alerts suggestive of worsening of the HF status.

Details

Language :
English
ISSN :
20797737
Volume :
11
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Biology
Publication Type :
Academic Journal
Accession number :
edsdoj.8d00aca9f08a4206905086ec308e550e
Document Type :
article
Full Text :
https://doi.org/10.3390/biology11010120