Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients

Background Restricted outdoor activity during COVID-19 related lockdown may accelerate heart failure (HF) progression and thereby increase cardiac arrhythmias. We analyzed the impact of March/April 2020 lockdown on physical activity and arrhythmia burden in HF patients treated with cardiac resynchro...

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Autores: Schmitt, Jörn, Wenzel, Beate, Brüsehaber, Bernd, Anguera Camós, Ignasi, Sousa, Joao, Nölker, Georg, Bulava, Alan, Marques, Pedro, Hatala, Robert, Golovchiner, Gregory, Meyhöfer, Jürgen, Ilan, Michael
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/185247
Acesso em linha:https://hdl.handle.net/2445/185247
Access Level:acceso abierto
Palavra-chave:Pandèmia de COVID-19, 2020-
Malalties cardiovasculars
COVID-19 Pandemic, 2020-
Cardiovascular diseases
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spelling Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patientsSchmitt, JörnWenzel, BeateBrüsehaber, BerndAnguera Camós, IgnasiSousa, JoaoNölker, GeorgBulava, AlanMarques, PedroHatala, RobertGolovchiner, GregoryMeyhöfer, JürgenIlan, MichaelPandèmia de COVID-19, 2020-Malalties cardiovascularsCOVID-19 Pandemic, 2020-Cardiovascular diseasesBackground Restricted outdoor activity during COVID-19 related lockdown may accelerate heart failure (HF) progression and thereby increase cardiac arrhythmias. We analyzed the impact of March/April 2020 lockdown on physical activity and arrhythmia burden in HF patients treated with cardiac resynchronization therapy (CRT) devices with daily, automatic remote monitoring (RM) function. Methods The study cohort included 405 HF patients enrolled in Observation of Clinical Routine Care for Heart Failure Patients Implanted with BIOTRONIK CRT Devices (BIO|STREAM.HF) registry in 16 countries, who had left ventricular ejection fraction (LVEF) <= 40% (mean 28.2 +/- 6.6%) and NYHA class II/III/IV (47.9%/49.6%/2.5%) before CRT pacemaker/defibrillator implantation. The analyzed RM data comprised physical activity detected by accelerometer, mean heart rate and nocturnal rate, PP variability, percentage of biventricular pacing, atrial high rate episode (AHRE) burden, ventricular extrasystoles and tachyarrhythmias, defibrillator shocks, and number of implant interrogations (i.e., follow-ups). Intraindividual differences in RM parameters before (4-week period) versus during (4-week period) lockdown were tested for statistical significance and independent predictors were identified. Results There was a significant relative change in activity (mean -6.5%, p < .001), AHRE burden (+17%, p = .013), and follow-up rate (-75%, p < .001) during lockdown, with no significant changes in other RM parameters. Activity decreased by >= 8 min/day in 46.5% of patients; predictors were higher LVEF, lower NYHA class, no defibrillator indication, and more activity before lockdown. AHRE burden increased by >= 17 min/day in 4.7% of patients; predictors were history of atrial fibrillation, higher LVEF, higher body mass index, and activity decrease during lockdown. Conclusion Unfavorable changes in physical activity, AHRE burden, and follow-up rate were observed during lockdown, but not in ventricular arrhythmia.Wiley2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/185247Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1111/pace.14443Pacing and Clinical Electrophysiology, 2022, vol. 45, num. 4, p. 471-480https://doi.org/10.1111/pace.14443cc by-nc-nd (c) Schmitt, Jörn et al, 2022http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1852472026-05-27T06:46:51Z
dc.title.none.fl_str_mv Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
title Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
spellingShingle Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
Schmitt, Jörn
Pandèmia de COVID-19, 2020-
Malalties cardiovasculars
COVID-19 Pandemic, 2020-
Cardiovascular diseases
title_short Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
title_full Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
title_fullStr Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
title_full_unstemmed Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
title_sort Impact of lockdown during Covid‐19 pandemic on physical activity and arrhythmia burden in heart failure patients
dc.creator.none.fl_str_mv Schmitt, Jörn
Wenzel, Beate
Brüsehaber, Bernd
Anguera Camós, Ignasi
Sousa, Joao
Nölker, Georg
Bulava, Alan
Marques, Pedro
Hatala, Robert
Golovchiner, Gregory
Meyhöfer, Jürgen
Ilan, Michael
author Schmitt, Jörn
author_facet Schmitt, Jörn
Wenzel, Beate
Brüsehaber, Bernd
Anguera Camós, Ignasi
Sousa, Joao
Nölker, Georg
Bulava, Alan
Marques, Pedro
Hatala, Robert
Golovchiner, Gregory
Meyhöfer, Jürgen
Ilan, Michael
author_role author
author2 Wenzel, Beate
Brüsehaber, Bernd
Anguera Camós, Ignasi
Sousa, Joao
Nölker, Georg
Bulava, Alan
Marques, Pedro
Hatala, Robert
Golovchiner, Gregory
Meyhöfer, Jürgen
Ilan, Michael
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Pandèmia de COVID-19, 2020-
Malalties cardiovasculars
COVID-19 Pandemic, 2020-
Cardiovascular diseases
topic Pandèmia de COVID-19, 2020-
Malalties cardiovasculars
COVID-19 Pandemic, 2020-
Cardiovascular diseases
description Background Restricted outdoor activity during COVID-19 related lockdown may accelerate heart failure (HF) progression and thereby increase cardiac arrhythmias. We analyzed the impact of March/April 2020 lockdown on physical activity and arrhythmia burden in HF patients treated with cardiac resynchronization therapy (CRT) devices with daily, automatic remote monitoring (RM) function. Methods The study cohort included 405 HF patients enrolled in Observation of Clinical Routine Care for Heart Failure Patients Implanted with BIOTRONIK CRT Devices (BIO|STREAM.HF) registry in 16 countries, who had left ventricular ejection fraction (LVEF) <= 40% (mean 28.2 +/- 6.6%) and NYHA class II/III/IV (47.9%/49.6%/2.5%) before CRT pacemaker/defibrillator implantation. The analyzed RM data comprised physical activity detected by accelerometer, mean heart rate and nocturnal rate, PP variability, percentage of biventricular pacing, atrial high rate episode (AHRE) burden, ventricular extrasystoles and tachyarrhythmias, defibrillator shocks, and number of implant interrogations (i.e., follow-ups). Intraindividual differences in RM parameters before (4-week period) versus during (4-week period) lockdown were tested for statistical significance and independent predictors were identified. Results There was a significant relative change in activity (mean -6.5%, p < .001), AHRE burden (+17%, p = .013), and follow-up rate (-75%, p < .001) during lockdown, with no significant changes in other RM parameters. Activity decreased by >= 8 min/day in 46.5% of patients; predictors were higher LVEF, lower NYHA class, no defibrillator indication, and more activity before lockdown. AHRE burden increased by >= 17 min/day in 4.7% of patients; predictors were history of atrial fibrillation, higher LVEF, higher body mass index, and activity decrease during lockdown. Conclusion Unfavorable changes in physical activity, AHRE burden, and follow-up rate were observed during lockdown, but not in ventricular arrhythmia.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/185247
url https://hdl.handle.net/2445/185247
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1111/pace.14443
Pacing and Clinical Electrophysiology, 2022, vol. 45, num. 4, p. 471-480
https://doi.org/10.1111/pace.14443
dc.rights.none.fl_str_mv cc by-nc-nd (c) Schmitt, Jörn et al, 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Schmitt, Jörn et al, 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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