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Article

Remote Management of Patients with Cardiac Implantable Electronic Devices during the COVID-19 Pandemic

by
Bettina Nagy
1,
Ádám Pál-Jakab
1,
Boldizsár Kiss
1,
Gábor Orbán
1,
Torda László Sélley
2,
Zsigmond Dabasi-Halász
1,
Barbara Bernadett Móka
1,
László Gellér
1,
Béla Merkely
1 and
Endre Zima
1,*
1
Heart and Vascular Centre, Faculty of Medicine, Semmelweis University, 1122 Budapest, Hungary
2
Biotronik Hungária Kft., 1124 Budapest, Hungary
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2023, 10(5), 214; https://doi.org/10.3390/jcdd10050214
Submission received: 19 April 2023 / Revised: 11 May 2023 / Accepted: 12 May 2023 / Published: 14 May 2023
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Abstract

Remote monitoring (RM) is the newest function of cardiac implantable electronic devices (CIEDs). In our observational retrospective analysis, we aimed to assess whether telecardiology could be a safe alternative to routine outpatient examinations during the COVID-19 pandemic. The in- and outpatient visits, the number of acute cardiac decompensation episodes, the RM data from CIEDs, and general condition were examined via questionnaires (KCCQ, EQ-5D-5L). Regarding the enrolled 85 patients, the number of personal patient appearances was significantly lower in the year following the pandemic outbreak compared to the previous year (1.4 ± 1.4 and 1.9 ± 1.2, p = 0.0077). The number of acute decompensation events was five before and seven during lockdown (p = 0.6). Based on the RM data, there was no significant difference in heart failure (HF) markers (all related p > 0.05); only patient activity increased after restrictions were lifted compared to that before the lockdown (p = 0.03). During restrictions, patients reported increased anxiety and depression compared to their previous state (p < 0.001). There was no subjective change in the perception of HF symptoms (p = 0.7). Based on the subjective perception and CIED data, the quality of life of patients with CIED did not deteriorate during the pandemic, but their anxiety and depression intensified. Telecardiology may be a safe alternative to routine inpatient examination.
Keywords: remote monitoring; chronic heart failure; cardiac implantable electronic devices; COVID-19 remote monitoring; chronic heart failure; cardiac implantable electronic devices; COVID-19

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MDPI and ACS Style

Nagy, B.; Pál-Jakab, Á.; Kiss, B.; Orbán, G.; Sélley, T.L.; Dabasi-Halász, Z.; Móka, B.B.; Gellér, L.; Merkely, B.; Zima, E. Remote Management of Patients with Cardiac Implantable Electronic Devices during the COVID-19 Pandemic. J. Cardiovasc. Dev. Dis. 2023, 10, 214. https://doi.org/10.3390/jcdd10050214

AMA Style

Nagy B, Pál-Jakab Á, Kiss B, Orbán G, Sélley TL, Dabasi-Halász Z, Móka BB, Gellér L, Merkely B, Zima E. Remote Management of Patients with Cardiac Implantable Electronic Devices during the COVID-19 Pandemic. Journal of Cardiovascular Development and Disease. 2023; 10(5):214. https://doi.org/10.3390/jcdd10050214

Chicago/Turabian Style

Nagy, Bettina, Ádám Pál-Jakab, Boldizsár Kiss, Gábor Orbán, Torda László Sélley, Zsigmond Dabasi-Halász, Barbara Bernadett Móka, László Gellér, Béla Merkely, and Endre Zima. 2023. "Remote Management of Patients with Cardiac Implantable Electronic Devices during the COVID-19 Pandemic" Journal of Cardiovascular Development and Disease 10, no. 5: 214. https://doi.org/10.3390/jcdd10050214

APA Style

Nagy, B., Pál-Jakab, Á., Kiss, B., Orbán, G., Sélley, T. L., Dabasi-Halász, Z., Móka, B. B., Gellér, L., Merkely, B., & Zima, E. (2023). Remote Management of Patients with Cardiac Implantable Electronic Devices during the COVID-19 Pandemic. Journal of Cardiovascular Development and Disease, 10(5), 214. https://doi.org/10.3390/jcdd10050214

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