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Delfiner MS, Bocchese M, Dalsania R, Alhassani Z, Keihl J, Vaidya A, Brisco-Bacik MA, Whitman IR. Cardiac implantable device interrogation in left ventricular systolic dysfunction reveals physiologic abnormalities prior to symptom onset in COVID-19: a case series. Eur Heart J Case Rep 2022; 6:ytac404. [PMID: 36285228 PMCID: PMC9585899 DOI: 10.1093/ehjcr/ytac404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/06/2022] [Accepted: 09/30/2022] [Indexed: 11/13/2022]
Abstract
Background COVID-19 has affected individuals across the globe, and those with cardiac implantable electronic devices (CIEDs) likely represent a high-risk group. These devices can be interrogated to reveal information about the patient activity, heart rate parameters, and respiratory rate. Case summary Four patients with CIEDs and left ventricular dysfunction were admitted to a single institution for COVID-19 infection. Each patient survived hospitalization, and none required intensive care. Retrospectively, CIED interrogation revealed each patient had decreased activity level prior to their reporting COVID-19 symptoms. Similarly, respiratory rate increased before symptom onset for three of the patients, while one did not have these data available. Of the three patients with heart rate variability (HRV) available, two had decreased HRV before they developed symptoms. After hospital discharge, these parameters returned to their baseline. Discussion This case series suggests physiologic changes identifiable through interrogation of CIEDs may occur prior to the reported onset of COVID-19 symptoms. These data may provide objective evidence on which to base more sensitive assessments of infectious risk when performing contact tracing in communities.
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Affiliation(s)
- Matthew S Delfiner
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Matthew Bocchese
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Raj Dalsania
- Section of Cardiology, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - Zaineb Alhassani
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Joshua Keihl
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Anjali Vaidya
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Meredith A Brisco-Bacik
- Section of Cardiology, Lewis Katz School of Medicine at Temple University, 3401 N Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
| | - Isaac R Whitman
- Corresponding author. Tel: +1 215 707 8484, Fax: 215-707-7718,
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Harrell R. "Unlocking Physical Activity" During COVID-19 in Cardiac Device Patients. J Cardiopulm Rehabil Prev 2022; 42:289-290. [PMID: 35703236 PMCID: PMC9256921 DOI: 10.1097/hcr.0000000000000710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Rebecca Harrell
- Department of Psychology, East Carolina University, Greenville, North Carolina
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Kolk MZ, Frodi DM, Andersen TO, Langford J, Diederichsen SZ, Svendsen JH, Tan HL, Knops RE, Tjong FV. Accelerometer-assessed physical behavior and the association with clinical outcomes in implantable cardioverter-defibrillator recipients: A systematic review. CARDIOVASCULAR DIGITAL HEALTH JOURNAL 2021; 3:46-55. [PMID: 35265934 PMCID: PMC8890329 DOI: 10.1016/j.cvdhj.2021.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Maarten Z.H. Kolk
- Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam UMC, Academic Medical Center, Amsterdam, the Netherlands
| | - Diana M. Frodi
- Department of Cardiology, Copenhagen University Hospital – Rigshospitalet, Copenhagen, Denmark
| | - Tariq O. Andersen
- Department of Computer Science, University of Copenhagen, Copenhagen, Denmark
- Vital Beats, Copenhagen, Denmark
| | - Joss Langford
- Activinsights, Cambridgeshire, United Kingdom
- College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
| | - Soeren Z. Diederichsen
- Department of Cardiology, Copenhagen University Hospital – Rigshospitalet, Copenhagen, Denmark
| | - Jesper H. Svendsen
- Department of Cardiology, Copenhagen University Hospital – Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Hanno L. Tan
- Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam UMC, Academic Medical Center, Amsterdam, the Netherlands
- Netherlands Heart Institute, Utrecht, the Netherlands
| | - Reinoud E. Knops
- Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam UMC, Academic Medical Center, Amsterdam, the Netherlands
| | - Fleur V.Y. Tjong
- Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam UMC, Academic Medical Center, Amsterdam, the Netherlands
- Address reprint requests and correspondence: Dr Fleur V.Y. Tjong, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands.
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