Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy (Dr Sassone); Department of Emergency, Division of Cardiology, AUSL Ferrara, Ferrara, Italy (Drs Sassone and Pasanisi); Centre for Exercise Science and Sport, University of Ferrara, Ferrara, Italy (Drs Mandini, Grazzi, and Mazzoni); Public Health Department, AUSL Ferrara, Ferrara, Italy (Drs Grazzi and Mazzoni); and Division of Cardiology, VA Palo Alto, Palo Alto, California, and Stanford University School of Medicine, Stanford, California (Dr Myers).
J Cardiopulm Rehabil Prev. 2020 Sep;40(5):285-286. doi: 10.1097/HCR.0000000000000539.
The coronavirus disease-2019 (COVID-19) pandemic has been spreading rapidly worldwide since late January 2020. The strict lockdown strategy prompted by the Italian government, to hamper severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) spreading, has reduced the possibility of performing either outdoor or gym physical activity (PA). This study investigated and quantified the reduction of PA in patients with automatic implantable cardioverter-defibrillators (ICDs) for primary prevention of sudden death.
Daily PA of 24 patients was estimated by processing recorded data from ICD-embedded accelerometric sensors used by the rate-responsive pacing systems.
During the forced 40-d in-home confinement, a mean 25% reduction of PA was observed as compared with the 40-d confinement-free period (1.2 ± 0.3 vs 1.6 ± 0.5 hr/d, respectively, P = .0001).
This objective quantification of the impact of the COVID-19 pandemic on PA determined by an ICD device showed an abrupt and statistically significant reduction of PA in primary prevention ICD patients, during the in-home confinement quarantine. To counteract the deleterious effects of physical inactivity during the COVID-19 outbreak, patients should be encouraged to perform indoor exercise-based personalized rehabilitative programs.
自 2020 年 1 月下旬以来，新型冠状病毒病（COVID-19）大流行在全球范围内迅速蔓延。意大利政府采取了严格的封锁策略，以阻止严重急性呼吸综合征冠状病毒 2（SARS-CoV2）的传播，这减少了户外或健身房体育活动（PA）的可能性。本研究调查并量化了自动植入式心脏复律除颤器（ICD）患者的 PA 减少，以预防猝死。
通过处理用于率反应起搏系统的嵌入式加速度计传感器记录的数据来估算 24 名患者的日常 PA。
与 40 天无限制禁闭期相比，在强制的 40 天居家禁闭期间，PA 平均减少了 25%（分别为 1.2±0.3 小时/天和 1.6±0.5 小时/天，P=.0001）。
通过 ICD 设备对 COVID-19 大流行对 PA 的影响进行客观量化，显示在居家隔离检疫期间，初级预防 ICD 患者的 PA 突然且具有统计学意义的减少。为了对抗 COVID-19 爆发期间身体活动减少的有害影响，应鼓励患者进行室内基于运动的个性化康复计划。
