Al Fagih Ahmed, Al Onazi Mariam, Al Basiri Saleh, Al-Kaf Fahmi, Dagriri Khalid, Al Hebaishi Yahya, Samargandy Sondos, Al Shengeiti Lamia
Adult Cardiology Department, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2020 Nov;41(11):1211-1216. doi: 10.15537/smj.2020.11.25449.
To study the impact of curfews during the COVID-19 pandemic, on the physical activity in patients of heart failure implanted withcardiac implantable electronic devices (CIEDs).
This was a retrospective single-center study of heart failure patients inserted with remote monitoring (RM)-capable CIED. We analyzed the transmitted data of physical activity and fluid volume status of all patients, before, and during the lockdown periods between February and April 2020. The clinical status of the patients was also evaluated. Results: Device data from 429 patients implanted with CIED capable of RM were initially evaluated. Patients with an implantable loop recorder, Brugada or Long QT syndromes, and patients with incomplete transmissions were excluded. Eighty-two patients with heart failure were included. The median age was 65 years (58-72), and 53 (64.6%) subjects were men. There was a 27.1% decline in physical activity, and the median physical activity of patients significantly declined from 2.4 to 1.8 hours/day (p=0.000010). Conclusion: Data obtained by remotely monitored CIED in heart failure patients suggests a significant decline in physical activity during the country lockdown due to the pandemic. Awareness of the future potential hazards in this group of patients is warranted.
研究新冠疫情期间宵禁对植入心脏植入式电子设备（CIED）的心力衰竭患者身体活动的影响。
这是一项对植入具备远程监测（RM）功能CIED的心力衰竭患者进行的回顾性单中心研究。我们分析了2020年2月至4月封锁期之前及期间所有患者的身体活动和液体量状态的传输数据。还评估了患者的临床状态。结果：最初评估了429例植入具备RM功能CIED患者的设备数据。排除了植入式循环记录仪、Brugada或长QT综合征患者以及传输不完整的患者。纳入了82例心力衰竭患者。中位年龄为65岁（58 - 72岁），53例（64.6%）为男性。身体活动下降了27.1%，患者的中位身体活动时间从每天2.4小时显著降至1.8小时（p = 0.000010）。结论：通过对心力衰竭患者的CIED进行远程监测获得的数据表明，由于疫情导致的全国封锁期间，患者的身体活动显著下降。有必要认识到这组患者未来的潜在危害。
