Electrophysiology Unit, Department of Internal Medicine, San Giuseppe Hospital, Italy.
Cardiovascular and Neurological Department, San Donato Hospital, Arezzo, Italy.
Expert Rev Med Devices. 2021 May;18(5):493-498. doi: 10.1080/17434440.2021.1926985. Epub 2021 May 24.
The aim of this study is to demonstrate how Electrophysiology activity has been impacted by the pandemic Coronavirus disease 2019 (COVID-19).
In this multicenter retrospective study, we analyze all consecutive patients admitted for electrophysiological procedures during the COVID-19 lockdown in the Tuscany region of Italy, comparing them to patients hospitalized in the corresponding period of the previous year.
The impact of COVID-19 on cardiac arrhythmia management was impressive, with a reduction of more than 50% in all kinds of procedures. A gender gap was observed, with a more relevant reduction for female patients. Arrhythmic urgencies requiring a device implant showed a reduced time from symptoms to first medical contact but the time from first medical contact to procedure was significantly prolonged.
Hospitals need to consider how outbreaks may affect health systems beyond the immediate infection. Routine activity should be based on a risk assessment between the prompt performance of procedure and its postponement. Retrospective observational analysis such as this study could be decisive in evidence-based medicine of any future pathogen outbreak.Nonstandard Abbreviations and Acronyms PM= pacemakerICD= implantable cardioverter defibrillatorECV= electrical cardioversionEPS= electrophysiological studyAP= ablations proceduresCIED= cardiac implantable electronic devicesWCD= wearable cardioverter defibrillatorEP Lab= Electrophysiology LaboratoriesAVNRT =atrioventricular nodal reentry tachycardiaAVRT= atrioventricular reentry tachycardiaAFL= atrial flutterAF= atrial fibrillationVT= ventricular tachycardiaAT= atrial tachycardia.
本研究旨在展示电生理学活动如何受到 2019 年冠状病毒病（COVID-19）大流行的影响。
在这项多中心回顾性研究中，我们分析了意大利托斯卡纳地区 COVID-19 封锁期间因电生理程序入院的所有连续患者，并将其与前一年同期住院的患者进行比较。
COVID-19 对心律失常管理的影响令人印象深刻，各种程序减少了 50%以上。观察到性别差距，女性患者的减少更为明显。需要植入设备的心律失常紧急情况从症状到首次医疗接触的时间缩短，但从首次医疗接触到程序的时间明显延长。
医院需要考虑大流行如何影响医疗系统超出直接感染的范围。常规活动应基于程序及时执行与推迟之间的风险评估。像这样的回顾性观察分析可能对任何未来病原体爆发的循证医学具有决定性意义。非标准缩写和首字母缩略词 PM= 起搏器 ICD= 植入式心脏复律除颤器 ECV= 电复律 EPS= 电生理研究 AP= 消融程序 CIED= 心脏植入式电子设备 WCD= 可穿戴心脏除颤器 EP 实验室 AVNRT = 房室结折返性心动过速 AVRT= 房室折返性心动过速 AFL= 心房扑动 AF= 心房颤动 VT= 室性心动过速 AT= 房性心动过速。
