Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
BIOTRONIK, Inc, Lake Oswego, OR, USA.
Mayo Clin Proc. 2022 Aug;97(8):1493-1500. doi: 10.1016/j.mayocp.2022.01.025. Epub 2022 Feb 2.
To characterize the physical activity (PA) level in patients with a cardiac implantable electronic device (CIED) during the coronavirus disease 2019 (COVID-19) pandemic and compare PA level during the pandemic in 2020 with the year 2019.
We performed a retrospective analysis of PA activity in individuals implanted with a CIED enrolled in the BIOTRONIK CERTITUDE Registry. Mean daily and weekly PA from January to August 2020 was compared with 2019.
A total of 21,660 individuals met eligibility criteria, with mean age of 72.6±11.6 years, and 12,411 (57.3)% were males. A significant decline in daily PA was noted following the pandemic declaration in 2020, with a maximum mean reduction of -24.5±36.3 minutes (P<.0001) observed in April 2020 compared with 2019. PA in 2020 increased from April to May (120.6±67.4 to 129.2±70.9 min/d). PA was lower for all months in 2020 compared with 2019. The decrease in PA was observed in all prespecified groups based on age, sex, type of device, and region of the country.
After the declaration of the coronavirus disease 2019 pandemic, a significant decline in daily PA was observed in individuals with a CIED. Future investigation to establish the impact of this reduction on short and long-term cardiovascular outcomes is required.
描述 2019 冠状病毒病（COVID-19）大流行期间植入心脏植入式电子设备（CIED）患者的体力活动（PA）水平，并比较 2020 年大流行期间与 2019 年的 PA 水平。
我们对 BIOTRONIK CERTITUDE 注册中心中植入 CIED 的个体的 PA 活动进行了回顾性分析。比较了 2020 年 1 月至 8 月的平均每日和每周 PA 与 2019 年的情况。
共有 21660 名符合入选标准的个体，平均年龄为 72.6±11.6 岁，12411 名（57.3）%为男性。2020 年大流行宣布后，每日 PA 显著下降，与 2019 年相比，2020 年 4 月最大平均降幅为-24.5±36.3 分钟（P<.0001）。2020 年 4 月至 5 月 PA 增加（120.6±67.4 至 129.2±70.9 分钟/天）。与 2019 年相比，2020 年所有月份的 PA 均较低。根据年龄、性别、设备类型和国家/地区的不同，PA 的下降发生在所有指定组别中。
COVID-19 大流行宣布后，CIED 患者的每日 PA 明显下降。需要进一步研究以确定这种减少对短期和长期心血管结局的影响。
