Nagy Bettina, Pál-Jakab Ádám, Kiss Boldizsár, Orbán Gábor, Sélley Torda László, Dabasi-Halász Zsigmond, Móka Barbara Bernadett, Gellér László, Merkely Béla, Zima Endre
Heart and Vascular Centre, Faculty of Medicine, Semmelweis University, 1122 Budapest, Hungary.
Biotronik Hungária Kft., 1124 Budapest, Hungary.
J Cardiovasc Dev Dis. 2023 May 14;10(5):214. doi: 10.3390/jcdd10050214.
Remote monitoring (RM) is the newest function of cardiac implantable electronic devices (CIEDs). In our observational retrospective analysis, we aimed to assess whether telecardiology could be a safe alternative to routine outpatient examinations during the COVID-19 pandemic. The in- and outpatient visits, the number of acute cardiac decompensation episodes, the RM data from CIEDs, and general condition were examined via questionnaires (KCCQ, EQ-5D-5L). Regarding the enrolled 85 patients, the number of personal patient appearances was significantly lower in the year following the pandemic outbreak compared to the previous year (1.4 ± 1.4 and 1.9 ± 1.2, = 0.0077). The number of acute decompensation events was five before and seven during lockdown ( = 0.6). Based on the RM data, there was no significant difference in heart failure (HF) markers (all related > 0.05); only patient activity increased after restrictions were lifted compared to that before the lockdown ( = 0.03). During restrictions, patients reported increased anxiety and depression compared to their previous state ( < 0.001). There was no subjective change in the perception of HF symptoms ( = 0.7). Based on the subjective perception and CIED data, the quality of life of patients with CIED did not deteriorate during the pandemic, but their anxiety and depression intensified. Telecardiology may be a safe alternative to routine inpatient examination.
远程监测（RM）是植入式心脏电子设备（CIEDs）的最新功能。在我们的观察性回顾分析中，我们旨在评估在2019年冠状病毒病（COVID-19）大流行期间，远程心脏病学是否可以作为常规门诊检查的安全替代方案。通过问卷调查（堪萨斯城心肌病问卷、EQ-5D-5L）对门诊和住院就诊情况、急性心脏失代偿发作次数、CIEDs的RM数据以及一般状况进行了检查。对于纳入的85例患者，大流行爆发后的一年中患者亲自就诊的次数与上一年相比显著减少（分别为1.4±1.4和1.9±1.2，P = 0.0077）。封锁前急性失代偿事件的数量为5次，封锁期间为7次（P = 0.6）。根据RM数据，心力衰竭（HF）标志物无显著差异（所有相关P>0.05）；与封锁前相比，限制解除后患者活动量增加（P = 0.03）。在限制期间，与之前状态相比，患者报告焦虑和抑郁增加（P<0.001）。HF症状的主观感受无变化（P = 0.7）。基于主观感受和CIED数据，CIED患者的生活质量在大流行期间没有恶化，但焦虑和抑郁加剧。远程心脏病学可能是常规住院检查的安全替代方案。
