PhD Scientific Days 2023

Clinical Medicine I.

Remote management of patients with cardiac implantable electronic devices during the COVID-19 pandemic

Előadó neve

Nagy, Bettina

Neptun code

YOE5W0

Előadó munkahelye

Semmelweis University Heart and Vascular Center

Előadó telefonszáma

06707038933

Előadó e-mail címe

nagy.betta@gmail.com

Az előadás címe

Remote management of patients with cardiac implantable electronic devices during the COVID-19 pandemic

Szerző(k) neve és munkahelye

Bettina Nagy 1 , Ádám Pál-Jakab 1 , Boldizsár Kiss 1 , Torda László Sélley 2, László Gellér 1 , Béla Merkely 1 and Endre Zima 1
1 Semmelweis University Heart and Vascular Center
2 Biotronik Hungári Kft.

Bemutatás módja

Szóbeli

Szekció

Clinical Medicine I.

Language of the presentation

Hungarian

Preferred session

Clinical Medicine

Összefoglaló szövege

Introduction: The recent technological advancements in the treatment of patients with cardiac implantable electronic devices (CIED) have expanded the options for remote monitoring (RM).
Aim: To assess if telecardiology is a safe alternative to routine outpatient examination.
Method: We analyzed data from patients with CIED devices from January 1st to March 15th, 2020; March 16th to June 18th, 2020; and June 19th to August 31st, 2020. The following objective indicators were used: number of outpatient visits during the observed periods, number of acute decompensation episodes, and RM data sent by the CIED device (intrinsic rhythm, CRT stimulation, ventricular and chamber rhythm, chamber impedance, patient activity, heart rate variability, and extrasystole). Subjective indicators were assessed using general condition questionnaires (KCCQ, EQ-5D-5L). Descriptive statistics, Kruskal-Wallis test, ANOVA and Friedman test were performed for comparison of periods. Correlations identified were compared using time series decomposition, examining the level, trend, seasonality, and combination of noise components of the data sets.
Results: 85 patients were included in the study. The number of personal appearances in the outpatient clinic was on average 1.4±1.4 in the year following the outbreak of the pandemic, compared to 1.9±1.2 before (p=0.0077). The number of acute decompensation events was 5 before and 7 during lockdown (p=0.6). Based on RM data provided by CIED, there was a significant difference in markers of heart failure (HF): patient activity increased after lifting restrictions compared to before lockdown (p=0.03), while chamber pacing was higher during lockdown (p<0.001). During restrictions, patients reported stronger anxiety and depression compared to their previous state (p<0.001), while there was no subjective change in the perception of HF symptoms between the pre-pandemic period and the time of restrictions (p=0.7).
Conclusion: Based on the subjective perception and CIED data, the quality of life of patients with CIED devices did not deteriorate during the pandemic restrictions, but anxiety and depression increased. Telecardiology may be a safe alternative to routine outpatient examination.
Funding: The study was supported by the MD-PhD Excellence Program of Semmelweis University (EFOP-3.6.3-VEKOP-16-2017-00009) and by grant EFOP-3.6.3-VEKOP-16-2017-00009 (“Semmel-weis 250+ Excellence Scholarship”).

University and Doctoral School

Semmelweis University, Doctoral School of Theoretical and Translational Medicine

Supervisor

Prof. Endre Zima

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

szóbeli

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

6861

Start

10:45

End

11:00

Authors (legacy)

Bettina Nagy 1 , Ádám Pál-Jakab 1 , Boldizsár Kiss 1 , Torda László Sélley 2, László Gellér 1 , Béla Merkely 1 and Endre Zima 1
1 Semmelweis University Heart and Vascular Center
2 Biotronik Hungári Kft.