{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:54:11Z","timestamp":1789541651000,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Brugada syndrome (BrS) has a dynamic ECG pattern that might be revealed by certain conditions such as fever. We evaluated the incidence and management of ventricular arrhythmias (VAs) related to COVID\u201019 infection and vaccination among BrS patients carriers of an implantable loop recorder (ILR) or implantable cardioverter\u2010defibrillator (ICD) and followed by remote monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multicenter retrospective study. Patients were carriers of devices with remote monitoring follow\u2010up. We recorded VAs 6 months before COVID\u201019 infection or vaccination, during infection, at each vaccination, and up to 6\u2010month post\u2010COVID\u201019 or 1 month after the last vaccination. In ICD carriers, we documented any device intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 326 patients, 202 with an ICD and 124 with an ILR. One hundred and nine patients (33.4%) had COVID\u201019, 55% of whom developed fever. Hospitalization rate due to COVID\u201019 infection was 2.76%. After infection, we recorded only two ventricular tachycardias (VTs). After the first, second, and third vaccines, the incidence of non\u2010sustained ventricular tachycardia (NSVT) was 1.5%, 2%, and 1%, respectively. The incidence of VT was 1% after the second dose. Six\u2010month post\u2010COVID\u201019 healing or 1 month after the last vaccine, we documented NSVT in 3.4%, VT in 0.5%, and ventricular fibrillation in 0.5% of patients. Overall, one patient received anti\u2010tachycardia pacing and one a shock. ILR carriers had no VAs. No differences were found in VT before and after infection and before and after each vaccination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>From this large multicenter study conducted in BrS patients, followed by remote monitoring, the overall incidence of sustained VAs after COVID\u201019 infection and vaccination is relatively low.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15929","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T11:05:05Z","timestamp":1684321505000},"page":"1386-1394","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Incidence of ventricular arrhythmias related to COVID infection and vaccination in patients with Brugada syndrome: Insights from a large Italian multicenter registry based on continuous rhythm monitoring"],"prefix":"10.1111","volume":"34","author":[{"given":"Michela","family":"Casella","sequence":"first","affiliation":[{"name":"Cardiology and Arrhythmology Clinic University Hospital Ospedali Riuniti Umberto I\u2010Lancisi\u2010Salesi Ancona Italy"},{"name":"Department of Clinical, Special and Dental Sciences Marche Polytechnic University Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6683-6781","authenticated-orcid":false,"given":"Sergio","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology ARNAS Civico \u2013 Di Cristina \u2013 Benfratelli Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1924-6548","authenticated-orcid":false,"given":"Paolo","family":"Compagnucci","sequence":"additional","affiliation":[{"name":"Cardiology and Arrhythmology Clinic University Hospital Ospedali Riuniti Umberto I\u2010Lancisi\u2010Salesi Ancona Italy"},{"name":"Department of Biomedical Science and Public Health Marche Polytechnic University Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Ribatti","sequence":"additional","affiliation":[{"name":"Centro Cardiologico Monzino IRCCS Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Lucia","family":"Narducci","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Agostino Gemelli, IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Marcon","sequence":"additional","affiliation":[{"name":"Centro Cardiologico Monzino IRCCS Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Massara","sequence":"additional","affiliation":[{"name":"Cardiology and Arrhythmology Clinic University Hospital Ospedali Riuniti Umberto I\u2010Lancisi\u2010Salesi Ancona 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