{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:36:21Z","timestamp":1784126181982,"version":"3.55.0"},"reference-count":19,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The in-hospital management of patients with cardiac implantable electronic devices (CIEDs) changed early in the COVID-19 pandemic. Routine in-hospital controls of CIEDs were converted into remote home monitoring (HM). The aim of our study was to investigate the impact of the lockdown period on CIEDs patients and its influence on in-hospital admissions through the analysis of HM data. Methods: We analysed data recorded from 312 patients with HM during the national quarantine related to COVID-19 and then compared data from the same period of 2019. Results: We observed a reduction in the number of HM events in 2020 when compared to 2019. Non-sustained ventricular tachycardia episodes decreased (18.3% vs. 9.9% p = 0.002) as well as atrial fibrillation episodes (29.2% vs. 22.4% p = 0.019). In contrast, heart failure (HF) alarm activation was lower in 2019 than in 2020 (17% vs. 25.3% p = 0.012). Hospital admissions for critical events recorded with CIEDs dropped in 2020, including those for HF. Conclusions: HM, combined with telemedicine use, has ensured the surveillance of CIED patients. In 2020, arrhythmic events and hospital admissions decreased significantly compared to 2019. Moreover, in 2020, patients with HF arrived in hospital in a worse clinical condition compared to previous months.<\/jats:p>","DOI":"10.3390\/jcm10081618","type":"journal-article","created":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T03:04:06Z","timestamp":1618196646000},"page":"1618","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8831-6178","authenticated-orcid":false,"given":"Andrea","family":"Matteucci","sequence":"first","affiliation":[{"name":"Department of Experimental Medicine, University of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8069-592X","authenticated-orcid":false,"given":"Michela","family":"Bonanni","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0087-8895","authenticated-orcid":false,"given":"Marco","family":"Centioni","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Zanin","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Geuna","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3007-5313","authenticated-orcid":false,"given":"Gianluca","family":"Massaro","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University Hospital \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5862-1967","authenticated-orcid":false,"given":"Giuseppe","family":"Sangiorgi","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, Tor Vergata University, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,11]]},"reference":[{"key":"ref_1","first-page":"e102","article-title":"Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19","volume":"382","author":"Mehra","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1161\/CIRCULATIONAHA.120.046941","article-title":"COVID-19 and Cardiovascular Disease","volume":"141","author":"Clerkin","year":"2020","journal-title":"Circulation"},{"key":"ref_3","unstructured":"(2020, May 05). HRS COVID-19 Task Force Update: April 15, 2020. Management of Cardiac Implantable Electronic Devices (CIED). Available online: https:\/\/www.hrsonline.org\/COVID19-Challenges-Solutions\/hrs-covid-19-task-force-updateapril-15-2020."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1161\/CIRCULATIONAHA.110.937409","article-title":"Efficacy and Safety of Automatic Remote Monitoring for Implantable Cardioverter-Defibrillator Follow-Up","volume":"122","author":"Varma","year":"2010","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1056\/NEJMc2009166","article-title":"Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy","volume":"383","author":"Angelini","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.1093\/eurheartj\/ehaa314","article-title":"Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: The pandemic response causes cardiac collateral damage","volume":"41","author":"Metzler","year":"2020","journal-title":"Eur. Heart J."},{"key":"ref_7","first-page":"502","article-title":"Impact of the COVID-19 pandemic on admissions for acute coronary syndrome: Review of the literature and single-center experience","volume":"21","author":"Vecchio","year":"2020","journal-title":"G. Ital. Cardiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2035","DOI":"10.1161\/CIRCULATIONAHA.120.047457","article-title":"Population Trends in Rates of Percutaneous Coronary Revascularization for Acute Coronary Syndromes Associated With the COVID-19 Outbreak","volume":"141","author":"Piccolo","year":"2020","journal-title":"Circulation"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/j.jacc.2009.08.017","article-title":"A Meta-Analysis of Remote Monitoring of Heart Failure Patients","volume":"54","author":"Klersy","year":"2009","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2985","DOI":"10.1161\/CIRCULATIONAHA.111.088971","article-title":"Remote Monitoring Reduces Healthcare Use and Improves Quality of Care in Heart Failure Patients with Implantable Defibrillators","volume":"125","author":"Landolina","year":"2012","journal-title":"Circulation"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.jchf.2016.12.011","article-title":"A Multisensor Algorithm Predicts Heart Failure Events in Patients with Implanted Devices","volume":"5","author":"Boehmer","year":"2017","journal-title":"JACC Heart Fail."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e002543","DOI":"10.1161\/CIRCHEARTFAILURE.115.002543","article-title":"Prediction of All-Cause Mortality Based on the Direct Measurement of Intrathoracic Impedance","volume":"9","author":"Zile","year":"2016","journal-title":"Circ. Heart Fail."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1586\/17434440.4.6.775","article-title":"OptiVol\u00ae fluid status monitoring with an implantable cardiac device: A heart failure management system","volume":"4","author":"Yamokoski","year":"2007","journal-title":"Expert Rev. Med. Devices"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1159\/000509181","article-title":"Heart Failure in the Time of COVID-19","volume":"145","author":"Bravo","year":"2020","journal-title":"Cardiology"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/j.cardfail.2020.05.005","article-title":"Reductions in Heart Failure Hospitalizations during the COVID-19 Pandemic","volume":"26","author":"Hall","year":"2020","journal-title":"J. Card. Fail."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1002\/ejhf.1925","article-title":"The impact of COVID-19 on heart failure hospitalization and management: Report from a Heart Failure Unit in London during the peak of the pandemic","volume":"22","author":"Bromage","year":"2020","journal-title":"Eur. J. Heart Fail."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1111\/pace.12446","article-title":"Arrhythmia Risk Assessment Using Heart Rate Variability Parameters in Patients with Frequent Ventricular Ectopic Beats without Structural Heart Disease","volume":"37","author":"Temiz","year":"2014","journal-title":"Pacing Clin. Electrophysiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1016\/S0735-1097(97)00301-X","article-title":"Heart rate variability and dispersion of QT interval in patients with vulnerability to ventricular tachycardia and ventricular fibrillation after previous myocardial infarction","volume":"30","author":"Huikuri","year":"1997","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1093\/eurheartj\/ehab031","article-title":"Focus on atrial fibrillation, syncope, and arrhythmias during COVID-19 pandemic","volume":"42","author":"Crea","year":"2021","journal-title":"Eur. 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