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Abstract: 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. Keywords: remote monitoring; heart failure; arrhythmias; COVID-19
Matteucci, Andrea, Michela Bonanni, Marco Centioni, Federico Zanin, Francesco Geuna, Gianluca Massaro, and Giuseppe Sangiorgi. 2021. "Home Management of Heart Failure and Arrhythmias in Patients with Cardiac Devices during Pandemic" Journal of Clinical Medicine 10, no. 8: 1618.
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Missoula is a city in the U.S. state of Montana; it is the county seat of Missoula County. It is located along the Clark Fork River near its confluence with the Bitterroot and Blackfoot Rivers in western Montana and at the convergence of five mountain ranges, thus it is often described as the "hub of five valleys". The 2020 United States Census shows the city's population at 73,489 and the population of the Missoula Metropolitan Area at 117,922. After Billings, Missoula is the second-largest city and metropolitan area in Montana. Missoula is home to the University of Montana, a public research university.
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