Impact of the COVID-19 pandemic on the performance of selected cardiac electrotherapy and electrophysiology procedures

Wranicz, Jerzy Krzysztof; Dróżdż, Jarosław; Różycka-Kosmalska, Monika; Kasprzak, Jarosław D.; Lubiński, Andrzej; Piotrowski, Grzegorz; Kosmalski, Marcin; Życiński, Paweł; Ciurus, Tomasz; Ptaszyński, Paweł; Kaczmarek, Krzysztof

doi:10.33963/kp.15884

Cited by 7 publications

(10 citation statements)

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“…In a recent report by Wranicz et al [7], analyzing data derived from periodic surveys for the national consultant in cardiology in the Province of Łódź, the numbers of electrotherapy procedures in the first quarter of 2020 were similar to analogous counts in 2019, whereas the second quarter of 2020 brought a drop in those numbers. In our report, a drop in the numbers of all procedures was noted in April 2020, which is partially consistent with the second quarter of 2020 in the report from Łódź.…”

Section: Resultsmentioning

confidence: 96%

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Procedural volume of cardiac electrotherapy procedures does not have to be reduced during COVID-19 pandemic — one year analysis from a tertiary Polish center

et al. 2021

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Section: Resultsmentioning

confidence: 96%

“…For follow-up care, telemedicine solutions were developed and applied, where feasible [6]. Nonetheless, during the initial months of the pandemic, a significant fall in the number of procedures was observed [7].…”

Section: Introductionmentioning

confidence: 99%

Procedural volume of cardiac electrotherapy procedures does not have to be reduced during COVID-19 pandemic — one year analysis from a tertiary Polish center

et al. 2021

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“…A total of seven fatalities were reported in these two studies of which three were due to COVID-19. Two studies showed an increase in ventricular tachycardia (VT) ablation rates despite a decline in other EP procedures 27 , 28 . One study from Pakistan elaborated on gender and regional disparities in emergency EP procedures documenting a five-fold reduction in-patient volume in centers outside the main city as well as a decrease in the number of women attending the facilities.…”

Section: Resultsmentioning

confidence: 99%

“…The impact COVID-19 had on socially and economically disadvantaged communities have been seen in several studies that report communities with low income living in deprived areas and of certain ethnic backgrounds have an increased risk of COVID-19-related death compared to the general population 34 . Two studies 27 , 28 reported an increase in VT ablation procedures despite an overall decline in EP procedure volume. This may be because ventricular tachycardia is a life-threatening condition, and hence VT ablation procedures were undertaken as a matter of priority and classified as urgent non-deferrable cases.…”

Section: Discussionmentioning

confidence: 99%

Effect of COVID-19 on cardiac electrophysiology practice: a systematic review of literature

Almas

Ehtesham

Khan

et al. 2023

Annals of Medicine &Amp; Surgery

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The authors conducted a systematic review on the effect of coronavirus disease 2019 on electrophysiology (EP) practice and procedure volume in various settings. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. PubMed/MEDLINE, Scopus, Web of Science, CINAHL, and Embase were examined with combinations of medical subject headings terms for identification of the relevant studies. After excluding duplicates, irrelevant, and ineligible studies, 23 studies were included for full qualitative analysis. The overall study-level volume reduction of EP procedures ranged from 8 to 96.7%. All studies reported an overall reduction in EP physiology procedures being carried out except one in Poland, which reported an overall increase in the total EP procedures carried out in 2020. This study still reported a decrease in EP procedure volume during the first lockdown phase. Procedural volume reduction was seen most commonly for cardiovascular implantable electronic device placement (20/23 studies, 86.9%), electrophysiology studies (11/23 studies, 47.8%), and ablations (9/23, 39.1% studies). The most common reason stated for the observed decline in EP procedures was the cancellation and postponement of nonurgent elective cases in the hospitals (15/23 studies, 65.2%). There has been an overall reduction in EP procedure volume across different centers. The impact of the decline in EP procedures will be seen only after the services resume to prepandemic levels, but an increase in-patient volume and procedure waiting time is expected. This review will provide insights into improving healthcare service delivery in times of unprecedented public health emergencies.

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“…In data presented in the literature, during the COVID--19 outbreak, remote monitoring is of clinical importance in outpatient care, and it seems that extrapolation of our experiences may also be helpful during the pandemic [19][20][21].…”

Section: Discussionmentioning

confidence: 96%

The usefulness of telemedicine devices in patients with severe heart failure with an implanted cardiac resynchronization therapy system during two years of observation

et al. 2022

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Background: Heart failure (HF) remains a disease with a poor prognosis. Telemonitoring is a medical service aimed at remote monitoring of patients. Aim:The study aimed to identify the clinical relevance of non-invasive telemonitoring devices in HF patients.Methods: Sixty patients aged 66.1 (11) years, with left ventricular ejection fraction (LVEF) 26.3 (6.8)% underwent cardiac resynchronization therapy (CRT) implantation. They were randomly allocated to the control (standard medical care) or study (standard medical care + telemonitoring device) groups. During the follow-up (24 months), the patients in the study group provided body mass and blood pressure, along with electrocardiogram on a daily basis. The data were transferred to the monitoring center and consulted with a cardiologist. Transthoracic echocardiography and a 6-minute walk test were performed before and 24 months after CRT implantation.Results: During the two-year observation, the composite endpoint (death or HF hospitalization) occurred in 21 patients, more often in the control group (46.8% vs. 21.4%; P = 0.026). In univariate analysis: the use of telemetry (hazard ratio [HR], 0.2; 95% confidence interval [CI], 0.07-0.7; P = 0.004), the presence of coronary heart disease (HR, 41.4; 95% CI, 3.1-567.7; P = 0.005), hypertension (HR, 0.24; 95% CI, 0.07-0.90; P = 0.035), and patient's body mass (HR, 0.36; 95% CI, 0.14-0.92; P = 0.03) were related to the occurrence of the composite endpoint. Conclusions:The use of a telemonitoring device in CRT recipients improved the prognosis in 2-year observation and contributed to the reduction of HF hospitalization.

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Impact of the COVID-19 pandemic on the performance of selected cardiac electrotherapy and electrophysiology procedures

Cited by 7 publications

References 0 publications

Procedural volume of cardiac electrotherapy procedures does not have to be reduced during COVID-19 pandemic — one year analysis from a tertiary Polish center

Procedural volume of cardiac electrotherapy procedures does not have to be reduced during COVID-19 pandemic — one year analysis from a tertiary Polish center

Effect of COVID-19 on cardiac electrophysiology practice: a systematic review of literature

The usefulness of telemedicine devices in patients with severe heart failure with an implanted cardiac resynchronization therapy system during two years of observation

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