Patients with heart failure and an implanted cardioverter-defibrillator during the COVID-19 pandemic: insights from a multicentre registry in Poland

Tajstra, Mateusz; Wojtaszczyk, Adam; Sterliński, Maciej; Świerżyńska, Ewa; Szumowski, Łukasz; Tomasiuk, Mikolaj; Grabowski, Marcin; Januszkiewicz, Łukasz; Romanek, Janusz; Przybylski, Andrzej; Mitkowski, Przemysław; Klotzka, Aneta; Szafranek, Andrzej; Gąsior, Mariusz; Kalarus, Zbigniew; Kowalski, Oskar

doi:10.33963/kp.15918

Cited by 5 publications

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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: 95%

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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Section: Discussionmentioning

confidence: 95%

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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“…Furthermore, a remote monitoring system contributes to increasing patients’ feelings of safety [ 9 , 16 ]. Despite that, physicians still struggle to increase the utilization of remote monitoring; the lack of reimbursement represents the most significant barrier to broader implementation, even during the COVID-19 pandemic [ 17 , 18 , 19 ]. In this analysis, we observed a huge gap in the implementation of remote monitoring; Polish patients were approximately a third as often controlled with remote monitoring compared with other regions.…”

Section: Discussionmentioning

confidence: 99%

Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey

Januszkiewicz

Grabowski

Farkowski

et al. 2023

IJERPH

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Background: The aim of this study was to compare differences between Polish ICD recipients and ICD recipients from other European countries in terms of quality of life, information provision before ICD implantation, and end-of-life issues. Methods: This is a sub-analysis of the “Living with an ICD” patient survey (25-item questionnaire) organized by the European Heart Rhythm Association between 12 April 2021 and 5 July 2021 in ten European countries. Results: There were 410 (22.7%) patients from Poland and 1399 (77.3%) from other European countries. A total of 51.0% of Polish patients reported improvement in their quality of life compared with 44.3% in other countries (p = 0.041). Remote monitoring was three times more often utilized in other countries than in Poland (66.8% vs. 21.0%, p < 0.001). While 78.1% of Poles felt well informed before ICD implantation compared with 69.6% of subjects from other countries (p = 0.001), they were less familiar with the ICD deactivation process than others (38.9% vs. 52.5%, p < 0.001). Conclusions: Despite the less frequent use of remote monitoring and gaps in end-of-life issues, Polish ICD recipients reported more favorable quality of life and a higher level of information received before device placement than patients in other European countries.

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“…It would certainly be very interesting to assess the impact of the COVID-19 pandemic on this issue, as some studies show that the SARS-CoV-2 virus increased the risk of myocarditis, acute and chronic HF. However, there is no data on HF-related hospitalizations in Poland in 2020-2022 yet [41,42].…”

Section: Limitationsmentioning

confidence: 99%

Environmental and socioeconomic determinants of heart failure

et al. 2023

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Background: Over 1.5 million people in Poland suffer from heart failure (HF). The risk of hospitalization is related to environmental and socioeconomic factors and the organization of the healthcare system. Aims:The study aimed to assess the influence of environmental and socioeconomic factors on the prevalence of hospitalization for HF. Methods: The impact of environmental and socioeconomic factors on HF hospitalizations in Poland in 2012-2019 based on data from the National Institute of Public Health and Central Statistical Office in Poland was estimated by panel data regression techniques.Results: There were 1 618 734 HF-related hospitalizations (51.3% male; 82.6% aged >65 years). An increase in the number of physicians by 10/10 000 population and healthcare expenditure of 100 PLN per capita resulted in 3.5% (-0.035; 95% confidence interval [CI], -0.06 to -0.01; P = 0.002) and 3% (-0.029; 95% CI, -0.04 to -0.013; P <0.001) decrease in hospitalizations, respectively. For each new outpatient healthcare facility per 10 000 population, there was a 3% (-0.031; 95% CI, -0.048 to -0.014; P <0.001) decrease in hospitalizations. One percentage point increase in the proportion of green areas resulted in a 2.7% (-0.027; 95% CI, -0.042 to -0.01; P = 0.049) decrease in hospitalizations. However, an increase in cars by 1000 inhabitants and a 1 percentage point increase in the unemployment rate were associated with a 6% increase in HF hospitalizations (0.064; 95% CI, 0.008-0.121; P = 0.026). Conclusions:The number of HF-related hospitalizations has been increasing in the last decade. This trend is most noticeable in regions with low socioeconomic development and poor medical facilities. Our study indicates that health policy measures including environmental and socioeconomic instruments may result in positive health outcomes. Additional analyses are needed to compare the impact of socioeconomic and environmental factors against the impact of healthcare alone.

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Patients with heart failure and an implanted cardioverter-defibrillator during the COVID-19 pandemic: insights from a multicentre registry in Poland

Cited by 5 publications

References 0 publications

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

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

Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey

Environmental and socioeconomic determinants of heart failure

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