Ventricular Fibrillation Triggered by Earthquake During the Accumoli-Amatrice Disaster in Italy

Biffi, Mauro; Candelora, Andrea; Massaro, Giulia

doi:10.1253/circj.cj-16-1135

Cited by 1 publication

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“…These findings are relevant because they highlight the effect of the societal adaptation to such a catastrophic event, including the consequences of national measure to contrast the pandemic. Previous studies evidenced the negative effects of natural disasters and psychological stress on arrhythmic burdens [ 6 , 7 ], but this is the first pandemic of such magnitude since the Spanish influenza pandemic of 1918 with such a widespread effect over a worldwide population. Several authors investigated the effects of the COVID-19 pandemic on comorbidities, proving that patients with cardiovascular conditions are at higher risk both in terms of contagion and worse outcomes [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring

Diemberger

Vicentini

Cattafi³

et al. 2021

JCM

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From 2020, many countries have adopted several restrictions to limit the COVID-19 pandemic. The forced containment impacted on healthcare organizations and the everyday life of patients with heart disease. We prospectively analyzed data recorded from implantable defibrillators and/or cardiac resynchronization devices of Italian patients during the lockdown (LDP), post-lockdown period (PLDP) and a control period (CP) of the previous year. We analyzed device data of the period 9 March 2019–31 May 2020 of remotely monitored patients from 34 Italian centers. Patients were also categorized according to areas with high/low infection prevalence. Among 696 patients, we observed a significant drop in median activity in LDP as compared to CP that significantly increased in the PLDP, but well below CP (all p < 0.0001). The median day heart rate and heart rate variability showed a similar trend. This behavior was associated during LDP with a significant increase in the burden of atrial arrhythmias (p = 0.0150 versus CP) and of ventricular arrhythmias [6.6 vs. 1.5 per 100 patient-weeks in CP; p = 0.0026]; the latter decreased in PLDP [0.3 per 100 patient-weeks; p = 0.0035 vs. LDP]. No modifications were recorded in thoracic fluid levels. The high/low prevalence of COVID-19 infection had no significant impact. We found an increase in the arrhythmic burden in LDP coupled with a decrease in physical activity and heart rate variability, without significant modifications of transthoracic impedance, independent from COVID-19 infection prevalence. These findings suggest a negative impact of the COVID-19 pandemic, probably related to lockdown restrictions.

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Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring

Diemberger

Vicentini

Cattafi³

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

Ventricular Fibrillation Triggered by Earthquake During the Accumoli-Amatrice Disaster in Italy

Abstract: Figure. Sinus Tachycardia in the range 110-130 beats/min, giving abruptly rise to VF. Detection and VF termination with a single shock occur 21s after arrrhythmia onset.

Cited by 1 publication

References 3 publications

The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring

The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring

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