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Impact of COVID-19 on pacemaker implant

Ana C Gonzales-Luna1,2, Javier O Torres-Valencia1, Javier E Alarcón-Santos1,3

  • 1Department of Cardiology Edgardo Rebagliati Martins National Hospital Lima Peru.

Journal of Arrhythmia
|August 25, 2020
PubMed

Insights

The COVID-19 pandemic significantly reduced pacemaker implantations by 73%. This decrease in new pacemaker surgeries occurred across all patient etiologies, highlighting the pandemic's impact on cardiovascular procedures.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic led to mandatory social isolation measures.
  • These measures resulted in decreased activity within cardiology units.
  • This study examines the impact on pacemaker implantation rates.

Purpose of the Study:

  • To determine the change in pacemaker implantation volume during the COVID-19 pandemic.
  • To assess how pacemaker implant numbers changed based on etiology during the pandemic.

Main Methods:

  • A descriptive, cross-sectional study was conducted using a Peruvian hospital database.
  • The study period was divided into 'Before COVID', 'Previous to Social Isolation', and 'Social Isolation' phases.
  • Pacemaker implantations were compared across these time periods.

Main Results:

  • A significant 73% reduction in pacemaker implantations was observed during the COVID-19 pandemic.
  • A 78% reduction was noted in patients with complete or high-grade atrioventricular block.
  • Reductions in de-novo pacemaker implants occurred regardless of the underlying etiology.

Conclusions:

  • The study found a substantial 73% decrease in de-novo pacemaker implantations during the COVID-19 pandemic.
  • This reduction in new pacemaker surgeries was independent of the patient's specific etiology.
  • The findings underscore the pandemic's significant impact on elective cardiovascular interventions.
Abstract

Keywords:
COVID‐19atrioventricular blockpacemaker

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