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Lockdown measures for COVID-19 outbreak and variation in physical activity in patients with heart failure and cardiac

Pedro Silva Cunha1, Sérgio Laranjo1,2, André Lourenço3

  • 1Arrhythmology, Pacing and Electrophysiology Unit, Cardiology Service, Santa Marta Hospital, Central Lisbon Hospital University Centre, Portugal.

International Journal of Cardiology. Heart & Vasculature
|November 2, 2021
PubMed

Insights

Remote monitoring of chronic heart failure (CHF) patients with cardiac implantable electronic devices (CIED) revealed varied physical activity levels during COVID-19 lockdowns. Some patients did not regain pre-lockdown activity, highlighting the impact of inactivity on CHF outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Biomedical Engineering

Background:

  • The COVID-19 pandemic and associated lockdown measures significantly impacted daily routines and health behaviors.
  • Patients with chronic heart failure (CHF) and cardiac implantable electronic devices (CIED) may have altered physical activity patterns due to external restrictions.
  • Remote monitoring (RM) offers a method to track patient status and behavior changes without in-person visits.

Purpose of the Study:

  • To analyze physical activity patterns in CHF patients with CIED before, during, and after COVID-19 lockdown measures.
  • To assess the effectiveness of remote monitoring in identifying changes in physical activity.
  • To categorize patient recovery of physical activity levels post-lockdown.

Main Methods:

  • Utilized raw data from 95 CHF patients (71.5% male, age 67.7 ± 15.1 years) with CIEDs.
  • Analyzed 2238 remote monitoring transmissions from the Medtronic Carelink™ network.
  • Classified patient behavior into non-recoverees, incomplete recoverees, recoverees, and full-recoverees based on activity levels pre-, during, and post-lockdown.

Main Results:

  • Remote monitoring via the Carelink™ network proved effective for close follow-up of CHF patients with CIEDs.
  • Identified variations in heart failure risk status.
  • Two distinct groups of patients failed to return to their previous physical activity levels after lockdown measures were lifted.

Conclusions:

  • Remote monitoring is a valuable tool for managing CHF patients with CIEDs, especially during public health crises.
  • A subset of CHF patients experienced persistent reductions in physical activity post-lockdown.
  • Physical inactivity poses a significant risk factor for adverse outcomes in patients with CHF.
Abstract

Keywords:
Carelink™ networkHeart failurePhysical activityRemote monitoring

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