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Physical Activity in Cardiac Implantable Electronic Device Recipients During the COVID-19 Pandemic

Abhishek J Deshmukh1, Camden Harrell2, Jacob Hicks2

  • 1Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.

Mayo Clinic Proceedings
|August 6, 2022
PubMed

Insights

Physical activity (PA) significantly decreased in patients with cardiac implantable electronic devices (CIEDs) during the COVID-19 pandemic. This reduction in PA was observed across all demographics and device types in 2020 compared to 2019.

Area of Science:

  • Cardiology
  • Public Health
  • Biomedical Engineering

Background:

  • The COVID-19 pandemic has impacted lifestyle behaviors globally.
  • Understanding the effects on patients with cardiac implantable electronic devices (CIEDs) is crucial for cardiovascular health.
  • Physical activity (PA) is a key determinant of cardiovascular outcomes.

Purpose of the Study:

  • To quantify the changes in physical activity (PA) levels among patients with CIEDs during the COVID-19 pandemic.
  • To compare PA levels in 2020 with the pre-pandemic period of 2019.

Main Methods:

  • Retrospective analysis of PA data from the BIOTRONIK CERTITUDE Registry.
  • Comparison of mean daily and weekly PA from January to August 2020 versus the same period in 2019.
  • Inclusion of 21,660 patients with CIEDs.

Main Results:

  • A significant decline in daily PA was observed after the pandemic declaration in 2020.
  • The maximum mean reduction in PA was -24.5±36.3 minutes in April 2020 compared to 2019 (P<.0001).
  • PA remained lower throughout 2020 compared to 2019 across all patient subgroups.

Conclusions:

  • The COVID-19 pandemic led to a substantial decrease in daily physical activity for individuals with CIEDs.
  • Further research is needed to assess the long-term cardiovascular implications of this PA reduction.
Abstract

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