Related Experiment Video

Updated: Jul 27, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

11.6K

The Daily Activity of Patients With Heart Failure During COVID-19 Pandemic

Christine Sykalo1, Ugochukwu Egolum2, Hua Ling3

  • 1Northeast Georgia Medical Center, GME Internal Medicine, Gainesville, GA, USA.

Cardiology Research
|June 12, 2023
PubMed

Insights

The coronavirus disease 2019 (COVID-19) pandemic shelter-in-place order did not significantly alter daily activity duration in heart failure patients. Activity levels remained largely unchanged, with some patients showing increases and others showing decreases.

Area of Science:

  • Cardiology
  • Public Health
  • Medical Devices

Background:

  • Sedentary behavior is a known factor exacerbating heart failure.
  • The COVID-19 pandemic introduced unprecedented lifestyle changes, including shelter-in-place orders.
  • Understanding the impact of these changes on patient activity is crucial for managing chronic conditions.

Purpose of the Study:

  • To investigate the effect of the COVID-19 pandemic shelter-in-place order on daily activity duration in heart failure patients.
  • To analyze changes in activity using data from an implantable cardiac device.
  • To determine if pandemic-related restrictions altered sedentary behavior patterns in this population.

Main Methods:

  • Retrospective review of HeartLogic multisensor data from heart failure patients.
  • Comparison of daily activity duration in the 90 days before and after the shelter-in-place order.
  • Extraction of demographic data from electronic medical records.

Main Results:

  • A total of 29 heart failure patients were analyzed.
  • No significant overall change in mean daily activity duration was observed (98.21 ± 60.83 min pre- vs. 100.03 ± 68.18 min post-order, P=0.753).
  • Individual patient data showed variability, with 14 patients having no significant change, 7 experiencing a reduction, and 8 an increase in activity.

Conclusions:

  • The shelter-in-place order during the COVID-19 pandemic did not lead to significant changes in daily activity duration among the studied heart failure patients.
  • Individual responses to the shelter-in-place order varied, indicating a complex interplay of factors influencing daily activity.
  • Further research is needed to understand long-term effects and individual patient variability in response to public health interventions.
Abstract

Keywords:
COVID-19 pandemicHeart failurePhysical activity

More Related Videos

Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies15:00

Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies

Published on: February 3, 2023

2.6K
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

839

Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
118
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
16
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
16
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
25
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
16