在COVID-19封锁期间的身体活动,心率变化和心室节律失常:回顾性队列研究
Sikander Z Texiwala1, Russell J de Souza2,3, Suzette Turner1,4
1Schulich Heart Center, Sunnybrook Health Sciences, Toronto, ON, Canada.
JMIR cardio
|February 5, 2024
概括
在COVID-19封锁期间,心室节律失常 (VA) 不常见. 封锁期间体力活动减少可能解释了这一点,因为心率变化率保持不变.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 众所周知,心室节律失常 (VA) 随着压力而增加.
- 之前的研究表明,在最初的COVID-19封锁期间,VA没有增加.
- 这一观察背后的机制仍然不清楚.
研究的目的:
- 在加拿大安大略省的COVID-19早期封锁期间调查VA的发生情况.
- 评估在此期间与VA相关的身体活动和心率变化 (HRV) 的变化.
主要方法:
- 在安大略省使用植入式心脏转换器除器 (ICD) 的患者的回顾性分析.
- 2020年3月收集的HRV和体育活动数据与2019年3月的数据进行了比较.
- 在封锁前和后期间分析了VA存在,身体活动水平和HRV.
主要成果:
- 2020年3月没有观察到VA病例,而2019年3月为7.5% (P=.048).
- 在封锁后的时期,身体活动显著下降 (P=.003).
- 心率变化 (HRV) 在封锁前和封锁后期间保持稳定 (P=.84).
结论:
- 在COVID-19大流行初期,心室心律失常 (VA) 特别罕见.
- 与隔离措施相关的体力活动减少可能有助于减少VA的发生率.
- HRV似乎不是这个观察到的现象的一个重要因素.
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