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Outcomes for patients with implanted cardioverter-defibrillators admitted to the Emergency Department due to electrical shock during the pre-pandemic and COVID-19 era.
Biel, Bartosz; Skoczynski, Przemyslaw; Hrymniak, Bruno; Jakobson, Rafal; Kuliczkowski, Wiktor; Obremska, Marta; Sokolowski, Janusz; Zysko, Dorota; Banasiak, Waldemar; Jagielski, Dariusz.
Afiliação
  • Biel B; Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wroclaw, Poland.
  • Skoczynski P; Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wroclaw, Poland.
  • Hrymniak B; Department of Emergency Medicine, Wroclaw Medical University, Wroclaw, Poland.
  • Jakobson R; Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wroclaw, Poland. bruno.hrymniak@gmail.com.
  • Kuliczkowski W; Department of Emergency Medicine, Wroclaw Medical University, Wroclaw, Poland.
  • Obremska M; Institute for Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
  • Sokolowski J; Institute for Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
  • Zysko D; Department of Emergency Medicine, Wroclaw Medical University, Wroclaw, Poland.
  • Banasiak W; Department of Cardiology, Center for Heart Diseases, 4th Military Hospital, Wroclaw, Poland.
  • Jagielski D; Faculty of Medicine, Wroclaw University of Science and Technology, Wroclaw, Poland.
Kardiol Pol ; 82(2): 156-165, 2024.
Article em En | MEDLINE | ID: mdl-38230463
ABSTRACT

BACKGROUND:

Implantable cardioverter-defibrillators (ICD)/cardiac resynchronization therapy with defibrillation (CRT-D) recipients may be susceptible to the arrhythmic effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

AIMS:

We aimed to evaluate characteristics and outcomes of patients hospitalized for ICD/CRT-D shocks during the pandemic compared to the pre-pandemic period.

METHODS:

This retrospective study analyzed medical records of patients hospitalized for ICD/CRT-D shock in the pre-pandemic (January 1, 2018-December 31, 2019) and pandemic periods (March 4, 2020-March 3, 2022). Survival data were obtained on October 24, 2022.

RESULTS:

In total, 198 patients (average age 65.6 years) had 138 pre-pandemic and 124 pandemic visits. Of these patients, 115 were hospitalized during pre-pandemic, 108 during the pandemic, and 25 in both periods. No significant differences were noted in age, sex, number of shocks, or appropriateness of therapy between these periods. During the pandemic, during 14 hospital stays of patients with SARS-CoV-2, 8 (57.1%) received electrical shocks, compared to 12 (10.9%) with negative SARS-CoV-2 tests (P <0.001). The in-hospital mortality rate was 2 of 115 patients hospitalized during the pre-pandemic and 7 of 108 during pandemic periods (4 patients with and 3 without SARS-CoV-2 [P = 0.10]). During the follow-up, there were 66 deaths. Cox regression analysis showed that survival decreased with age and heart failure decompensation in medical history but increased with higher ejection fraction. The pandemic alone was not a survival predictor. However, SARS-CoV-2 infection, older age, and heart failure decompensation in medical history predicted worse outcomes during the pandemic period.

CONCLUSIONS:

The pandemic did not increase the number of hospital visits due to ICD/CRT-D discharges. SARS-CoV-2 infection predicts increased mortality in patients with ICD/CRT-D shocks.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desfibriladores Implantáveis / COVID-19 / Insuficiência Cardíaca Limite: Aged / Humans Idioma: En Revista: Kardiol Pol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Polônia País de publicação: Polônia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desfibriladores Implantáveis / COVID-19 / Insuficiência Cardíaca Limite: Aged / Humans Idioma: En Revista: Kardiol Pol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Polônia País de publicação: Polônia