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Cardiac implantable device interrogation in left ventricular systolic dysfunction reveals physiologic abnormalities prior to symptom onset in COVID-19: a case series
Bocchese, Matthew Dalsania, Raj Alhassani, Zaineb Keihl, Joshua Vaidya, Anjali Brisco-Bacik, Meredith A.
Bocchese, Matthew
Dalsania, Raj
Alhassani, Zaineb
Keihl, Joshua
Vaidya, Anjali
Brisco-Bacik, Meredith A.
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Journal article
Date
2022-10-03
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Medicine
Cardiology
Cardiology
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DOI
https://doi.org/10.1093/ehjcr/ytac404
Abstract
Background: COVID-19 has affected individuals across the globe, and those with cardiac implantable electronic devices (CIEDs) likely represent a high-risk group. These devices can be interrogated to reveal information about the patient activity, heart rate parameters, and respiratory rate. Case summary: Four patients with CIEDs and left ventricular dysfunction were admitted to a single institution for COVID-19 infection. Each patient survived hospitalization, and none required intensive care. Retrospectively, CIED interrogation revealed each patient had decreased activity level prior to their reporting COVID-19 symptoms. Similarly, respiratory rate increased before symptom onset for three of the patients, while one did not have these data available. Of the three patients with heart rate variability (HRV) available, two had decreased HRV before they developed symptoms. After hospital discharge, these parameters returned to their baseline. Discussion: This case series suggests physiologic changes identifiable through interrogation of CIEDs may occur prior to the reported onset of COVID-19 symptoms. These data may provide objective evidence on which to base more sensitive assessments of infectious risk when performing contact tracing in communities.
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Citation
Matthew S Delfiner, Matthew Bocchese, Raj Dalsania, Zaineb Alhassani, Joshua Keihl, Anjali Vaidya, Meredith A Brisco-Bacik, Isaac R Whitman, Cardiac implantable device interrogation in left ventricular systolic dysfunction reveals physiologic abnormalities prior to symptom onset in COVID-19: a case series, European Heart Journal - Case Reports, Volume 6, Issue 10, October 2022, ytac404, https://doi.org/10.1093/ehjcr/ytac40
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Oxford University Press
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European Heart Journal - Case Reports, Vol. 6, Iss. 10
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