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Implantation of cardiac electronic devices in active COVID-19 patients: Results from an international survey
O. Tovia-Brodie, M. Rav Acha, B. Belhassen, A. Gasperetti, M. Schiavone, GB. Forleo, ME. Guevara-Valdivia, DV. Ruiz, N. Lellouche, D. Hamon, D. Castagno, M. Bellettini, GM. De Ferrari, M. Laredo, JB. Carvès, B. Ignatiuk, G. Pasquetto, P. De...
Language English Country United States
Document type Journal Article
- MeSH
- Atrioventricular Block * epidemiology therapy MeSH
- Global Health statistics & numerical data MeSH
- COVID-19 * diagnosis epidemiology therapy MeSH
- Defibrillators, Implantable statistics & numerical data MeSH
- Outcome Assessment, Health Care MeSH
- Prosthesis Implantation * adverse effects instrumentation mortality MeSH
- Pacemaker, Artificial statistics & numerical data MeSH
- Comorbidity MeSH
- Infection Control * instrumentation methods organization & administration MeSH
- Middle Aged MeSH
- Humans MeSH
- Mortality MeSH
- Postoperative Complications * diagnosis mortality MeSH
- Surveys and Questionnaires MeSH
- Risk Factors MeSH
- SARS-CoV-2 isolation & purification MeSH
- Aged MeSH
- Sick Sinus Syndrome * epidemiology therapy MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: Cardiac implantable electronic device (CIED) implantation rates as well as the clinical and procedural characteristics and outcomes in patients with known active coronavirus disease 2019 (COVID-19) are unknown. OBJECTIVE: The purpose of this study was to gather information regarding CIED procedures during active COVID-19, performed with personal protective equipment, based on an international survey. METHODS: Fifty-three centers from 13 countries across 4 continents provided information on 166 patients with known active COVID-19 who underwent a CIED procedure. RESULTS: The CIED procedure rate in 133,655 hospitalized COVID-19 patients ranged from 0 to 16.2 per 1000 patients (P <.001). Most devices were implanted due to high-degree/complete atrioventricular block (112 [67.5%]) or sick sinus syndrome (31 [18.7%]). Of the 166 patients in the study survey, the 30-day complication rate was 13.9% and the 180-day mortality rate was 9.6%. One patient had a fatal outcome as a direct result of the procedure. Differences in patient and procedural characteristics and outcomes were found between Europe and North America. An older population (76.6 vs 66 years; P <.001) with a nonsignificant higher complication rate (16.5% vs 7.7%; P = .2) was observed in Europe vs North America, whereas higher rates of critically ill patients (33.3% vs 3.3%; P <.001) and mortality (26.9% vs 5%; P = .002) were observed in North America vs Europe. CONCLUSION: CIED procedure rates during known active COVID-19 disease varied greatly, from 0 to 16.2 per 1000 hospitalized COVID-19 patients worldwide. Patients with active COVID-19 infection who underwent CIED implantation had high complication and mortality rates. Operators should take these risks into consideration before proceeding with CIED implantation in active COVID-19 patients.
AP HP Sorbonne Université Institut de Cardiologie Hôpital Pitié Salpêtrière Paris France
Cardiac Electrophysiology and Pacing Unit Papa Giovanni XXIII Hospital Bergamo Italy
Cardiology Unit ASST Fatebenefratelli Sacco Luigi Sacco University Hospital Milan Italy
Cardiology University Hospital Rangueil Toulouse France
Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Saitama Japan
Department of Cardiology S Maria dei Battuti Hospital AULSS 2 Veneto Conegliano Italy
Division of Cardiac Electrophysiology Houston Methodist DeBakey Cardiology Associates Houston Texas
Division of Cardiology University Hospital Ospedale Maggiore Parma Italy
Electrophysiology Unit Cardiology Department Carmel Medical Center Haifa Israel
Electrophysiology Unit Department of Cardiology Istituto Cardiocentro Ticino Lugano Switzerland
Henri Mondor University Hospital Cardiology Unit Creteil Paris France
Meir Medical Center Kfar Saba Israel
Ospedali Riuniti Padova Sud Madre Teresa di Calcutta Monselice Italy
Rabin Medical Center Petach Tikva Sackler School of Medicine Tel Aviv University Tel Aviv Israel
Thomas Jefferson University Hospital Philadelphia Pennsylvania
UCLA Cardiac Arrhythmia Center Los Angeles California
UMAE Hospital de Especialidades Dr Antonio Fraga Mouret CMN La Raza IMSS CDMX Mexico City México
References provided by Crossref.org
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- $a Tovia-Brodie, Oholi $u Jesselson Integrated Heart Center, Shaare Zedek Medical Center, Jerusalem, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel. Electronic address: toholi@gmail.com
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- $a Implantation of cardiac electronic devices in active COVID-19 patients: Results from an international survey / $c O. Tovia-Brodie, M. Rav Acha, B. Belhassen, A. Gasperetti, M. Schiavone, GB. Forleo, ME. Guevara-Valdivia, DV. Ruiz, N. Lellouche, D. Hamon, D. Castagno, M. Bellettini, GM. De Ferrari, M. Laredo, JB. Carvès, B. Ignatiuk, G. Pasquetto, P. De Filippo, G. Malanchini, BB. Pavri, C. Raphael, L. Rivetti, R. Mantovan, J. Chinitz, M. Harding, G. Boriani, E. Casali, EY. Wan, A. Biviano, C. Macias, S. Havranek, PE. Lazzerini, AM. Canu, M. Zardini, G. Conte, Ó. Cano, M. Casella, B. Rudic, A. Omelchenko, N. Mathuria, GA. Upadhyay, A. Danon, AL. Schwartz, P. Maury, S. Nakahara, G. Goldenberg, N. Schaerli, S. Bereza, A. Auricchio, M. Glikson, Y. Michowitz
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- $a BACKGROUND: Cardiac implantable electronic device (CIED) implantation rates as well as the clinical and procedural characteristics and outcomes in patients with known active coronavirus disease 2019 (COVID-19) are unknown. OBJECTIVE: The purpose of this study was to gather information regarding CIED procedures during active COVID-19, performed with personal protective equipment, based on an international survey. METHODS: Fifty-three centers from 13 countries across 4 continents provided information on 166 patients with known active COVID-19 who underwent a CIED procedure. RESULTS: The CIED procedure rate in 133,655 hospitalized COVID-19 patients ranged from 0 to 16.2 per 1000 patients (P <.001). Most devices were implanted due to high-degree/complete atrioventricular block (112 [67.5%]) or sick sinus syndrome (31 [18.7%]). Of the 166 patients in the study survey, the 30-day complication rate was 13.9% and the 180-day mortality rate was 9.6%. One patient had a fatal outcome as a direct result of the procedure. Differences in patient and procedural characteristics and outcomes were found between Europe and North America. An older population (76.6 vs 66 years; P <.001) with a nonsignificant higher complication rate (16.5% vs 7.7%; P = .2) was observed in Europe vs North America, whereas higher rates of critically ill patients (33.3% vs 3.3%; P <.001) and mortality (26.9% vs 5%; P = .002) were observed in North America vs Europe. CONCLUSION: CIED procedure rates during known active COVID-19 disease varied greatly, from 0 to 16.2 per 1000 hospitalized COVID-19 patients worldwide. Patients with active COVID-19 infection who underwent CIED implantation had high complication and mortality rates. Operators should take these risks into consideration before proceeding with CIED implantation in active COVID-19 patients.
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