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ABSTRACT: Aims
During the COVID-19 pandemic, concern regarding its effect on the management of non-communicable diseases has been raised. However, there are no data on the impact on cardiac implantable electronic devices (CIED) implantation rates. We aimed to determine the impact of SARS-CoV2 on the monthly incidence rates and type of pacemaker (PM) and implantable cardiac defibrillator (ICD) implantations in Catalonia before and after the declaration of the state of alarm in Spain on 14 March 2020.Methods and results
Data on new CIED implantations for 2017-20 were prospectively collected by nine hospitals in Catalonia. A mixed model with random intercepts corrected for time was used to estimate the change in monthly CIED implantations. Compared to the pre-COVID-19 period, an absolute decrease of 56.5% was observed (54.7% in PM and 63.7% in ICD) in CIED implantation rates. Total CIED implantations for 2017-19 and January and February 2020 was 250/month (>195 PM and >55 ICD), decreasing to 207 (161 PM and 46 ICD) in March and 131 (108 PM and 23 ICD) in April 2020. In April 2020, there was a significant fall of 185.25 CIED implantations compared to 2018 [95% confidence interval (CI) 129.6-240.9; P?ConclusionsDuring the first wave of the COVID-19 pandemic, a substantial decrease in CIED implantations was observed in Catalonia. Our findings call for measures to avoid long-term social impact.
SUBMITTER: Arbelo E
PROVIDER: S-EPMC7928966 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Arbelo Elena E Angera Ignasi I Trucco Emilce E Rivas-Gándara Nuria N Guerra José M JM Bisbal Felipe F Jáuregui-Abularach Miguel M Vallés Ermengol E Martin Gabriel G Sbraga Fabrizio F Tolosana José María JM Linhart Markus M Francisco-Pascual Jaume J Montiel-Serrano José J Pereferrer Damià D Menéndez-Ramírez Diego D Jiménez Jesús J Elamrani Amin A Borrás Roger R Dallaglio Paolo Domenico PD Benito Eva E Santos-Ortega Alba A Rodríguez-Font Enrique E Sarrias Axel A González-Matos Carlos E CE Martí-Almor Julio J Cabrera Sandra S Mont Lluis L
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 20210301 3
<h4>Aims</h4>During the COVID-19 pandemic, concern regarding its effect on the management of non-communicable diseases has been raised. However, there are no data on the impact on cardiac implantable electronic devices (CIED) implantation rates. We aimed to determine the impact of SARS-CoV2 on the monthly incidence rates and type of pacemaker (PM) and implantable cardiac defibrillator (ICD) implantations in Catalonia before and after the declaration of the state of alarm in Spain on 14 March 202 ...[more]