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Implantation of cardiac electronic devices in active COVID-19 patients: Results from an international survey.


ABSTRACT:

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.

SUBMITTER: Tovia-Brodie O 

PROVIDER: S-EPMC8547796 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Implantation of cardiac electronic devices in active COVID-19 patients: Results from an international survey.

Tovia-Brodie Oholi O   Rav Acha Moshe M   Belhassen Bernard B   Gasperetti Alessio A   Schiavone Marco M   Forleo Giovanni Battista GB   Guevara-Valdivia Milton E ME   Ruiz David Valdeolivar DV   Lellouche Nicolas N   Hamon David D   Castagno Davide D   Bellettini Matteo M   De Ferrari Gaetano M GM   Laredo Mikael M   Carvès Jean-Baptiste JB   Ignatiuk Barbara B   Pasquetto Giampaolo G   De Filippo Paolo P   Malanchini Giovanni G   Pavri Behzad B BB   Raphael Craig C   Rivetti Luigi L   Mantovan Roberto R   Chinitz Jason J   Harding Melissa M   Boriani Giuseppe G   Casali Edoardo E   Wan Elaine Y EY   Biviano Angelo A   Macias Carlos C   Havranek Stepan S   Lazzerini Pietro Enea PE   Canu Antonio M AM   Zardini Marco M   Conte Giulio G   Cano Óscar Ó   Casella Michela M   Rudic Boris B   Omelchenko Alexander A   Mathuria Nilesh N   Upadhyay Gaurav A GA   Danon Asaf A   Schwartz Arie Lorin AL   Maury Philippe P   Nakahara Shiro S   Goldenberg Gustavo G   Schaerli Nicolas N   Bereza Sergiy S   Auricchio Angelo A   Glikson Michael M   Michowitz Yoav Y  

Heart rhythm 20211026 2


<h4>Background</h4>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.<h4>Objective</h4>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.<h4>Methods</h4>Fifty-three centers from 13 countries across 4 continent  ...[more]

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