Evidence map›Paper›PMID 33321517›Full record

Observational studyEuropean heart journal2021

Ventricular arrhythmia burden during the coronavirus disease 2019 (COVID-19) pandemic.

Catherine J O'Shea, Gijo Thomas, Melissa E Middeldorp, Curtis Harper, Adrian D Elliott, Noemi Ray, Dennis H Lau, Kevin Campbell, Prashanthan Sanders

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Ventricular arrhythmia burden in ICD patients during the second wave of the COVID-19 pandemic.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  4. Article
  5. Lack of temporal correlations between COVID pandemic waves and the occurrence of malignant ventricular arrhythmias.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 · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. The use of remote monitoring of cardiac implantable devices during the COVID-19 pandemic: an EHRA physician survey.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 · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Covid and Cardiovascular Diseases: Direct and Indirect Damages and Future Perspective.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Catherine J O'SheaCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Gijo ThomasCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Melissa E MiddeldorpCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Curtis HarperPaceMate, USA.
Adrian D ElliottCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Noemi RayPaceMate, USA.
Dennis H LauCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Kevin CampbellCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Prashanthan SandersCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Royal Adelaide Hospital · AUPace University · USThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOur objective was to determine the ventricular arrhythmia burden in implantable cardioverter-defibrillator (ICD) patients during COVID-19. METHODS AND

resultsIn this multicentre, observational, cohort study over a 100-day period during the COVID-19 pandemic in the USA, we assessed ventricular arrhythmias in ICD patients from 20 centres in 13 states, via remote monitoring. Comparison was via a 100-day control period (late 2019) and seasonal control period (early 2019). The primary outcome was the impact of COVID-19 on ventricular arrhythmia burden. The secondary outcome was correlation with COVID-19 incidence. During the COVID-19 period, 5963 ICD patients underwent remote monitoring, with 16 942 episodes of treated ventricular arrhythmias (2.8 events per 100 patient-days). Ventricular arrhythmia burden progressively declined during COVID-19 (P < 0.001). The proportion of patients with ventricular arrhythmias amongst the high COVID-19 incidence states was significantly reduced compared with those in low incidence states [odds ratio 0.61, 95% confidence interval (CI) 0.54-0.69, P < 0.001]. Comparing patients remotely monitored during both COVID-19 and control periods (n = 2458), significantly fewer ventricular arrhythmias occurred during COVID-19 [incident rate ratio (IRR) 0.68, 95% CI 0.58-0.79, P < 0.001]. This difference persisted when comparing the 1719 patients monitored during both the COVID-19 and seasonal control periods (IRR 0.69, 95% CI 0.56-0.85, P < 0.001).

conclusionsDuring COVID-19, there was a 32% reduction in ventricular arrhythmias needing device therapies, coinciding with measures of social isolation. There was a 39% reduction in the proportion of patients with ventricular arrhythmias in states with higher COVID-19 incidence. These findings highlight the potential role of real-life stressors in ventricular arrhythmia burden in individuals with ICDs.

trial registrationAustralian New Zealand Clinical Trial Registry; URL: https://www.anzctr.org.au/; Unique Identifier: ACTRN12620000641998.

Indexed as

COVID-19Defibrillators, ImplantableAdultAgedArrhythmias, CardiacCost of IllnessFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedMonitoring, PhysiologicPandemicsPhysical DistancingProtective FactorsCOVID-19Implantable cardioverter-defibrillatorRemote monitoringVentricular arrhythmiaVentricular fibrillationVentricular tachycardia

Identifiers

PMID33321517
PMCPMC7953962
OpenAlexW3110925065

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.