Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.
Identifieur interne : 001631 ( Main/Corpus ); précédent : 001630; suivant : 001632Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.
Auteurs : Agostino Piro ; Michele Magnocavallo ; Domenico Giovanni Della Rocca ; Matteo Neccia ; Giovanna Manzi ; Marco Valerio Mariani ; Martina Straito ; Alessia Bernardini ; Paolo Severino ; Gino Iannucci ; Giuseppe Giunta ; Cristina Chimenti ; Andrea Natale ; Francesco Fedele ; Carlo LavalleSource :
- Journal of cardiovascular electrophysiology [ 1540-8167 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), COVID-19 (prevention & control), COVID-19 (transmission), Cardiac Pacing, Artificial (MeSH), Defibrillators, Implantable (MeSH), Electric Countershock (adverse effects), Electric Countershock (instrumentation), Feasibility Studies (MeSH), Female (MeSH), Heart Diseases (diagnosis), Heart Diseases (physiopathology), Heart Diseases (therapy), Humans (MeSH), Italy (MeSH), Male (MeSH), Middle Aged (MeSH), Pacemaker, Artificial (MeSH), Patient Acceptance of Health Care (MeSH), Patient Satisfaction (MeSH), Predictive Value of Tests (MeSH), Prospective Studies (MeSH), Prosthesis Design (MeSH), Prosthesis Failure (MeSH), Remote Sensing Technology (MeSH), Telemedicine (MeSH).
- MESH :
- geographic : Italy.
- adverse effects : Electric Countershock.
- diagnosis : Heart Diseases.
- instrumentation : Electric Countershock.
- physiopathology : Heart Diseases.
- prevention & control : COVID-19.
- therapy : Heart Diseases.
- transmission : COVID-19.
- Aged, Aged, 80 and over, Cardiac Pacing, Artificial, Defibrillators, Implantable, Feasibility Studies, Female, Humans, Male, Middle Aged, Pacemaker, Artificial, Patient Acceptance of Health Care, Patient Satisfaction, Predictive Value of Tests, Prospective Studies, Prosthesis Design, Prosthesis Failure, Remote Sensing Technology, Telemedicine.
Abstract
INTRODUCTION
Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.
METHODS
Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.
RESULTS
AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.
CONCLUSIONS
The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.
DOI: 10.1111/jce.14755
PubMed: 32954600
PubMed Central: PMC7646650
Links to Exploration step
pubmed:32954600Le document en format XML
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Marco Valerio" uniqKey="Mariani M" first="Marco Valerio" last="Mariani">Marco Valerio Mariani</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Straito, Martina" sort="Straito, Martina" uniqKey="Straito M" first="Martina" last="Straito">Martina Straito</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Bernardini, Alessia" sort="Bernardini, Alessia" uniqKey="Bernardini A" first="Alessia" last="Bernardini">Alessia Bernardini</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Severino, Paolo" sort="Severino, Paolo" uniqKey="Severino P" first="Paolo" last="Severino">Paolo Severino</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Iannucci, Gino" sort="Iannucci, Gino" uniqKey="Iannucci G" first="Gino" last="Iannucci">Gino Iannucci</name><affiliation><nlm:affiliation>Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Giunta, Giuseppe" sort="Giunta, Giuseppe" uniqKey="Giunta G" first="Giuseppe" last="Giunta">Giuseppe Giunta</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Chimenti, Cristina" sort="Chimenti, Cristina" uniqKey="Chimenti C" first="Cristina" last="Chimenti">Cristina Chimenti</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Natale, Andrea" sort="Natale, Andrea" uniqKey="Natale A" first="Andrea" last="Natale">Andrea Natale</name><affiliation><nlm:affiliation>Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, Texas, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Interventional Electrophysiology, Scripps Clinic, La Jolla, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Cardiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Division of Cardiology, Stanford University, Stanford, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Dell Medical School, University of Texas, Austin, Texas, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Fedele, Francesco" sort="Fedele, Francesco" uniqKey="Fedele F" first="Francesco" last="Fedele">Francesco Fedele</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Lavalle, Carlo" sort="Lavalle, Carlo" uniqKey="Lavalle C" first="Carlo" last="Lavalle">Carlo Lavalle</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32954600</idno><idno type="pmid">32954600</idno><idno type="doi">10.1111/jce.14755</idno><idno type="pmc">PMC7646650</idno><idno type="wicri:Area/Main/Corpus">001631</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001631</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.</title><author><name sortKey="Piro, Agostino" sort="Piro, Agostino" uniqKey="Piro A" first="Agostino" last="Piro">Agostino Piro</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Magnocavallo, Michele" sort="Magnocavallo, Michele" uniqKey="Magnocavallo M" first="Michele" last="Magnocavallo">Michele Magnocavallo</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Della Rocca, Domenico Giovanni" sort="Della Rocca, Domenico Giovanni" uniqKey="Della Rocca D" first="Domenico Giovanni" last="Della Rocca">Domenico Giovanni Della Rocca</name><affiliation><nlm:affiliation>Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, Texas, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Neccia, Matteo" sort="Neccia, Matteo" uniqKey="Neccia M" first="Matteo" last="Neccia">Matteo Neccia</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Manzi, Giovanna" sort="Manzi, Giovanna" uniqKey="Manzi G" first="Giovanna" last="Manzi">Giovanna Manzi</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mariani, Marco Valerio" sort="Mariani, Marco Valerio" uniqKey="Mariani M" first="Marco Valerio" last="Mariani">Marco Valerio Mariani</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Straito, Martina" sort="Straito, Martina" uniqKey="Straito M" first="Martina" last="Straito">Martina Straito</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Bernardini, Alessia" sort="Bernardini, Alessia" uniqKey="Bernardini A" first="Alessia" last="Bernardini">Alessia Bernardini</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Severino, Paolo" sort="Severino, Paolo" uniqKey="Severino P" first="Paolo" last="Severino">Paolo Severino</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Iannucci, Gino" sort="Iannucci, Gino" uniqKey="Iannucci G" first="Gino" last="Iannucci">Gino Iannucci</name><affiliation><nlm:affiliation>Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Giunta, Giuseppe" sort="Giunta, Giuseppe" uniqKey="Giunta G" first="Giuseppe" last="Giunta">Giuseppe Giunta</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Chimenti, Cristina" sort="Chimenti, Cristina" uniqKey="Chimenti C" first="Cristina" last="Chimenti">Cristina Chimenti</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Natale, Andrea" sort="Natale, Andrea" uniqKey="Natale A" first="Andrea" last="Natale">Andrea Natale</name><affiliation><nlm:affiliation>Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, Texas, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Interventional Electrophysiology, Scripps Clinic, La Jolla, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Cardiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Division of Cardiology, Stanford University, Stanford, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Dell Medical School, University of Texas, Austin, Texas, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Fedele, Francesco" sort="Fedele, Francesco" uniqKey="Fedele F" first="Francesco" last="Fedele">Francesco Fedele</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Lavalle, Carlo" sort="Lavalle, Carlo" uniqKey="Lavalle C" first="Carlo" last="Lavalle">Carlo Lavalle</name><affiliation><nlm:affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of cardiovascular electrophysiology</title><idno type="eISSN">1540-8167</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>COVID-19 (prevention & control)</term><term>COVID-19 (transmission)</term><term>Cardiac Pacing, Artificial (MeSH)</term><term>Defibrillators, Implantable (MeSH)</term><term>Electric Countershock (adverse effects)</term><term>Electric Countershock (instrumentation)</term><term>Feasibility Studies (MeSH)</term><term>Female (MeSH)</term><term>Heart Diseases (diagnosis)</term><term>Heart Diseases (physiopathology)</term><term>Heart Diseases (therapy)</term><term>Humans (MeSH)</term><term>Italy (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pacemaker, Artificial (MeSH)</term><term>Patient Acceptance of Health Care (MeSH)</term><term>Patient Satisfaction (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Prosthesis Design (MeSH)</term><term>Prosthesis Failure (MeSH)</term><term>Remote Sensing Technology (MeSH)</term><term>Telemedicine (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electric Countershock</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Heart Diseases</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electric Countershock</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Heart Diseases</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Heart Diseases</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cardiac Pacing, Artificial</term><term>Defibrillators, Implantable</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pacemaker, Artificial</term><term>Patient Acceptance of Health Care</term><term>Patient Satisfaction</term><term>Predictive Value of Tests</term><term>Prospective Studies</term><term>Prosthesis Design</term><term>Prosthesis Failure</term><term>Remote Sensing Technology</term><term>Telemedicine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32954600</PMID><DateCompleted><Year>2020</Year><Month>12</Month><Day>23</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1540-8167</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>11</Issue><PubDate><Year>2020</Year><Month>11</Month></PubDate></JournalIssue><Title>Journal of cardiovascular electrophysiology</Title><ISOAbbreviation>J Cardiovasc Electrophysiol</ISOAbbreviation></Journal><ArticleTitle>Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.</ArticleTitle><Pagination><MedlinePgn>2814-2823</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jce.14755</ELocationID><Abstract><AbstractText Label="INTRODUCTION">Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.</AbstractText><AbstractText Label="METHODS">Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.</AbstractText><AbstractText Label="RESULTS">AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.</AbstractText><AbstractText Label="CONCLUSIONS">The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.</AbstractText><CopyrightInformation>© 2020 Wiley Periodicals LLC.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Piro</LastName><ForeName>Agostino</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-5995-4963</Identifier><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Magnocavallo</LastName><ForeName>Michele</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Della Rocca</LastName><ForeName>Domenico Giovanni</ForeName><Initials>DG</Initials><Identifier Source="ORCID">0000-0003-3837-3462</Identifier><AffiliationInfo><Affiliation>Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, Texas, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neccia</LastName><ForeName>Matteo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manzi</LastName><ForeName>Giovanna</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mariani</LastName><ForeName>Marco Valerio</ForeName><Initials>MV</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Straito</LastName><ForeName>Martina</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bernardini</LastName><ForeName>Alessia</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Severino</LastName><ForeName>Paolo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Iannucci</LastName><ForeName>Gino</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giunta</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chimenti</LastName><ForeName>Cristina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Natale</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-5487-0728</Identifier><AffiliationInfo><Affiliation>Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, Texas, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Interventional Electrophysiology, Scripps Clinic, La Jolla, California, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Cardiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Cardiology, Stanford University, Stanford, California, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Dell Medical School, University of Texas, Austin, Texas, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fedele</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavalle</LastName><ForeName>Carlo</ForeName><Initials>C</Initials><Identifier Source="ORCID">0000-0002-9480-1209</Identifier><AffiliationInfo><Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cardiovasc Electrophysiol</MedlineTA><NlmUniqueID>9010756</NlmUniqueID><ISSNLinking>1045-3873</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002304" MajorTopicYN="Y">Cardiac Pacing, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017147" MajorTopicYN="N">Defibrillators, Implantable</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004554" MajorTopicYN="N">Electric Countershock</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006331" MajorTopicYN="N">Heart Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N" Type="Geographic">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010138" MajorTopicYN="Y">Pacemaker, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011474" MajorTopicYN="N">Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011475" MajorTopicYN="N">Prosthesis Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058998" MajorTopicYN="Y">Remote Sensing Technology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="Y">Telemedicine</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">CIED</Keyword><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">GAD-7</Keyword><Keyword MajorTopicYN="Y">cardiac implantable electronic device</Keyword><Keyword MajorTopicYN="Y">remote monitoring</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>29</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32954600</ArticleId><ArticleId 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