Publications by authors named "G Covino"
Background: The effects of lockdown on non-COVID patients are varied and unexpected. The aim is to evaluate the burden of cardiac arrhythmias during a lockdown period because of COVID-19 pandemics in a population implanted with cardiac defibrillators and followed by remote monitoring.
Methods: In this retrospective, multicentre cohort study, we included 574 remotely monitored implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy-defibrillator (CRT-D) recipients implanted before January 1, 2019, at seven hospitals in the Campania region, comparing the burden of arrhythmias occurred during the lockdown period because of COVID-19 epidemics (from March 9 to May 1, 2020) with the arrhythmias burden of the corresponding period in 2019 (reference period).
Permanent His bundle pacing is a physiological alternative to right ventricular pacing, resulting in a lower probability of pacing-induced cardiomyopathy and left ventricular ejection fraction deterioration. The combined use of UHD mapping systems allows precise and detailed information on the His bundle location, possibly providing more pacing option locations.
View Article and Find Full Text PDFBackground: Current guidelines recommend avoiding apical left ventricular (LV) pacing for cardiac resynchronization therapy (CRT).
Aims: We investigated the feasibility of nonapical pacing with the current quadripolar LV lead technology.
Methods: We analyzed consecutive patients who received CRT with an LV quadripolar lead.
Article Synopsis
- * During the lockdown, there was a significant overall reduction of 41.2% in CIED replacements, but procedures for patients monitored remotely saw a substantial increase of 211%, especially in pacemaker and defibrillator replacements.
- * The findings suggest that remote monitoring may have played a crucial role in facilitating timely replacements, potentially optimizing hospital admissions during the constraints of the COVID-19 outbreak.