The Daily Activity of Patients With Heart Failure During COVID-19 Pandemic

Background: Sedentary behavior is thought to contribute to worsen-ing heart failure syndromes. Here, we examined whether the shel-ter-in-place order during the coronavirus disease 2019 (COVID-19) pandemic changed daily activity duration, which was monitored by an implantable cardiac device-based multisensor index and alert al-gorithm called HeartLogic. Methods: We performed a retrospective review of the HeartLogic data from patients with heart failure managed at our clinic and com-pared the individual daily activity duration 90 days prior to vs. after implementation of the shelter-in-place order. The activity data were prepared by Boston Scientific. Demographic data were extracted from our electronic medical record. Results: In total, 29 patients were included in the analysis. Among them, 14 patients did not have any significant changes in daily activity duration compared to their baseline before the shelter-in -place order (108.62 +/- 45 min vs. 107.71 +/- 48.6 min, P = 0.723). Among the rest 15 patients with significant changes, seven patients had a significant reduction in activity duration; meanwhile, eight patients had a significant increase in activity duration. Overall, the mean daily activity duration 90 days before and after the shelter -in-place order are 98.21 +/- 60.83 min, and 100.03 +/- 68.18 min (P = 0.753). Conclusions: No significant changes in terms of activity duration were observed in our patients during the COVID-19 pandemic.