- 作者：Ra煤l Coma Samart铆n ; Francisco Ruiz Mateas ; Mar铆a Luisa Fidalgo Andr茅s ; Juan Leal del Ojo Gonz谩lez ; Luisa P茅rez 脕lvarez
- 关键词：AVB ; atrioventricular block ; CRT ; cardiac resynchronization therapy ; SSS ; sick sinus syndrome
- 刊名：Revista Española de Cardiología (English Edition)
- 出版年：December, 2013
- 年：2013
- 卷：66
- 期：12
- 页码：959-972
- 全文大小：1056 K
Introduction and objectives
Our aim was to analyze the pacemaker implantations and replacements reported to the Spanish Pacemaker Registry in 2012 with special reference to the selection of pacing modes.Method
The analysis was based on information provided by the European Pacemaker Patient Identification Card.
Results
Data were received from 115 hospitals, with a total of 12聽856 cards. An estimated 745.8 pacemaker generators and 53.1 resynchronization devices were implanted per million population. Active fixation leads were implanted in more than 70% of the patients; of these leads, more than 20% were safe for use with magnetic resonance. The most common electrocardiographic indication for pacemaker implantation was atrioventricular block (56%). In all, 28% of the patients with sick sinus syndrome were paced in VVIR mode.
Conclusions
The use of conventional pacemakers remained stable, whereas the implantation of resynchronization devices increased. Active fixation leads are now employed in most patients. The findings of this study confirm the higher incidence of implantation in men and at an earlier age due to the higher rate of conduction disorders. Age is a factor that influences the choice of the appropriate pacing mode.