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Rev Esp Cardiol (Engl Ed). 2017 Dec;70(12):1083-1097. doi: 10.1016/j.rec.2017.08.017. Epub 2017 Sep 29.

Spanish Pacemaker Registry. 14th Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2016).

[Article in English, Spanish]

Author information

1
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Hospital Universitari i Politècnic La Fe, Valencia, Spain. Electronic address: cano_osc@gva.es.
2
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Estimulación, Agencia Pública Empresarial Sanitaria Costa del Sol, Marbella, Málaga, Spain.
3
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Hospital Universitario de León, León, Spain.
4
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Servicio de Cardiología, Hospital San Pedro, Logroño, La Rioja, Spain.
5
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Cuidados Críticos Cardiológicos, Hospital 12 de Octubre, Madrid, Spain.

Abstract

INTRODUCTION AND OBJECTIVES:

This report describes the results of analysis of implanted pacemakers reported to the Spanish Pacemaker Registry.

METHODS:

The analysis was based on information provided by the European Pacemaker Identification Card.

RESULTS:

Information was received from 115 hospitals, with a total of 12 697 cards, representing 32.3% of the estimated activity. Use of conventional and resynchronization pacemakers was 818 and 79 units per million inhabitants, respectively. A total of 200 leadless pacemakers were implanted. The mean age of the patients receiving an implant was 77.8 years, and 52% of devices were implanted in persons older than 80 years. In all, 74.9% were first implants and 23.4% corresponded to generator exchange. Endocardial leads were bipolar, 82.9% with active fixation, and 16.1% had magnetic resonance imaging protection. Most patients received bicameral sequential pacing, although single chamber pacing VVI(R) was used in 26.7% of the patients with sick sinus syndrome and in 23.8% of those with atrioventricular block, despite sinus rhythm.

CONCLUSIONS:

Total use of pacemaker generators in Spain has increased by 1.6% compared with 2015. Most implanted leads have active fixation and less than 20% have magnetic resonance imaging protection. Age and sex directly influenced pacing mode selection, which could be improved in around 32% of patients.

KEYWORDS:

Biventricular pacing; Cables marcapasos; Estimulación biventricular; Marcapasos; Pacemaker leads; Permanent cardiac pacing; Registro; Registry

PMID:
28965962
DOI:
10.1016/j.rec.2017.08.017
[Indexed for MEDLINE]

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