Abstract
Cardiac conduction disturbance necessitating pacemaker implantation is common among elderly patients. However, patients often have comorbidities and increased frailty which may result in limited life prognosis and a high rate of procedure-related complications. We evaluated pacemaker implantation in older patients by comparing life prognosis and complication rate in patients aged ≥ and < 85 years. We retrospectively enrolled 262 consecutive patients who underwent initial pacemaker implantation for bradycardia (age, 77 ± 10 years old; male, 132 (50%); dual chamber pacemaker, 222 (85%) patients). Acute and long-term outcomes were compared between patients aged ≥ 85 and < 85 years. Primary outcome was a composite of all-cause death and severe procedure-related complications. Seven (14%) patients aged ≥ 85 years (n = 50; 19%) were non-ambulatory. During 2-year follow-up, primary outcome (death or severe complication) occurred in 47 (18%). Freedom from primary outcome was similar between age groups (81.6% versus 80.8%; p = 0.98). Freedom from all-cause death and from severe complication in the study period were also similar (all-cause death, 91.6% versus 88.7%, p = 0.70; severe complication, 89.7% versus 91.5%, p = 0.75). On multiva...Continue Reading
References
Nov 15, 1994·The American Journal of Cardiology·R T TungB J Gersh
Feb 7, 2001·The New England Journal of Medicine·S J ConnollyD M Newman
Jul 24, 2002·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·M MøllerR Wiggers
Sep 1, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kenneth RockwoodArnold Mitnitski
Jun 21, 2006·The American Journal of Cardiology·David BirnieAnthony Tang
Nov 28, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Toru TakiiUNKNOWN MIYAGI-AMI Study Investigators
Oct 6, 2010·Circulation·Jeanne E PooleUNKNOWN REPLACE Registry Investigators
Oct 6, 2011·Anaesthesia and Intensive Care·Z Zhang, H Ni
Oct 26, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Erik O UdoKarel G M Moons
Jan 24, 2014·European Heart Journal Cardiovascular Imaging·Seisyou KouPatrizio Lancellotti
Feb 8, 2014·International Journal of Cardiology·Hiro KawataUlrika Birgersdotter-Green
Nov 30, 2014·International Journal of Surgery·Sherko Abdullah Molah KarimFattah Hama Rahim Fattah
Dec 17, 2014·Medicine·Yu-Sheng LinTien-Hsing Chen
Mar 11, 2015·Transplant International : Official Journal of the European Society for Organ Transplantation·Jamal BamoulidKlemens Budde
Oct 19, 2016·Journal of cardiology·Tetsuo YamaguchiMitsuaki Isobe
Dec 5, 2017·Vascular Health and Risk Management·Ify R MordiChim C Lang
Jan 19, 2018·Gerontology·Jun AidaRichard G Watt
Mar 29, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stefano Benussi, Gijs E de Maat
May 11, 2019·Korean Circulation Journal·Pil Sung YangBoyoung Joung
Aug 6, 2019·Journal of Oncology·Ji-Feng FengXun Yang