PMID: 8967017Aug 1, 1996Paper

Trends in indications for permanent cardiac pacing therapy at the Cardiac Pacing Center in Eastern Slovakia 1978-1994

Vnitr̆ní lékar̆ství
B StancákJ Sedlák

Abstract

At the Third Medical Clinic, which acts as a cardiostimulation centre for the eastern Slovak area, in 1978 to 1994 1 581 primary implantations and 996 reimplantations of pacemakers were made. In the group of primary implantations the mean age of patients was 70.7 +/- 10.9 years, the male/female ratio was 850/731. In the group of reimplantations the mean age was 71.3 +/- 11.6 years, incl. 483 men and 513 women. There is an almost linear rise of primoimplantations. In the group of reimplantations we can observe a two-peak shape of the curve with a maximum in 1986 and in 1990. While in 1978 atrioventricular block grade III accounted for almost 90% indications for primary implantations, during subsequent years its ratio declined gradually and at present it has reached a steady level of 30-40%. The second most frequent dysrhythmia in the group is dysfunction of the sinoatrial node which in 1978 accounted for 6% of the indications, while in 1994 it accounts for 28% of the primary implantations. In 1978 only non-programmable pacemakers VVI/V00 were implanted. In 1989 on a wider scale multiprogrammable ventricular single electrode systems VVIM were introduced which in 1994 accounted for 58% of the implanted pacemakers. Stimulation with...Continue Reading

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