Pacemaker implantation record: a thirteen-year experience

Authors

  • Roberto Casola Hospital MAD
  • Eugenio Casola Crespo
  • Lázaro J. Ramírez Lana
  • Ángel E. Miranda Fragoso
  • Solanch M. Casola García
  • Eugenio P. Casola Barreto

Keywords:

MARCAPASO ARTIFICIAL, ESTIMULACIÓN ELÉCTRICA, ANÁLISIS ESTADÍSTICO.

Abstract

Background: breakthroughs in the design of pacemakers and their simplification in implantation techniques allow the electric stimulation of the heart to be a usual practice in many provincial hospitals.
Objective: to describe the results of permanent pacemaker implantation.
Methods: a retrospective and descriptive review between January, 2002 and 2015 was performed. The universe included 2 590 patients, who had their permanent pacemakers implanted or changed at Manuel Ascunce Domenech Hospital. The information obtained was processed with SPSS-19.0 statistical program for Windows and descriptive statistic with frequency distribution and percentage. The results of the review were shown in tables and graphs.
Results: 2 590 patients underwent the procedure (first implantation 71, 5 % and reimplantation 28, 5 %). Age range fluctuated between 14 and 102 years, with an age average of 74, 6. The dissection of the cephalic vein (1905 electrodes- 90, 1 %) was the predominant approach to introduce the electrode. Syncope in 969 (52, 3 %) of the cases, atrioventricular block in 1 219 (65, 8 %), and the possible fibrosis of the heart´s conducting system in 897 (48, 4 %) were the main causes of the implantation. VVI stimulation mode was used in 1 714 patients (72, 3 %) and DDD in 384 (14, 8 %). The main cause of the device reimplantation was dead batteries in 692 cases (93, 9 %). Complications related to the procedure arose in 124 patients (4, 8 %)
Conclusions: consumption of pacemakers estimated per million inhabitants in the province of Camaguey should be increased along with DDD pacing mode. The implantation is safe in this province.
DeCS: PACEMAKER, ARTIFICIAL; ELECTRIC STIMULATION; STATISTICAL ANALYSIS; QUALITY OF LIFE; EPIDEMIOLOGY, DESCRIPTIVE.

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Author Biography

Roberto Casola, Hospital MAD

Especialista de segundo grado en Cardiología

Máster en Urgencias Médicas

Profesor Auxiliar

Aspirante a Doctor en Ciencias Médicas

Jefe provincial de Camagüey en arritmias y marcapasos.

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Published

2016-04-26

How to Cite

1.
Casola R, Casola Crespo E, Ramírez Lana LJ, Miranda Fragoso Ángel E, Casola García SM, Casola Barreto EP. Pacemaker implantation record: a thirteen-year experience. Arch méd Camagüey [Internet]. 2016 Apr. 26 [cited 2025 Sep. 29];20(2):135-44. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4180

Issue

Vol. 20 No. 2 (2016)

Section

Original Articles

License

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