Behavior of cardiac pacing in the municipality of Sagua la Grande from 2005 to 2011
Abstract
Introduction: Permanent pacemaker implantation is increasingly necessary to achieve a reduction in morbidity and mortality due to cardiovascular disease.
Objective: This paper was devised in order to describe the behavior of pacemaker implantation in the municipality of Sagua la Grande.
Method: A descriptive, longitudinal, prospective and retrospective study was conducted in a group of patients who underwent pacemaker implantation at the Mártires del 9 de abril Hospital in Sagua la Grande, Villa Clara, Cuba, from 2005 to 2011.
Results: 151 pacemakers were implanted, of which 134 were primary implantations and 19 were reused. In the sample, 59.6% of patients were male, 94% of patients were older than 65 years, and 53% of the implants were performed on an outpatient basis. The most commonly used route was the cephalic vein, which covered 58.3% of the performed procedures. The most common cause was atrioventricular block, in 51% of cases, and the most common complication was the displacement of the elec-trode, which was diagnosed in 3.3% of patients.
Conclusions: The patients were mostly elderly, by far (15:1); more pacemakers were implanted in men than in women (1.5:1); the cephalic vein was the most commonly used route (2:1 compared with the subclavian vein). The main cause for implantation was atrioventricular block. The most common complication was the displacement of the electrode and the procedure could be performed on an outpatient basis without increasing the risk.
Downloads
References
1. Elmqvist R, Senning A. Implantable pacemaker for the heart. In: Smyth CN, editor. Medical electro-nics. Proceedings of the 2nd International Con-ference on Medical Electronics. London: Iliffe & Sons; 1960.
2. About Arne Larsson. [Internet]. [citado 30 Ene 2013];[aprox. 2 p.]. Disponible en:
http://www.facebook.com/pages/Arne-Larsson/414487988599129#
3. Lamas GA, Lee KL, Sweeney MO, Silverman R, Leon A, Yee R, et al. Ventricular pacing or dual chamber pacing for sinus-node dysfunction. N Engl J Med. 2002;436(24):1854-62.
4. Abraham WT, Fisher WG, Smith AL, Delurgio DB, Leon AR, Loh E, et al. Randomized controlled trial of cardiac resynchronization in chronic heart failure. N Engl J Med. 2002;346(24):1845-53.
5. Rizo-Rivera GO, Carmona R, Chávez E, Pérez D, Ramírez JI, Cruz JM, et al. Variación del umbral crónico de captura ventricular en pacientes con marcapasos permanentes. Rev Fed Arg Cardiol. 2012;41(1):36-42.
6. Coma Sanmartín R, Sancho-Tello de Carranza MJ, Ruiz Mateas F, Leal del Ojo González J, Fidalgo Andrés ML. Registro español de marcapasos. VIII Informe Oficial de la Sección de Estimulación Car-díaca de la Sociedad Española de Cardiología (2010). Rev Esp Cardiol. 2011;64(12):1154-67.
7. Santos Monzón Y, Rodríguez León A, Ramos Ramí-rez RR, Padrón Peña G, Carmona Puerta R. Resulta-dos de la estimulación cardíaca en Villa Clara en el período 2004-2006. CorSalud [Internet]. 2010 [citado 10 Abr 2011];2(2):[aprox. 6 p.]. Disponible en: http://bvs.sld.cu/revistas/cors/sumario/2010/v2n2a10/estimulacion.htm
8. Francis J, Anilkumar R, Mond H. Reuse of explanted
pacemakers: An option for economically under-privileged patients in developing countries. Indian Pacing Electrophysiol J. 2007;7(4):192-4.
9. Coll Muñoz Y, Viera González B. Comportamiento de la estimulación cardiaca en Cienfuegos durante el quinquenio 2005-2009. Medisur [Internet]. 2011 [citado 3 Feb 2013];9(1):[aprox. 4 p.]. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/viewArticle/1300
10.Danish pacemaker and ICD register. Pacing Clin Electrophysiol. 1999. 2000;23(10 Pt 2):S1-93.
11.Santos Monzón Y, Rodríguez León A, Martínez Espi-nosa C, Ramírez Gómez JI. Estimulación eléctrica, experiencia en Villa Clara. [Internet]. [citado 3 Feb 2013];[aprox. 21 p.]. Disponible en:
12.Olaskoaga FZ. Informe del registro MAMI (base de datos de marcapasos definitivos en Medicina Intensiva) 1996-2003. Med Intensiva. 2005;29(5): 265-71.
13.Kantharia BK, Patel SS, Kulkarni G, Shah AN, Lok-handwala Y, Mascarenhas E, et al. Reuse of explan-ted permanent pacemakers donated by funeral homes. Am J Cardiol. 2011; 109(2):238-40.
14.Rosengarten M, Chiu R, Hoffman R. A prospective trial of new versus refurbished cardiac pacemakers: a Canadian experience. Can J Cardiol. 1989;5(3): 155-60.
15.Orjuela A, Vanegas DI, Montenegro J. Experiencia en implante de dispositivos de estimulación cardía-ca. Rev Colomb Cardiol. 2006;12(6):438-42.
16.Braunwald E, Bonow RO, Zipes D, Libby P. Marcapa-sos y desfibriladores cardiacos. En: Heart disease: a textbook of cardiovascular medicine. 7th ed. Espa-ña: Elsevier; 2006. p. 781.
17.Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter-defi-brillators: Calendar year 2009 — a World Society of Arrhythmia's project. Pacing Clin Electrophysiol. 2011;34(8):1013-27.
18.Vogler J, Breithardt G, Eckardt L. Bradiarritmias y bloqueos de la conducción. Rev Esp Cardiol. 2012; 65(7):656-67.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
