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Title: Indications and Frequency Rate of Permanent Pacemaker Implantation in Elderly Patients
Authors: Talia Mansoor, Muhammad Akif Durrani, Roomana Khuwaja Khail, Hameedullah, Zahid Aslam Awan
Journal: Indus Journal of Bioscience Research (IJBR)
| Category | From | To |
|---|---|---|
| Y | 2024-10-01 | 2025-12-31 |
Publisher: Indus Education and Research Network
Country: Pakistan
Year: 2024
Volume: 2
Issue: 2
Language: English
Keywords: Atrioventricular blockComplete heart blockCardiac PacemakerSinus Node Disease
Background: Permanent pacemaker has become essential for the treatment of various cardiac diseases nowadays. The process is carried out regularly at the Cardiac Catheterization Laboratory of Hayatabad Medical Complex, Peshawar.
Objective: The purpose of the study was to determine the demographic details, indications, and type of permanent pacemaker implanted in elderly population.
Methods: This was a single-center, prospective study conducted in at Hayatabad Medical Complex, Peshawar from March 2023 to August 2023. During these six months, a total of 218 Patients were included in the study who were regular in their visits to outpatient clinic and had given a written informed permission for participation. Those who did not give a written informed consent for participation were excluded from the study.
Results: Total 218 patients with mean age of 63.4 years range (43-88) undergone Permanent Pacemaker Implantation. Of these 130 (60%) were males. The mean duration of hospital stay was 4.5 days with range (3-7 days). Sinus Node Disease (115 patients, 52.75%) was the most common indication for permanent pacemaker Implantation. Single chamber (VVIR) pacing mode (123 patients, 56.42%) was found to be the most common pacing mode.
Conclusion: Permanent pacemaker implantation has been observed to be common among the elderly population, with a male majority. The most frequent reason for cardiac pacing in older people is sinus node disease, which is followed by atrioventricular block. In Pakistan, due to financial constraints, the single chamber (VVIR) pacing mode is frequently used, followed by the dual chamber (DDDR).
To determine the demographic details, indications, and type of permanent pacemaker implanted in the elderly population.
A single-center, prospective study conducted at Hayatabad Medical Complex, Peshawar, from March 2023 to August 2023. A total of 218 patients who provided written informed consent were included.
graph TD;
A[Study Design: Single-center, prospective] --> B[Patient Recruitment: 218 patients with informed consent];
B --> C[Data Collection: Demographics, indications, pacing modes];
C --> D[Data Analysis: Frequency rates, statistical comparison];
D --> E[Conclusion: Findings on indications, demographics, and pacing modes];
The study highlights that permanent pacemaker implantation is common in the elderly population, with a male predominance. Sinus node disease and atrioventricular block are the primary reasons for cardiac pacing in this age group. The frequent use of single-chamber VVIR pacing in Pakistan is attributed to financial constraints, contrasting with trends in developed countries where pacemakers are also used to improve quality of life. The study also notes a short average hospital stay, suggesting minimal complications.
- A total of 218 patients with a mean age of 63.4 years (range 43-88) underwent Permanent Pacemaker Implantation.
- 130 (60%) of the patients were males.
- The mean duration of hospital stay was 4.5 days (range 3-7 days).
- Sinus Node Disease (115 patients, 52.75%) was the most common indication for permanent pacemaker implantation.
- Single chamber (VVIR) pacing mode (123 patients, 56.42%) was the most common pacing mode.
A significant majority of permanent pacemakers are implanted in the elderly population, with a male predominance. Sinus node disease and AV block are the most common indications. VVIR is the most frequently used pacing mode in Pakistan due to financial reasons.
- The study included 218 patients. (Confirmed in Results section)
- Sinus Node Disease was the indication for 115 patients (52.75%). (Confirmed in Results section, Table 3)
- VVIR pacing mode was used in 117 patients (53.66%). (Confirmed in Results section, Table 4)
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