title: Spanish Pacemaker Registry. Seventh official report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2009).
abstract: OBJECTIVE
  This article describes the finding of an analysis of all pacemaker implants reported to the Spanish Pacemaker Registry in 2009. Particular attention is paid to patients' demographic characteristics and to the pacing modes selected for various electrocardiographic indications.
  
  
  METHODS
  The information provided by the European Pacemaker Identification Card was analyzed using a specially developed computer program.
  
  
  RESULTS
  Data were received from 106 centers, covering a total of 11,939 cards and corresponding to 35% of all pacemakers implanted. The average age of patients receiving pacemakers was 76.6 years. Overall, 58.4% of pacemakers were implanted in men. The largest number of electrocardiographic indications for a pacemaker was for third-degree atrioventricular block, which comprised 56% of all atrioventricular blocks. The VVIR pacing mode was used for 24.0% of patients with sick sinus syndrome and 23.5% with atrioventricular block. Over 50% of leads employed an active fixation system, and 65% were placed in the atrium.
  
  
  CONCLUSIONS
  The trend of increasing pacemaker use continued in 2009, reaching 729 units per million population. Pacemaker implantation was more frequent in males, who received them at a slightly younger age than women. Age was a more significant determinant of inappropriate pacing mode selection than electrocardiographic abnormalities. Active fixation of pacemaker leads was used in more than 50% of cases.
authors.affiliation: Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, España. coma@vitanet.nu
authors.forename: Raúl
authors.initials: R
authors.lastname: Coma Samartín
authors.forename: María José
authors.initials: MJ
authors.lastname: Sancho-Tello de Carranza
authors.forename: Francisco
authors.initials: F
authors.lastname: Ruiz Mateas
authors.forename: Juan
authors.initials: J
authors.lastname: Leal Del Ojo González
authors.forename: M Luisa
authors.initials: ML
authors.lastname: Fidalgo Andrés
mesh_terms: D000367:Age Factors; D000368:Aged; D054537:Atrioventricular Block / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D004566:Electrodes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data*; D012042:Registries; D012737:Sex Factors; D012804:Sick Sinus Syndrome / Q000628:therapy; D013030:Spain / Q000453:epidemiology