Spanish Pacemaker Registry. Ninth official report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2011).
OBJECTIVE
To describe the results of the analysis of pacemaker implantations reported to the Spanish Pacemaker Registry in 2011, with particular reference to the population distribution and the selection of pacing modes.


METHODS
Information provided by the European Pacemaker Patient Identification Card was processed using a purpose-built computer application.


RESULTS
Data from 115 hospitals were analyzed, totaling 13,373 cards, representing an estimated 38% of implantations. The number of pacemaker generators and resynchronization devices implanted was 738 and 56.2 units per million population, respectively. The mean age of the patients who received a device was 76.7 years. Overall, 57.2% of first implantations and 56.5% of replacements were performed in men. Most implantations (38.7%) and generator replacements (41.9%) were performed in patients aged between 80 and 89 years. Of the pacemaker leads used, 99.7% were bipolar and 63% used an active fixation system. Overall, 20% of the patients with atrioventricular block or sick sinus syndrome were paced in VVI/R mode despite being in sinus rhythm.


CONCLUSIONS
With respect to previous years, the use of conventional pacemakers remained stable and the implantation of resynchronization devices has increased. The number of implantation procedures continues to be higher in men and in younger patients. Age and the degree of blockage remain as factors influencing the appropriate choice of pacing mode.
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, España. coma@vitanet.nu
Raúl
R
Coma Samartín
María José
MJ
Sancho-Tello de Carranza
Francisco
F
Ruiz Mateas
Juan
J
Leal del Ojo González
María Luisa
ML
Fidalgo Andrés
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D020878:Device Removal; D004868:Equipment Failure / Q000706:statistics & numerical data; D005260:Female; D019981:Health Care Sector; D006331:Heart Diseases / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data*; D010355:Patient Identification Systems; D012042:Registries; D012737:Sex Factors; D012955:Societies, Medical; D013030:Spain / Q000453:epidemiology; D055815:Young Adult