title: Pacemaker implantation complication rates in elderly and young patients.
abstract: OBJECTIVE
  To evaluate the complication rate differences between elderly and younger patients who receive a permanent pacemaker implantation.
  
  
  METHODS
  We reviewed all cases admitted to our institution between January 2008 and June 2009 with symptomatic bradyarrhythmia for whom a permanent pacemaker was implanted. Beginning in June 2009, we prospectively collected data from all patients with the same diagnosis and procedure. The frequency of complications due to the pacemaker implantation procedure was evaluated and compared between young (<70 years old) and elderly (≥70 years old) patients.
  
  
  RESULTS
  Among 574 patients with a permanent pacemaker, 259 patients (45.1%) were below and 315 patients (54.9%) were above or at 70 years of age. There were 240 (92.7%) and 19 (7.3%) dual-chamber pacemaker (DDD) and single-chamber pacemaker (VVI) implanted patients in the younger group, and 291 (76.8%) and 73 (23.2%) DDD and VVI pacemaker implanted patients in the elderly group, respectively. The complication rate was 39 (15.1%) out of 259 young patients and 24 (7.6%) out of 315 elderly patients. Postprocedural complications were statistically lower in the elderly patients than in younger patients (P = 0.005).
  
  
  CONCLUSIONS
  A pacemaker implantation performed by an experienced operator is a safe procedure for patients of advanced age. The patients who are above 70 years old may have less complication rates than the younger patients.
authors: Department of Cardiology, siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey. serhandr@gmail.com
authors: Kazım Serhan
authors: KS
authors: Ozcan
authors: Damirbek
authors: D
authors: Osmonov
authors: Servet
authors: S
authors: Altay
authors: Cevdet
authors: C
authors: Dönmez
authors: Ersin
authors: E
authors: Yıldırım
authors: Ceyhan
authors: C
authors: Türkkan
authors: Barış
authors: B
authors: Güngör
authors: Ahmet
authors: A
authors: Ekmekçi
authors: Ahmet Taha
authors: AT
authors: Alper
authors: Kadir
authors: K
authors: Gürkan
authors: Izzet
authors: I
authors: Erdinler
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000009:adverse effects*; D014421:Turkey / Q000453:epidemiology
keywords: complications of pacemaker implantation; elderly patients; permanent pacemaker
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