Spanish pacemaker registry. 10th official report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2012).
OBJECTIVE
Our aim was to analyze the pacemaker implantations and replacements reported to the Spanish Pacemaker Registry in 2012 with special reference to the selection of pacing modes.


METHODS
The analysis was based on information provided by the European Pacemaker Patient Identification Card.


RESULTS
Data were received from 115 hospitals, with a total of 12 856 cards. An estimated 745.8 pacemaker generators and 53.1 resynchronization devices were implanted per million population. Active fixation leads were implanted in more than 70% of the patients; of these leads, more than 20% were safe for use with magnetic resonance. The most common electrocardiographic indication for pacemaker implantation was atrioventricular block (56%). In all, 28% of the patients with sick sinus syndrome were paced in VVIR mode.


CONCLUSIONS
The use of conventional pacemakers remained stable, whereas the implantation of resynchronization devices increased. Active fixation leads are now employed in most patients. The findings of this study confirm the higher incidence of implantation in men and at an earlier age due to the higher rate of conduction disorders. Age is a factor that influences the choice of the appropriate pacing mode.
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Servicio de Cardiología, Hospital 12 de Octubre, Madrid, Spain. Electronic address: coma@vitanet.nu.
Raúl
R
Coma Samartín
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Estimulación Cardiaca, Área de Cardiología, Hospital Costa del Sol, Marbella, Málaga, Spain.
Francisco
F
Ruiz Mateas
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Servicio de Cardiología, Complejo Hospitalario de León, León, Spain.
María Luisa
ML
Fidalgo Andrés
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Servicio de Cardiología, Hospital Nuestra Señora de Valme, Sevilla, Spain.
Juan
J
Leal del Ojo González
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Servicio de Cardiología, Hospital Juan Canalejo, A Coruña, Spain.
Luisa
L
Pérez Álvarez
D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D053840:Brugada Syndrome; D000075224:Cardiac Conduction System Disease; D058406:Cardiac Resynchronization Therapy / Q000379:methods / Q000706:statistics & numerical data*; D004562:Electrocardiography; D004567:Electrodes, Implanted; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006329:Heart Conduction System / Q000002:abnormalities*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data*; D012042:Registries; D019233:Retreatment / Q000706:statistics & numerical data; D018570:Risk Assessment; D012720:Severity of Illness Index; D012955:Societies, Medical; D013030:Spain; D016896:Treatment Outcome
AVB; Biventricular pacing; CRT; Cables marcapasos; Estimulación biventricular; Marcapasos; Pacemaker; Pacemaker leads; Registro; Registry; SSS; atrioventricular block; cardiac resynchronization therapy; sick sinus syndrome