title: Spanish Pacemaker Registry. Eleventh official report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2013).
abstract: OBJECTIVE
  The present report summarizes the analysis of pacemaker implantation and replacement data sent to the Spanish Pacemaker Registry in 2013, with specific discussion of pacing mode selection.
  
  
  METHODS
  This study was based on information obtained from the European Pacemaker Patient Identification Card.
  
  
  RESULTS
  Information was received on 118 hospital centers, with a total of 12 831 cards, or 35% of the estimated activity. There were 755 and 58.1 conventional and resynchronization devices per million population, respectively. The mean age of patients receiving an implant was 77.4 years. Men received 59.5% of first implantations and 56.6% of replacements. Most implantations and generator replacements were performed in patients older than 80 years. Almost all endocardial leads used were bipolar, and 78.7% of leads had an active fixation mechanism. Despite being in sinus rhythm, 24% of patients with sick sinus syndrome and 25% of those with atrioventricular block were paced in VVIR mode.
  
  
  CONCLUSIONS
  The use of pacemaker generators and resynchronization devices per million population continues to increase in Spain. Active fixation mechanisms predominate for leads but just 20% of leads are compatible with magnetic resonance imaging. The factors influencing the correct selection of pacing mode were age and, to a lesser extent, the type of atrioventricular block, and sex. Implementation of home monitoring of pacemakers remains low.
authors.affiliation: Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Cuidados Críticos Cardiológicos, Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address: coma@vitanet.nu.
authors.forename: Raúl
authors.initials: R
authors.lastname: Coma Samartín
authors.affiliation: Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
authors.forename: Óscar
authors.initials: Ó
authors.lastname: Cano Pérez
authors.affiliation: Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Estimulación Cardiaca, Hospital Costal de Sol, Marbella, Málaga, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Pombo Jiménez
mesh_terms: D000368:Aged; D001145:Arrhythmias, Cardiac / Q000628:therapy; D054537:Atrioventricular Block / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects / Q000706:statistics & numerical data*; D058406:Cardiac Resynchronization Therapy / Q000009:adverse effects / Q000706:statistics & numerical data; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data; D012042:Registries / Q000706:statistics & numerical data; D012955:Societies, Medical; D013030:Spain / Q000453:epidemiology
keywords: Biventricular pacing; Cables marcapasos; Estimulación biventricular; Marcapasos; Pacemaker leads; Pacemakers; Registro; Registry