Spanish Pacemaker Registry. Thirteenth Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2015).
OBJECTIVE
We describe the results of the analysis of the devices implanted and conveyed to the Spanish Pacemaker Registry in 2015.


METHODS
The report is based on the processing of information provided by the European Pacemaker Patient Identification Card.


RESULTS
We received information from 111 hospitals, with a total of 12 555 cards, representing 32.1% of all the estimated activity. The use of conventional generators and resynchronization devices was 820 and 73 units per million population, respectively. The mean age of the patients receiving an implantation was 77.7 years, and more than 50% of the devices were implanted in patients over 80 years of age. Overall, 58.6% of the implants and 58.8% of the replacements were performed in men. All of the endocardial leads employed were bipolar, 81.5% had an active fixation system, and 16.5% were compatible with magnetic resonance. Although dual chamber sequential pacing continues to be more widespread, pacing with VVI/R mode is used because up to 23.8% of the patients with sinus node disease are in sinus rhythm, as are 24.1% of those with atrioventricular block.


CONCLUSIONS
The total use of pacemaker generators in Spain has increased by about 5% with respect to 2014. The majority of the leads implanted are of active fixation, and less than 20% are protected from magnetic resonance. The factors directly related to the selection of pacing mode are age and sex. In around 20% of patients, the choice of the pacing mode could be improved.
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Estimulación, Agencia Pública Empresarial Sanitaria Costa del Sol, Marbella, Málaga, Spain. Electronic address: mpomboj@gmail.com.
Marta
M
Pombo Jiménez
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Óscar
Ó
Cano Pérez
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Electrofisiología y Arritmias, Hospital Universitario de León, León, Spain.
María Luisa
ML
Fidalgo Andrés
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Servicio de Cardiología, Hospital San Pedro, Logroño, La Rioja, Spain.
Diego
D
Lorente Carreño
Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain; Unidad de Cuidados Críticos Cardiológicos, Hospital 12 de Octubre, Madrid, Spain.
Raúl
R
Coma Samartín
D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D058406:Cardiac Resynchronization Therapy; D058409:Cardiac Resynchronization Therapy Devices / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data*; D019919:Prosthesis Implantation / Q000706:statistics & numerical data*; D012042:Registries; D013030:Spain
Cables marcapasos; Dual chamber pacing; Estimulación biventricular; Marcapasos; Pacemaker leads; Pacemakers; Registro; Registry