Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2015;68:1138-53 - Vol. 68 Num.12 DOI: 10.1016/j.rec.2015.08.013

Spanish Pacemaker Registry. Twelfth Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2014)

Óscar Cano Pérez a,b,, Marta Pombo Jiménez a,c, Raúl Coma Samartín a,d

a Sección de Estimulación Cardiaca, Sociedad Española de Cardiología, Madrid, Spain
b Unidad de Electrofisiología y Arritmias, Hospital Universitari i Politècnic La Fe, Valencia, Spain
c Unidad de Estimulación Cardiaca, Hospital Costal de Sol, Marbella, Málaga, Spain
d Unidad de Cuidados Críticos Cardiológicos, Hospital 12 de Octubre, Madrid, Spain

Refers to

Keywords

Pacemaker. Pacemaker leads. Biventricular pacing. Registry.

Abstract

Introduction and objectives

This report describes the results of the analysis of pacemaker implant and replacement data submitted to the Spanish Pacemaker Registry in 2014, with special reference to pacing mode selection.

Methods

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

Results

Information was received from 117 hospitals, with a total of 12 358 cards, representing 34% of estimated activity. Use of conventional generators and resynchronization devices was 784 and 64.4 units per million population, respectively. The mean age of patients receiving an implant was 77.3 years. Men received 59% of implants and 56.4% of replacements. Most patients receiving generator implants and replacements were in the age range 80 to 89 years. Most endocardial leads used were bipolar, and 84.2% had an active fixation system. Pacing was in VVI/R mode despite being in sinus rhythm in 24.7% of patients with sick sinus syndrome and 24% of those with atrioventricular block.

Conclusions

The use of pacemaker generators and resynchronization devices per million population continued to increase. Most implanted leads had active fixation and approximately 20% had magnetic resonance imaging protection. Age and sex directly influenced pacing mode selection, which could have been improved in more than 20% of cases.

1885-5857/© 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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