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Temporal trends in permanent pacemaker implantation: a population-based study.

Daniel Z Uslan¹, Imad M Tleyjeh, Larry M Baddour

¹Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA. duslan@mednet.ucla.edu

American Heart Journal

|April 29, 2008

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Permanent pacemaker (PPM) implantation incidence significantly increased over 30 years. PPM recipients also showed a rise in comorbidities, independent of age, particularly in the last 15 years.

Area of Science:

Cardiology
Epidemiology
Medical Devices

Background:

Limited data exist on temporal trends in permanent pacemaker (PPM) implantation.
Understanding these trends is crucial for healthcare planning and resource allocation.

Purpose of the Study:

To describe trends in the incidence of PPM implantation over a 30-year period.
To assess changes in comorbidities among PPM recipients.

Main Methods:

Retrospective population-based cohort study of 1291 adult residents in Olmsted County, Minnesota (1975-2004).
Analysis of PPM implantation incidence, pacing modes, indications, and comorbidities using the Charlson Comorbidity Index (CCI).
Comparison of PPM recipients with age- and sex-matched PPM-free controls.

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Main Results:

Adjusted PPM implantation incidence rose from 36.6 to 99 per 100,000 person-years between 1975-1979 and 2000-2004 (P < .0001).
PPM recipients exhibited a higher CCI than controls (P = .04), with a notable increase in mean CCI since 1990.
Age-adjusted mean CCI increased from 3.15 to 4.60 in PPM recipients (P < .0001).

Conclusions:

Significant increases in PPM implantation incidence observed over three decades.
PPM recipients experienced an age-independent increase in comorbidities, particularly in the last 15 years.
Findings highlight evolving patient profiles and comorbidity burdens in pacemaker recipients.