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Pacemaker implantation complication rates in elderly and young patients
Kazım Serhan Ozcan1, Damirbek Osmonov, Servet Altay
1Department of Cardiology, siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey. serhandr@gmail.com
Clinical Interventions in Aging
|August 23, 2013
Summary
Elderly patients (≥70 years) receiving a permanent pacemaker implantation had fewer complications than younger patients. Pacemaker procedures are safe for older adults, with lower complication rates observed in this age group.
Area of Science:
- Cardiology
- Geriatric Medicine
- Medical Device Technology
Background:
- Permanent pacemaker implantation is a common procedure for symptomatic bradyarrhythmia.
- Patient age is a potential factor influencing procedural complication rates.
- Understanding age-related differences in pacemaker implantation outcomes is crucial for clinical practice.
Purpose of the Study:
- To compare the complication rates of permanent pacemaker implantation between elderly (≥70 years) and younger (<70 years) patients.
- To evaluate the safety and efficacy of pacemaker procedures across different age demographics.
Main Methods:
- Retrospective review of cases from January 2008 to June 2009, followed by prospective data collection from June 2009 onwards.
- Inclusion criteria: symptomatic bradyarrhythmia requiring permanent pacemaker implantation.
- Comparison of postprocedural complication frequencies between two age groups: <70 years and ≥70 years.
Main Results:
- A total of 574 patients underwent permanent pacemaker implantation; 259 were younger and 315 were elderly.
- The overall complication rate was 15.1% in younger patients versus 7.6% in elderly patients.
- Complications were statistically significantly lower in the elderly group (P = 0.005).
Conclusions:
- Permanent pacemaker implantation is a safe procedure for elderly patients, particularly when performed by experienced operators.
- Patients aged 70 years and older demonstrate a lower incidence of complications compared to their younger counterparts.
- Age should not be a deterrent for pacemaker implantation in patients with symptomatic bradyarrhythmia.
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