Related Experiment Video
Updated: Apr 17, 2026

Translational Rabbit Model of Chronic Cardiac Pacing
Published on: January 6, 2023
Pace maker implantation for elderly individuals over 90 years old
Eika Shiheido1, Yasuyuki Shimada1
1Department of Cardiovascular Surgery, Yuri-Kumiai General Hospital, Japan.
Objective:
The aim of this report was to discuss validity of pacemaker surgery for elderly individuals over 90 years old.
Patient:
We operated on 12 individuals over 90 years old who had syncope or congestive heart failure in association with bradycardia, between January 2005 and November 2012.
Methods:
All 12 patients were referred to us by the cardiology department of our hospital for pacemaker surgery. We applied our routine technique: cutdown of the cephalic vein, creation of a subpectoral pocket, use of screw-in leads, and use of generators with an automatic output control system.
Results:
All of the patients received a dual chamber system with atrial and ventricular leads and recovered uneventfully. The follow-up period was between 1 month and 7 years.
Conclusion:
An advanced age over 90 years old is not a contraindication for pacemaker surgery.
Related Concept Videos
Cardiomyopathy V: Interprofessional Care
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Decreased pulse rate
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
Pharmacodynamics in Geriatric Patients: Effects of Age
Drug Dosing: Geriatric Patients
Cardiomyopathy III: Hypertrophic Cardiomyopathy

