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Permanent pacemakers in centenarians
J L Cobler1, T Akiyama, G W Murphy
1University of Rochester School of Medicine, Department of Medicine, New York.
Journal of the American Geriatrics Society
|August 1, 1989
Summary
Permanent pacemakers effectively treat syncope and improve quality of life in centenarians. These elderly patients rarely have underlying ischemic heart disease, suggesting age-related conduction issues are the primary cause.
Area of Science:
- Cardiology
- Geriatrics
Background:
- Centenarians represent a rapidly growing demographic.
- Age-related changes in cardiac conduction systems are common in the elderly.
Observation:
- Six centenarians with bradycardia-related symptoms received permanent pacemakers.
- Symptoms included syncope, presyncope, dyspnea, and transient cerebral ischemic attacks.
Findings:
- All patients experienced prompt symptom resolution post-pacemaker implantation.
- Most patients reported improved quality of life, including enhanced lifestyle and independence.
- Ischemic heart disease or cardiac failure were not observed as underlying pathologies.
Implications:
- Pacemaker implantation is a safe and effective intervention for centenarians with conduction system disease.
- The number of elderly patients requiring pacemakers is projected to increase due to longevity.
- Degenerative changes in the sinus node and conduction system are key indications for pacemakers in this age group.