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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
PubMed
Summary
This summary is machine-generated.

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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.

Related Experiment Videos

  • 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.