Long-Term Implications of Pacemaker Insertion in Younger Adults: A Single Centre Experience

Area of Science:

• Cardiology
• Medical Devices
• Electrophysiology

Background:

• Long-term outcomes of pacemaker implantation in younger adults are not well-documented.
• This study addresses the limited literature on pacemaker use in patients aged 18-50.

Purpose of the Study:

• To evaluate the long-term implications of pacemaker insertion in younger adults.
• To identify risks and complications associated with pacemakers in this demographic.

Main Methods:

• Retrospective analysis of 81 patients (18-50 years) who received pacemakers between 1986-2020.
• Exclusion of defibrillators and cardiac resynchronization therapy devices.
• Review of clinical records, pacemaker checks, and echocardiograms for long-term follow-up.

Main Results:

• 11% of patients experienced late device-related complications (malfunction, infection).
• 17% showed ventricular function decline, with 11% requiring biventricular upgrade.
• 5% developed new tricuspid regurgitation; 19% had minimal pacemaker utilization.

Conclusions:

• Pacemaker insertion in younger adults has substantial long-term consequences.
• Risks include device complications, under-utilization, and lead longevity issues.
• Close patient follow-up is crucial for detecting structural abnormalities and arrhythmias.