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[Cardiac pacing in Sicily (author's transl)]
Giornale Italiano Di Cardiologia
|January 1, 1978
Summary
Over 3000 pacemakers implanted in Sicily show low complication rates. Increasing use for sick sinus syndrome and younger patients necessitates improved remote monitoring and public awareness for pacemaker recipients.
Area of Science:
- Cardiology
- Biomedical Engineering
Context:
- The study analyzes pacemaker implantation experiences in Sicily, Italy, involving over 3000 procedures across multiple medical centers.
- Personal experience includes 846 cases from the Cardiology Division in Catania up to June 1977.
Purpose:
- To highlight the increasing incidence of sick sinus syndrome and other conditions requiring definitive electrostimulation.
- To discuss trends in pacemaker implantation, including a lower average patient age and the rise of PM-demand and lithium-powered pacemakers.
- To evaluate the effectiveness and safety of pacemaker implantation techniques and post-operative management.
Summary:
- The cephalic vein remains the most common implantation technique.
- Advances like oscilloscopic evaluation enable more distant patient monitoring.
- Surgical and immediate post-operative mortality rates are very low, with rare bioelectric complications.
Impact:
- Recommends enhanced cooperation with Cardio-surgery Divisions for optimal patient care.
- Advocates for sophisticated remote monitoring techniques, such as telephone controls, to reduce the frequency and improve efficiency of patient follow-ups.
- Calls for updated legislation and public education initiatives to facilitate the social and vocational reintegration of pacemaker patients.