Spanish Pacemaker Registry. 10th Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2012)

• Published in: Revista española de cardiología (English ed.) Vol. 66; no. 12; pp. 959 - 972
• Main Authors: Coma Samartín, Raúl, Ruiz Mateas, Francisco, Fidalgo Andrés, María Luisa, Leal del Ojo González, Juan, Pérez Álvarez, Luisa
• Format: Journal Article
• Language: English
• Published: Spain Elsevier Espana 01.12.2013
• Subjects: Adult; Aged; Arrhythmias, Cardiac - diagnosis; Arrhythmias, Cardiac - epidemiology; Arrhythmias, Cardiac - therapy; Biventricular pacing; Brugada Syndrome; Cables marcapasos; Cardiac Conduction System Disease; Cardiac Resynchronization Therapy - methods; Cardiac Resynchronization Therapy - statistics & numerical data; Electrocardiography; Electrodes, Implanted; Equipment Design; Equipment Safety; Estimulación biventricular; Female; Follow-Up Studies; Heart Conduction System - abnormalities; Humans; Incidence; Male; Marcapasos; Middle Aged; Pacemaker; Pacemaker leads; Pacemaker, Artificial - statistics & numerical data; Registries; Registro; Registry; Retreatment - statistics & numerical data; Risk Assessment; Severity of Illness Index; Societies, Medical; Spain; Treatment Outcome; Spain; SSS; CRT; Pacemaker; Biventricular pacing; Registro; Marcapasos; Registry; Cables marcapasos; Pacemaker leads; AVB; Estimulación biventricular; cardiac resynchronization therapy; atrioventricular block; sick sinus syndrome
• ISSN: 1885-5857; 1885-5857
• DOI: 10.1016/j.rec.2013.08.007

Our aim was to analyze the pacemaker implantations and replacements reported to the Spanish Pacemaker Registry in 2012 with special reference to the selection of pacing modes. The analysis was based on information provided by the European Pacemaker Patient Identification Card. Data were received from 115 hospitals, with a total of 12 856 cards. An estimated 745.8 pacemaker generators and 53.1 resynchronization devices were implanted per million population. Active fixation leads were implanted in more than 70% of the patients; of these leads, more than 20% were safe for use with magnetic resonance. The most common electrocardiographic indication for pacemaker implantation was atrioventricular block (56%). In all, 28% of the patients with sick sinus syndrome were paced in VVIR mode. The use of conventional pacemakers remained stable, whereas the implantation of resynchronization devices increased. Active fixation leads are now employed in most patients. The findings of this study confirm the higher incidence of implantation in men and at an earlier age due to the higher rate of conduction disorders. Age is a factor that influences the choice of the appropriate pacing mode. Se describe el análisis de la actividad con implantes y recambios de marcapasos remitidos en 2012 al Registro Español de Marcapasos, con especial referencia a la selección de los modos de estimulación. Se basa en la información que aporta la Tarjeta Europea del Paciente Portador de Marcapasos. Se recibieron datos de 115 centros hospitalarios, con un total de 12.856 tarjetas. Se estima un consumo de generadores convencionales y resincronizadores de 745,8 y 53,1 unidades por millón de habitantes, respectivamente. Se utilizan cables con sistema de fijación activa en más del 70% de los casos, el 20% con protección para resonancia magnética. La indicación electrocardiográfica más frecuente es el bloqueo auriculoventricular (56%). Se estimula en modo VVI/R al 28% de los pacientes con enfermedad del nódulo sinusal. Se estabiliza el uso de marcapasos convencionales y disminuyen los implantes de resincronizadores. El uso del sistema de fijación activa de los cables ya es mayoritario. Se confirma la mayor incidencia de implantes en los varones y a menor edad por mayor frecuencia de trastornos de conducción. La edad influye en la adecuación del modo de estimulación.