Pacemaker Use in New Zealand - Data From the New Zealand Implanted Cardiac Device Registry (ANZACS-QI 15)

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• 作者：P.D. Larsen ; PhD^a ; ^{peter.larsen@otago.ac.nz} ; A.J. Kerr ; MBChB ; FRACP^b ; M. Hood ; MBChB ; FRACP^c ; S.A. Harding ; MBChB ; FRACP^d ; D. Hooks ; MBChB ; PhD ; FRACP^d ; D. Heaven ; MBChB ; FRACP^b ; N.A. Lever ; MBChB ; FRACP^c ; S. Sinclair ; BApplSci^c ; D. Boddington ; MBChB ; FCP ; FRACP^e ; E.W. Tang ; MBChB ; FRACP^f ; J. Swampillai ; MBBS ; MD ; FRACP^g ; M.K. Stiles ; MBChB ; PhD ; FRACP^g ; On behalf of the ANZACS-QI investigators
• 关键词：Cardiac pacemakers ; Pacemaker leads ; Registry
• 刊名：Heart, Lung and Circulation
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：26
• 期：3
• 页码：235-239
• 全文大小：233 K
• 卷排序：26

文摘

The New Zealand Cardiac Implanted Device Registry (Device) has recently been developed under the auspices of the New Zealand Branch of the Cardiac Society of Australia and New Zealand. This study describes the initial Device registry cohort of patients receiving a new pacemaker, their indications for pacing and their perioperative complications.MethodsThe Device Registry was used to audit patients receiving a first pacemaker between 1st January 2014 and 1st June 2015.ResultsWe examined 1611 patients undergoing first pacemaker implantation. Patients were predominantly male (59%), and had a median age of 70 years. The most common symptom for pacemaker implantation was syncope (39%), followed by dizziness (30%) and dyspnoea (12%). The most common aetiology for a pacemaker was a conduction tissue disorder (35%), followed by sinus node dysfunction (22%). Atrioventricular (AV) block was the most common ECG abnormality, present in 44%. Dual chamber pacemakers were most common (62%), followed by single chamber ventricular pacemakers (34%), and cardiac resynchronisation therapy – pacemakers (CRT-P) (2%). Complications within 24 hours of the implant procedure were reported in 64 patients (3.9%), none of which were fatal. The most common complication was the need for reoperation to manipulate a lead, occurring in 23 patients (1.4%).ConclusionThis is the first description of data entered into the Device registry. Patients receiving a pacemaker were younger than in European registries, and there was a low use of CRT-P devices compared to international rates. Complications rates were low and compare favourably to available international data.