- Email: [email protected]
WAITING FOR A PACEMAKER - IS IT DANGEROUS?
E83 JACC April 5, 2011 Volume 57, Issue 14
CARDIAC ARRHYTHMIAS WAITING FOR A PACEMAKER - IS IT DANGEROUS? ACC Poster Contributions Ernest N. Morial Convention Center, Hall F Sunday, April 03, 2011, 3:30 p.m.-4:45 p.m.
Session Title: Public Health Topics in Cardiac Pacing Abstract Category: 28. Cardiac Pacing Session-Poster Board Number: 1058-391 Authors: Bjarke Risgaard, Dept. of Medicin, Slagelse, Denmark, Slagelse, Denmark Aim: To determine waiting time-related morbidity and adverse events in non-elective patients waiting for a permanent pacemaker (PPM). Methods: Retrospective chart review of all PPM-implantations in Region Sjaelland, Denmark in 2009. 550 patients were identified. Patients elective planned for PPM-implantation were subsequent excluded if discharged from hospital in waiting time or referred from outpatient department. We recorded date and time of hospitalization, PPM indication and implantation, as we followed patients for adverse events, in the period from PPM indication to implantation. Results: 263 patients required urgently PPM and waited mean 5.1 days from PPM indication to implantation. 4.5 days were caused by capacity problems only. 10,6 got an infection while waiting, primarily urinary tract infections. 18.3% received isoprenaline and 11.4% had a temporary transvenous pacing catheter (TTP) applied acute. 4.6% had non-sustained ventricular takykardia and 2.7% had clinical cardiac arrest with successful resuscitation. Conclusions: Patients awaited non-elective PPM implant for a mean of 5.1 days. Overall 13,7% of patients experienced at least one serious adverse events (infection, malignant arrhythmias, cardiac arrest) in the waiting time. Our study shows that waiting for a PPM is dangerous and subacute PPM should be implantated with no or short wainting time.
CARDIAC ARRHYTHMIAS WAITING FOR A PACEMAKER - IS IT DANGEROUS? ACC Poster Contributions Ernest N. Morial Convention Center, Hall F Sunday, April 03, 2011, 3:30 p.m.-4:45 p.m.
Session Title: Public Health Topics in Cardiac Pacing Abstract Category: 28. Cardiac Pacing Session-Poster Board Number: 1058-391 Authors: Bjarke Risgaard, Dept. of Medicin, Slagelse, Denmark, Slagelse, Denmark Aim: To determine waiting time-related morbidity and adverse events in non-elective patients waiting for a permanent pacemaker (PPM). Methods: Retrospective chart review of all PPM-implantations in Region Sjaelland, Denmark in 2009. 550 patients were identified. Patients elective planned for PPM-implantation were subsequent excluded if discharged from hospital in waiting time or referred from outpatient department. We recorded date and time of hospitalization, PPM indication and implantation, as we followed patients for adverse events, in the period from PPM indication to implantation. Results: 263 patients required urgently PPM and waited mean 5.1 days from PPM indication to implantation. 4.5 days were caused by capacity problems only. 10,6 got an infection while waiting, primarily urinary tract infections. 18.3% received isoprenaline and 11.4% had a temporary transvenous pacing catheter (TTP) applied acute. 4.6% had non-sustained ventricular takykardia and 2.7% had clinical cardiac arrest with successful resuscitation. Conclusions: Patients awaited non-elective PPM implant for a mean of 5.1 days. Overall 13,7% of patients experienced at least one serious adverse events (infection, malignant arrhythmias, cardiac arrest) in the waiting time. Our study shows that waiting for a PPM is dangerous and subacute PPM should be implantated with no or short wainting time.