Impact of pacemaker longevity on expected device replacement rates: Results from computer simulations based on a multicenter registry (ESSENTIAL).

ABSTRACT:

Background

The rate of device replacement in pacemaker recipients has not been investigated in detail.

Hypothesis

Current pacemakers with automatic management of atrial and ventricular pacing output provide sufficient longevity to minimize replacement rate.

Methods

We considered a cohort of 542 pacemaker patients (age 78 ± 9 years, 60% male, 71% de-novo implants) and combined 1-month projected device longevity with survival data and late complication rate in a 3-state Markov model tested in several Monte Carlo computer simulations. Predetermined subgroups were: age < or ≥ 70; gender; primary indication to cardiac pacing.

Results

At the 1-month follow-up the reported projected device longevity was 153 ± 45 months. With these values the proportion of patients exp

SUBMITTER: Boriani G 

PROVIDER: S-EPMC6490086 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature