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. 2023 Dec 8:10:1248145.
doi: 10.3389/fcvm.2023.1248145. eCollection 2023.

Clinical characteristics and mortality in all Czech patients after pacemaker implantation in the last decade

Miloš Táborský  1 , Tomáš Skála  1 , Ladislav Dušek  2 , Josef Kautzner  3 , Renata Aiglová  1 , Marián Fedorco  1 , Jiří Jarkovský  2   4 , Klára Benešová  2   4 , Petra Májková  4
Affiliations

Clinical characteristics and mortality in all Czech patients after pacemaker implantation in the last decade

Miloš Táborský et al. Front Cardiovasc Med. .

Abstract

Background and aims: Analysis of mortality from the national health registries and data from a specific central registry dealing with the implantation of pacemakers (REPACE) in Czech patients.

Methods and results: Retrospective observational analysis of pacemakers' implantation in all Czech patients [n = 82,791; 47,070 (56.9%) men, 75.9 ± 10.4 years old] between 2010 and 2021. Almost 114,000 pacemakers were implanted between 2010 and 2021, of which 27.9% were single-chamber, 67.4% were dual-chamber and 4.6% were biventricular. The annual number of implantations has been steadily increasing with a 6% annual decline in 2020 with increased mortality and reductions in care provided, likely related to COVID-19. The observed 5-year relative survival was 88.6% (overall survival 60.6%) and the 10-year relative survival was 75.9% (overall survival 32.7%). Causes of death 5ary according to the age of the patient. The highest difference 1n the reported numbers in the REPACE Registry did not exceed 2% in comparison with the National Register of Reimbursed Health Services.

Conclusion: This study followed all Czech patients with pacemaker's implantation in between 2010 and 2021. The annual number of 1mplantations has been steadily 1ncreasing. Patients with implanted pacemakers had a significantly higher mortality than the average population. Number of patients in the registry corresponded almost perfectly with the National Register of Reimbursed Health Services.

Keywords: Czech republic; completeness; implantation; mortality; pacemaker; registry.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Number and type of all implanted devices 2010–2021.
Figure 2
Figure 2
Type of implanted devices in 2010–2021.
Figure 3
Figure 3
Overall and relative survival of patients after 1st PM implantation.
Figure 4
Figure 4
Overall survival of patients after 1st PM implantation by age.
Figure 5
Figure 5
The most frequent diagnoses at the time of PM implantation according to sex.
See this image and copyright information in PMC

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