Experiencia de 36 años con marcapasos implantables: Un análisis histórico

Background: The implantation of pacemakers improves cardiac function and quality of life, in particular with dual chamber DDD and DDDR modes. Aim: To evaluate our clinical experience and results on pacemaker implantation, from 1963 to 1998. Material and methods: Computerized data collected from 2,44...

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Autores principales:	Dubernet M,Juan, Chamorro S,Gastón, González M,Jorge, Fajuri N,Alejandro, Jalil M,Jorge, Casanegra P,Pablo, Maturana B,Gustavo, Morán V,Sergio, Zalaquett S,Ricardo, Irarrázaval Ll,Manuel J, Urzúa U,Jorge, Rodríguez V,José A, Braun J,Sandra, Corbalán H,Ramón, González A,Rolando, Marchant D,Eugenio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Cardiac pacing, artificial Cardiovascular abnormalities Cardiovascular diseases Pacemaker, artificial
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200002
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spelling	oai:scielo:S0034-988720020002000022014-08-20Experiencia de 36 años con marcapasos implantables: Un análisis históricoDubernet M,JuanChamorro S,GastónGonzález M,JorgeFajuri N,AlejandroJalil M,JorgeCasanegra P,PabloMaturana B,GustavoMorán V,SergioZalaquett S,RicardoIrarrázaval Ll,Manuel JUrzúa U,JorgeRodríguez V,José ABraun J,SandraCorbalán H,RamónGonzález A,RolandoMarchant D,Eugenio Cardiac pacing, artificial Cardiovascular abnormalities Cardiovascular diseases Pacemaker, artificial Background: The implantation of pacemakers improves cardiac function and quality of life, in particular with dual chamber DDD and DDDR modes. Aim: To evaluate our clinical experience and results on pacemaker implantation, from 1963 to 1998. Material and methods: Computerized data collected from 2,445 consecutive paced patients was reviewed. A total of 3,554 operative procedures were performed, including 412 procedures for complications and 697 pacemaker replacement. Patient survival was determined from clinical records, inquiry to pacemaker manufacturers and death certificates from Servicio de Registro Civil e Identificación de Chile (Chilean Civil and Identification Registry). Results: Use of dual chamber (DDD and DDDR) pacemakers increased progressively up to 74% from 1988 to 1998. Complication rate was 42% in the 1963-1976 study period, it decreased to 10.6% in the 1977-1987 study period, and to 5.6% by 1988-1998. Only two patients died during surgery in the study period (0.08%). In the 1977-1987 period, pacemakers lasted 10.6 years. Survival rates were 52% at ten years, 33% at 15 years, and 21% at 20 years, with a median survival of 11.7 years, and 7.24 years in patients over 80 years old. Conclusions: Transvenous permanent pacing can be accomplished today with a low complication rate, mainly due to better technology and surgical procedures (Rev Méd Chile 2002; 130: 132-42)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.2 20022002-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200002es10.4067/S0034-98872002000200002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac pacing, artificial Cardiovascular abnormalities Cardiovascular diseases Pacemaker, artificial
spellingShingle	Cardiac pacing, artificial Cardiovascular abnormalities Cardiovascular diseases Pacemaker, artificial Dubernet M,Juan Chamorro S,Gastón González M,Jorge Fajuri N,Alejandro Jalil M,Jorge Casanegra P,Pablo Maturana B,Gustavo Morán V,Sergio Zalaquett S,Ricardo Irarrázaval Ll,Manuel J Urzúa U,Jorge Rodríguez V,José A Braun J,Sandra Corbalán H,Ramón González A,Rolando Marchant D,Eugenio Experiencia de 36 años con marcapasos implantables: Un análisis histórico
description	Background: The implantation of pacemakers improves cardiac function and quality of life, in particular with dual chamber DDD and DDDR modes. Aim: To evaluate our clinical experience and results on pacemaker implantation, from 1963 to 1998. Material and methods: Computerized data collected from 2,445 consecutive paced patients was reviewed. A total of 3,554 operative procedures were performed, including 412 procedures for complications and 697 pacemaker replacement. Patient survival was determined from clinical records, inquiry to pacemaker manufacturers and death certificates from Servicio de Registro Civil e Identificación de Chile (Chilean Civil and Identification Registry). Results: Use of dual chamber (DDD and DDDR) pacemakers increased progressively up to 74% from 1988 to 1998. Complication rate was 42% in the 1963-1976 study period, it decreased to 10.6% in the 1977-1987 study period, and to 5.6% by 1988-1998. Only two patients died during surgery in the study period (0.08%). In the 1977-1987 period, pacemakers lasted 10.6 years. Survival rates were 52% at ten years, 33% at 15 years, and 21% at 20 years, with a median survival of 11.7 years, and 7.24 years in patients over 80 years old. Conclusions: Transvenous permanent pacing can be accomplished today with a low complication rate, mainly due to better technology and surgical procedures (Rev Méd Chile 2002; 130: 132-42)
author	Dubernet M,Juan Chamorro S,Gastón González M,Jorge Fajuri N,Alejandro Jalil M,Jorge Casanegra P,Pablo Maturana B,Gustavo Morán V,Sergio Zalaquett S,Ricardo Irarrázaval Ll,Manuel J Urzúa U,Jorge Rodríguez V,José A Braun J,Sandra Corbalán H,Ramón González A,Rolando Marchant D,Eugenio
author_facet	Dubernet M,Juan Chamorro S,Gastón González M,Jorge Fajuri N,Alejandro Jalil M,Jorge Casanegra P,Pablo Maturana B,Gustavo Morán V,Sergio Zalaquett S,Ricardo Irarrázaval Ll,Manuel J Urzúa U,Jorge Rodríguez V,José A Braun J,Sandra Corbalán H,Ramón González A,Rolando Marchant D,Eugenio
author_sort	Dubernet M,Juan
title	Experiencia de 36 años con marcapasos implantables: Un análisis histórico
title_short	Experiencia de 36 años con marcapasos implantables: Un análisis histórico
title_full	Experiencia de 36 años con marcapasos implantables: Un análisis histórico
title_fullStr	Experiencia de 36 años con marcapasos implantables: Un análisis histórico
title_full_unstemmed	Experiencia de 36 años con marcapasos implantables: Un análisis histórico
title_sort	experiencia de 36 años con marcapasos implantables: un análisis histórico
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000200002
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Experiencia de 36 años con marcapasos implantables: Un análisis histórico

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