Author/Editor		Pehnec, Zlatko
Title		Pregled elektrostimulacije srca v Splošni bolnišnici Maribor od leta 1972 do danes
Translated title		Review of cardiac pacing at Maribor teaching hospital since 1972
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 74, št. Suppl 1
Publication year		2005
Volume		str. I-21-6
Language		slo
Abstract		Background. Number of implanted pacemakers is in continuous increase in Maribor General Hospital. The first four pacemakers in 1972 were followed by 50 pacemakers annually in the first 10 years. In 1988 the number first exceeded 100 implanted pacemakers and in the year 2004 achieved number 372. Altogether, till the end of the year 2004 there were 4232 pacemakers implanted. Analyses of the implanted pacemakers according to pacing mode since 1986 shows small number of DDD/VDD(R) pacemakers till the year 1995. Since that year its number was increasing and in the year 1998 and 1999 exceeded half of all implanted pacemakers. In period of thirty years, there were 48.3% VVI, 22.3% VVIR, 16.4% DDD, 5.8% DDDR, 6.1% VDD and 1% AAIR pacemakers implanted. We have done analysis of the all outpatients within the 30 year period (1972-2001). For this purpose 2206 records were reviewed and 2176 patients analysed. According to gender, there were 51.4% male and 48.6% female. Average age at the time of implantation was 71 years (range from 13-96 years). Most patients (58%) were between 65 and 79 years of age, there were 20% younger than 65 years and 22% older than 80 years of age. There were more men in the group till 79 years of age and more women in the group older than 80 years. Average survival of the patients with pacemaker (1771) was 94.7% after one year, 56.9% after five years and 31.5% after ten years. Survival is influenced by the age of the patients and accompanying diseases of the patients at the time of implantation, especially heart failure. In patients younger than 65 years, five years survival from implantation, was 75.4% and after ten years 54.3%. In older than 80 years, five years survival from implantation was 34.4% and after ten years 11.5%. Survival of the patients with heart failure, five years after implantation was 10% and after ten years 8% worse than those without it. (Abstract truncated at 2000 characters)
Summary		Izhodišča. Število vstavljenih srčnih spodbujevalnikov v mariborski bolnišnici je nenehno naraščalo. Prvim štirim v letu 1972 je sledilo do 50 vstavljenih spodbujevalnikov letno v prvih desetih letih. leta 1988 je število prvič preseglo 100 vstavljenih spodbujevalnikov, leta 1995 je preseglo 200 in od leta 2001 presega 300 vstavljenih spodbujevalnikov letno. Skupaj je bilo do konca leta 2004 vstavljenih 4.232 spodbujevalnikov. V Mariboru je število vstavljenih preddvorno prekatnih (DDD/R) spodbujevalnikov prvič preseglo 20% v letu 1995. Od takrat je njihova zastopanost okrog 50%. Iz dokumentacije ambulantnih bolnikov tekom 30 let smo ugotavljali VVI način delovanja pri 48,3% bolnikov, VVIR pri 22,3% DDD pri 16,4%, VDD pri 6,2%, DDDR pri 5,8% in AAIR pri 1,0%. Bilo je 51,4% moških in 48,6% žensk, povprečne starosti 71 let (od 13 do 96 let). Starost bolnikov ob vstavitvi spodbujevalnika je bila med 65 in 79 leti pri 58%, mlajših od 65 let je bilo 20% in starejših od 80 let 22%. Povprečno preživetje bolnikov v celoti (n = 1771) je bilo po prvem letu 94,7%, po 5 letih 55,9% in po 10 letih 31,5%. Bolniki, mlajši od 65 let ob vstavitvi, so imeli po prvem letu 98, 8% po 5 letih 75,4 % in po 10 letih 54,3 % preživetje. Bolniki, od 65 do 79 let ob vstavitvi, so imeli po prvem letu 95,2%, po 5 letih 56,3% in po 10 letih 26,0% preživetje. Bolniki, starejši od 80 let ob vstavitvi, so imeli po prvem letu 88,8%, po 5 letih 34,4% in po 10 letih 11,5% preživetje. Bolniki s srčnim spodbujevalnikom in srčnim popuščanjem so imeli slabše preživetje v primerjavi z bolniki brez srčnega popuščanja. Življenjska doba novejših prekatnih (WI) spodbujevalnikov presega 7 let, kljub manjši teži in volumnu ter večji možnosti programiranja. Krajšo življenjsko dobo imajo frekvenčno prilagodljivi spodbujevalniki, ki imajo senzor za minutno ventilacijo. (Izvleček skrajšan pri 2000 znakih).
Descriptors		CARDIAC PACING, ARTIFICIAL HEART BLOCK HEART FAILURE, CONGESTIVE BRADYCARDIA SICK SINUS SYNDROME HEALTH CARE COSTS SURVIVAL ANALYSIS AGE FACTORS