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0344 : Pacemaker replacement in nonagenarians: procedural safety and long-term follow-up

Abstract : Background The rate of pacemaker (PM) implantations is continuously growing. A large number of elderly patients is expected to be implanted in the future. We aimed at analyzing the short and long-term outcome after PM replacement in nonagenarians. Methods Patients aged ≥90 yo referred for PM replacement from January 2004 to July 2014 were retrospectively included. The primary clinical endpoint was total mortality. Results 62 patients were included (93.3±2.9yo at the time of PM replacement). During the follow-up, 37 patients (59.7%) died. Survival rates were 84.2% (95%CI:71.8-91.5%), 66.9% (95%CI:51.8-78.2%) and 22.7% (95%CI:10.6-37.7%) after 1, 2 and 5 years, respectively. Atrial fibrillation (OR 2.44, 95%CI:1.07-5.58) and non-physiological pacing, (OR 2.52, 95%CI:1.12-5.65) were independent predictors of mortality. Conclusion PM replacement in nonagenarians is a safe and straightforward procedure. Patients living for a median time of 30 months after the replacement. Figure: Survival for nonagenarians after PM replacement
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Contributor : Laurent Jonchère Connect in order to contact the contributor
Submitted on : Monday, May 11, 2015 - 1:35:38 PM
Last modification on : Wednesday, September 14, 2022 - 10:20:04 AM

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Aurelie Loirat, Damien Feneon, Albin Behaghel, Nathalie Behar, Alain Le Helloco, et al.. 0344 : Pacemaker replacement in nonagenarians: procedural safety and long-term follow-up. Archives of Cardiovascular Diseases Supplements, Apr 2015, Toulouse, France. pp.160, ⟨10.1016/S1878-6480(15)30083-5⟩. ⟨hal-01150491⟩



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