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Incidence of Permanent Pacemaker Implantation after Cardiac Surgery: A Single Centre Experience

Authors
  • Kalējs, Mārtiņš
  • Prozorovskis, Edgars
  • Kupics, Kaspars
  • Brečs, Ivars
  • Strazdiņš, Uldis
  • Stradiņš, Pēteris
Type
Published Article
Journal
Proceedings of the Latvian Academy of Sciences Section B Natural Exact and Applied Sciences
Publisher
De Gruyter Open Sp. z o.o.
Publication Date
Jul 12, 2019
Volume
73
Issue
4
Pages
364–367
Identifiers
DOI: 10.2478/prolas-2019-0056
Source
De Gruyter
Keywords
License
Green

Abstract

Permanent pacemaker implantation (PPI) after open heart surgery is required in 0.4–8.5% of patients. The aim of our study was to determine the incidence of PPI after cardiac surgery at Pauls Stradiņš Clinical University Hospital and to assess its influence on intrahospital outcomes. This was a single-centre retrospective study. We reviewed all patients who underwent either open heart surgery or transcatheter aortic valve implantation (TAVI) between the years 2015 and 2017. Included were all patients with PPI postoperatively before discharge. We compared the patient demographics, and perioperative state, incidence of PPI and intrahospital stay among groups. After cardiac surgery a total of 135 (4.2%) patients received a PPI. The PPI incidence was highest in the tricuspid valve intervention group — 8.8% followed by aortic valve replacement (AVR) patients with 3.3%. After TAVI incidence of PPI was 4.0% after Sapien valve and 8% after CoreValve implantations, respectively. Incidence of PPI after TAVI with the Sapien valve was not significantly higher when compared to conventional AVR, but it was significantly higher after TAVI with CoreValve. Regardless of the initial procedure a need for PPI significantly increased the total length of hospital stay.

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