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Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices

Background and Objectives: Electrotherapy is a valuable treatment method for patients with heart rhythm disturbances. There are very few observations of long-term patients treated with these techniques. There is a particular lack of this type of study conducted in Eastern European countries. The aim...

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Autores principales: Załuska, Roman, Milewska, Anna, Moumtzoglou, Anastasius, Grabowski, Marcin, Drygas, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8704658/
https://www.ncbi.nlm.nih.gov/pubmed/34946302
http://dx.doi.org/10.3390/medicina57121357
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author Załuska, Roman
Milewska, Anna
Moumtzoglou, Anastasius
Grabowski, Marcin
Drygas, Wojciech
author_facet Załuska, Roman
Milewska, Anna
Moumtzoglou, Anastasius
Grabowski, Marcin
Drygas, Wojciech
author_sort Załuska, Roman
collection PubMed
description Background and Objectives: Electrotherapy is a valuable treatment method for patients with heart rhythm disturbances. There are very few observations of long-term patients treated with these techniques. There is a particular lack of this type of study conducted in Eastern European countries. The aim of this single-centre analysis was to evaluate the long-term survival (from 2010 to 2018) of patients treated with electrotherapy devices, taking into account clinical factors facilitating the prognosis of these patients. Materials and Methods: The patients (N = 2071) subsequently included in the study were subjected to the implementation or replacement of cardiac pacemakers. The medical records of all the patients were analysed. Data concerning death, made available by the State Systems Department of the Ministry of Administration and Digitization, were used. Results: The patients with VVI pacemakers had the worst prognosis after the replacement of the devices. Male patients had a worse prognosis, regardless of the kind of device implanted. Advanced atrioventricular conduction disturbances, chronic kidney disease, and hypothyroidism with reduced left ventricular ejection fraction were among the most significant coexisting diseases. Conclusions: The long-term prognosis of patients under different forms of electrotherapy remains poor. Despite the more straightforward technique, a single-chamber device (VVI/AAI) or generator replacement leads to the worst prognosis. The complexity of the clinical picture that stems from coexisting diseases and advanced age is of the utmost importance.
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spelling pubmed-87046582021-12-25 Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices Załuska, Roman Milewska, Anna Moumtzoglou, Anastasius Grabowski, Marcin Drygas, Wojciech Medicina (Kaunas) Article Background and Objectives: Electrotherapy is a valuable treatment method for patients with heart rhythm disturbances. There are very few observations of long-term patients treated with these techniques. There is a particular lack of this type of study conducted in Eastern European countries. The aim of this single-centre analysis was to evaluate the long-term survival (from 2010 to 2018) of patients treated with electrotherapy devices, taking into account clinical factors facilitating the prognosis of these patients. Materials and Methods: The patients (N = 2071) subsequently included in the study were subjected to the implementation or replacement of cardiac pacemakers. The medical records of all the patients were analysed. Data concerning death, made available by the State Systems Department of the Ministry of Administration and Digitization, were used. Results: The patients with VVI pacemakers had the worst prognosis after the replacement of the devices. Male patients had a worse prognosis, regardless of the kind of device implanted. Advanced atrioventricular conduction disturbances, chronic kidney disease, and hypothyroidism with reduced left ventricular ejection fraction were among the most significant coexisting diseases. Conclusions: The long-term prognosis of patients under different forms of electrotherapy remains poor. Despite the more straightforward technique, a single-chamber device (VVI/AAI) or generator replacement leads to the worst prognosis. The complexity of the clinical picture that stems from coexisting diseases and advanced age is of the utmost importance. MDPI 2021-12-13 /pmc/articles/PMC8704658/ /pubmed/34946302 http://dx.doi.org/10.3390/medicina57121357 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Załuska, Roman
Milewska, Anna
Moumtzoglou, Anastasius
Grabowski, Marcin
Drygas, Wojciech
Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title_full Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title_fullStr Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title_full_unstemmed Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title_short Long-Term, Single-Centre Observation of Patients with Cardiac Implantable Electronic Devices
title_sort long-term, single-centre observation of patients with cardiac implantable electronic devices
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8704658/
https://www.ncbi.nlm.nih.gov/pubmed/34946302
http://dx.doi.org/10.3390/medicina57121357
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