Registro español de marcapasos. XIX informe oficial de la Asociación del Ritmo Cardiaco de la Sociedad Española de Cardiología (2021) / Spanish pacemaker registry. 19th official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2021)

Introducción y objetivos En el presente documento se recoge la actividad de estimulación cardiaca realizada en España en 2021: cifras de dispositivos, factores demográficos y clínicos, características del material implantado y datos de monitorización a distancia. Métodos Los datos se obtienen a través de la Tarjeta Europea del Paciente Portador de Marcapasos, la plataforma online CardioDispositivos.es, las bases de datos propias de los centros y los datos facilitados por los fabricantes. Resultados Se registraron 17.360 procedimientos de 95 hospitales, lo que supone el 43% de la actividad realizada. Crecieron en un 40,5% los procedimientos incluidos en CardiodioDispositivos.es. La tasa de marcapasos convencionales y resincronizadores de baja energía fue de 822 y 31 unidades/millón respectivamente y se implantaron 652 marcapasos sin cables. La media de edad al implante es avanzada (78,9 años) y el bloqueo auriculoventricular, la alteración electrocardiográfica más frecuente. Predomina el modo de estimulación bicameral, aunque para el 18,5% de los pacientes en ritmo sinusal es monocameral, fundamentalmente pacientes de más edad. Se incluyeron en programa de monitorización a distancia el 28,5% de los marcapasos y el 56,2% de los resincronizadores de baja energía. Conclusiones En 2021 aumentó el número de marcapasos convencionales en un 8,3% y el de resincronizadores, un 8,9%, a pesar del descenso de la resincronización de baja energía, probablemente atribuible al desarrollo de la estimulación del sistema de conducción. Aumentaron los marcapasos sin cables en un 25%. Continúa la expansión de la monitorización a distancia como modo fundamental de seguimiento (AU)

Introduction and objectives This document includes cardiac pacing activity performed in Spain in 2021: figures for implanted devices, demographic and clinical factors, characteristics of the implanted material, and remote monitoring data. Methods The European Pacemaker Patient Card, the CardioDispositivos.es online platform, the centers’ own databases and the data provided by the supplier companies are used as sources of information. Results 17.360 procedures were registered from 95 hospitals, which represents 43% of the activity. The implantation rates of conventional and resynchronization pacemakers were 822 and 31 units per million population, respectively. 652 leadless pacemakers were implanted. The mean age of implantation is high (78.8 years), and atrioventricular block is the most frequent electrocardiographic abnormality. Dual-chamber pacing mode predominated, nonetheless single-chamber pacing was performed in 19% of patients in sinus rhythm, mainly in the elderly. 28.5% of implanted conventional pacemakers and 56,2% of low-energy resynchronization pacemakers were included in the remote monitoring program. Conclusions In 2021 the number of conventional pacemakers increased by 8.3% and resynchronizers by 18.9%, despite the decrease in low-energy resynchronization, probably attributable to the development of physiological pacing. Leadless pacemakers increased by 25%. The expansion of remote monitoring continued, consolidating as a fundamental follow-up method (AU)

[Quality of life and social support in patients with non-complicated acute myocardial infarct]. / Calidad de vida y apoyo social en pacientes con infarto agudo de miocardio no complicado.

INTRODUCTION: There is a relationship between social support and health. However, there is no very much available research in the area of ischemic heart disease related to the influence of social support on the quality of life. OBJECTIVES: To study the social aspects of patients. To measure emotional and instrumental social support and quality of life, after a first acute myocardial infarction. PATIENTS AND METHODS: 155 patients were studied under two pieces of assessment: at admission's time and six months later. A protocol was selected with clinical, socio-economic, social support and quality of life variables. RESULTS: 90.9% could read and write, however 42.3% have any study or completed their primary studies. Moreover, 45.1% of patients were working, at six months only 14% of them had returned to their jobs. They were blue and white collar patients. Availability of instrumental and emotional social support was referred by 78.7% and 69.9% respectively of patient's. At the beginning, the mean quality of life was 108.1 +/- 19.3. Six months later was 101.1 +/- 19.1 SD. Statistics revealed that the availability of instrumental and emotional social support impacts favourably on human being's health. CONCLUSIONS: The quality of life is related to the patient's perceived social support. The perceived social support depends directly on the size of their network. Moreover, there is a relationship between quality of life and educational achievement, so that, the lower that patient's quality of life, the lower the educational achievement. After the first not complicated myocardial infarction the return to their jobs is really low.