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Experiencia de 36 años con marcapasos implantables: un análisis histórico / A 36 year experience with implantable pacemakers
Dubernet Mazerolles, Juan; Chamorro Spikin, Gastón; González M., Jorge; Fajuri Noemí, Alejandro; Jalil Milad, Jorge; Casanegra P., Pablo; Maturana Barahona, Gustavo; Moran Velásquez, Sergio; Zalaquett Sepúlveda, Ricardo; Irarrázaval Llona, Manuel José; Urzúa Urzúa, Jorge; Rodríguez Villegas, José Antonio; Braun Jones, Sandra; Corbalán Herreros, Ramón; González Aldunate, Rolando; Marchant Díaz, Eugenio.
Afiliación
  • Dubernet Mazerolles, Juan; Pontificia Universidad Católica de Chile. CL
  • Chamorro Spikin, Gastón; Pontificia Universidad Católica de Chile. CL
  • González M., Jorge; Pontificia Universidad Católica de Chile. CL
  • Fajuri Noemí, Alejandro; Pontificia Universidad Católica de Chile. CL
  • Jalil Milad, Jorge; Pontificia Universidad Católica de Chile. CL
  • Casanegra P., Pablo; Pontificia Universidad Católica de Chile. CL
  • Maturana Barahona, Gustavo; Pontificia Universidad Católica de Chile. CL
  • Moran Velásquez, Sergio; Pontificia Universidad Católica de Chile. CL
  • Zalaquett Sepúlveda, Ricardo; Pontificia Universidad Católica de Chile. CL
  • Irarrázaval Llona, Manuel José; Pontificia Universidad Católica de Chile. CL
  • Urzúa Urzúa, Jorge; Pontificia Universidad Católica de Chile. CL
  • Rodríguez Villegas, José Antonio; Pontificia Universidad Católica de Chile. CL
  • Braun Jones, Sandra; Pontificia Universidad Católica de Chile. CL
  • Corbalán Herreros, Ramón; Pontificia Universidad Católica de Chile. CL
  • González Aldunate, Rolando; Pontificia Universidad Católica de Chile. CL
  • Marchant Díaz, Eugenio; Pontificia Universidad Católica de Chile. CL
Rev. méd. Chile ; 130(2): 132-142, feb. 2002. tab, graf
Article en Es | LILACS, MINSALCHILE | ID: lil-313175
Biblioteca responsable: CL1.1
RESUMO

Background:

The implantation of pacemakers improves cardiac function and quality of life, in particular with dual chamber DDD and DDDR modes.

Aim:

To evaluate our clinical experience and results on pacemaker implantation, from 1963 to 1998. Material and

methods:

Computerized data collected from 2,445 consecutive paced patients was reviewed. A total of 3,554 operative procedures were performed, including 412 procedures for complications and 697 pacemaker replacement. Patient survival was determined from clinical records, inquiry to pacemaker manufacturers and death certificates from Servicio de Registro Civil e Identificaci-n de Chile (Chilean Civil and Identification Registry).

Results:

Use of dual chamber (DDD and DDDR) pacemakers increased progressively up to 74 percent from 1988 to 1998. Complication rate was 42 percent in the 1963-1976 study period, it decreased to 10.6 percent in the 1977-1987 study period, and to 5.6 percent by 1988-1998. Only two patients died during surgery in the study period (0.08 percent). In the 1977-1987 period, pacemakers lasted 10.6 years. Survival rates were 52 percent at ten years, 33 percent at 15 years, and 21 percent at 20 years, with a median survival of 11.7 years, and 7.24 years in patients over 80 years old.

Conclusions:

Transvenous permanent pacing can be accomplished today with a low complication rate, mainly due to better technology and surgical procedures
Asunto(s)
Texto completo: 1 Colección: 01-internacional Base de datos: LILACS / MINSALCHILE Asunto principal: Marcapaso Artificial / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 2002 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Chile
Texto completo: 1 Colección: 01-internacional Base de datos: LILACS / MINSALCHILE Asunto principal: Marcapaso Artificial / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 2002 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Chile