15 years of Zajecar Paceaker Center

The aim of this study is to present the results of the Pacemaker Center in Zaječar from 2008 to 2023. The analysis included 1849 patients with implanted CIED (Cardiac Implantable Electronic Device) with an average age of 73.30±1.16, comprising 1154 (62%) males and 696 (38%) females. There were 753 (36.35%) VVI, 964 (46.61%) DDD, 19 (1%) VDD, 26 (3.03%) ICD, and 16 (1%) CRT-P implants. Among the procedures, 234 (11.01%) were pulse generator replacements, while the rest were primary implants. Analysis of indications for CIED implantation revealed that 45.29% of patients had AV node disease, 23.24% had SA node disease, and 31.14% had atrial fibrillation with slow ventricular rate as the indication. The average duration of the intervention was 40.68 minutes, and the fluoroscopy time was 4.67 minutes. Conclusions: From 2008 to 2023, a total of 1849 implantations of various types of cardiac implantable electronic devices were performed. The number of implantations has been on consistent rise, with over one hundred procedures annually since 2010 and exceeding 150 implantations per year after 2019, reaching approximately 450 per million inhabitants. This is in line with the national and European averages for Eastern European countries.