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February 22, 20260 citationsOpen Access

Swiss National Cardiac Device Registry Trends in Implantation Procedures Over 20 Years

Swiss national cardiac device registry: Changing trends in implantation procedures over the last two decades

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Why the study?

The study was conducted to provide an in-depth evaluation of cardiac device statistics and changing implantation trends over the last 20 years using the Swiss National Device Registry.

What are the changing trends in cardiac device implantation procedures in Switzerland over the last two decades?

Population

124,458 pacemaker/CRT procedures and 29,133 ICD/CRT-D procedures in Switzerland

Comparison

Trends in cardiac device implantation procedures over 20 years

Design

National registry analysis

Key result

Pacemaker procedures doubled and ICD procedures tripled in Switzerland over 20 years; pacemaker patient age rose, ICD patient age remained stable, infections unchanged.

Authors

NMNadine MolitorAAAngelo AuricchioEDEtienne Delacrétaz

Discussion

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Overview

Rising device implant volumes may increase procedural demand; leaves open drivers of trends and long-term outcomes.

Key Points

  • To analyze trends in implantation procedures of cardiac devices in Switzerland over the past 20 years.
  • Analyzed SwissEPnet database from January 2003 to December 2022
  • Examined statistics for pacemakers and ICD procedures
  • Compared patient demographics and procedure details over time
  • Pacemaker procedures doubled and mean age of recipients increased over 20 years
  • ICD procedures tripled and plateaued, with stable mean age
  • Fluoroscopy time and procedure durations remained stable for both device types
  • Proportion of DDD and CRT upgrades increased, while reintervention rate due to infections stayed stable

Structured PICO

What are the changing trends in cardiac device implantation procedures in Switzerland over the last two decades?

P
Population
Patients undergoing cardiac device implantation procedures in Switzerland between January 1, 2003 and December 31, 2022, including 124,458 pacemaker and CRT procedures (mean age 77.7 years, 59.7% male) and 29,133 ICD and CRT-D procedures (mean age 63.63 years, 80.2% male).
I
Intervention
Cardiac device implantation (pacemaker, CRT, ICD, CRT-D)
O
Outcome
Device statistics and changing trends over 20 years (including procedure volume, patient age, fluoroscopy time, procedure duration, upgrades, and reintervention rates)

This 20-year national registry analysis highlights a doubling of pacemaker procedures with aging recipients and a tripling of ICD procedures that has recently plateaued in Switzerland.

Cite This Study

Molitor et al. (2025) studied this question. Pacemaker procedures doubled and ICD procedures tripled in Switzerland over 20 years; pacemaker patient age rose, ICD patient age remained stable, infections unchanged.

synapsesocial.com/papers/699a9e00482488d673cd44f1https://doi.org/10.5167/uzh-291701
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Swiss national cardiac device registry: changing trends in pacemaker and ICD procedures over the last two decades2024 · 1 citations
  2. 2Current use of implantable electrical devices in Sweden: data from the Swedish pacemaker and implantable cardioverter-defibrillator registry2014 · 120 citations
  3. 3Seventeen-year trend (2001–2017) in pacemaker and implantable cardioverter-defibrillator utilization based on hospital discharge database data: An analysis by age groups2020 · 48 citations
  4. 4Variation in regional implantation patterns of cardiac implantable electronic device in Switzerland2022 · 6 citations
  5. 5Cardiac Resynchronisation Therapy (CRT) Survey II: CRT implantation in Europe and in Switzerland2018 · 1 citations