April 1, 2002Journal of the American Geriatrics SocietyOpen Access

Improvement of Cognitive Function after Pacemaker Implantation in Very Old Persons with Bradycardia

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Why the study?

Does permanent pacemaker implantation improve cognitive performance in older patients with bradycardia?

Population

41 older adults including 26 consecutive patients undergoing permanent pacemaker primoimplantation for…

Comparison

Permanent pacemaker primoimplantation vs Replacement of permanent pacemaker (control group)

Design

Cohort

Follow-up

6 months

Authors

CBC. BarbeCentre Hospitalier Universitaire de Reims FPFrançois PuisieuxUniversité de Lille IJIngrid Jansens

Discussion

Member takes

Implication

May support cognitive gains from pacing in older bradycardia patients; hypothesis-generating and requires randomized trials before practice change.

Structured PICO

Does permanent pacemaker implantation improve cognitive performance in older patients with bradycardia?

Population

41 older adults (age ≥65) including 26 consecutive patients undergoing permanent pacemaker primoimplantation for permanent or paroxysmal bradycardia (mean age 75) and 15 control patients undergoing replacement of permanent pacemaker (mean age 76). Excluded: implantation after myocardial infarction or cardiac arrest.

Intervention

Permanent pacemaker primoimplantation

Comparator

Replacement of permanent pacemaker (control group)

Outcome

Cognitive performance assessed by Folstein's Mini-Mental State Examination (MMSE), paired word-learning test, word fluency test, and cube drawing at 5 days and 6 monthspatient reported

Permanent pacemaker implantation in older patients with bradycardia may lead to progressive improvement in cognitive function, suggesting a link between cerebral hypoperfusion and cognitive impairment.

Limitations

relatively small size of the study sample

Cite This Study

Barbe et al. (2002) studied this question.

synapsesocial.com/papers/6a818e878b9513ff7cee1b98 https://doi.org/10.1046/j.1532-5415.2002.50183.x

View Full Paper

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Implication

May support cognitive gains from pacing in older bradycardia patients; hypothesis-generating and requires randomized trials before practice change.

Improvement of Cognitive Function after Pacemaker Implantation in Very Old Persons with Bradycardia

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Improvement of Cognitive Function after Pacemaker Implantation in Very Old Persons with Bradycardia

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider