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August 22, 2023Journal of Cardiovascular Medicine

Short- and long-term survival in patients over 90 years old undergoing pacemaker implantation

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Why the study?

In very old patients, the benefit of pacemaker implantation in terms of quality and duration of life is unclear.

Population

69 patients at least 90 years old undergoing first pacemaker implant

Design

Single-centre observational cohort study

Follow-up

Median 17 months

Authors

MZMassimo ZecchinBTB TrevisanCBChiara Baggio

Discussion

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Overview

May support individualized decisions in nonagenarians; leaves open net survival benefit versus age-matched peers.

Structured PICO

P
Population
69 patients at least 90 years old undergoing first pacemaker implantation at a single center in Italy (2019-2020). 65% had complete/advanced atrioventricular block.
I
Intervention
Pacemaker implantation
O
Outcome
Survival/mortality and predictors of outcomehard clinical

In patients ≥90 years old undergoing pacemaker implantation, one-year survival is excellent (75.4%), with oncological and neurological comorbidities being the strongest predictors of mortality.

Cite This Study

Zecchin et al. (2023) studied this question.

synapsesocial.com/papers/6a86929f17bf79ce032aa875https://doi.org/10.2459/jcm.0000000000001527
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Also Consider

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

  1. 1Survival predictors after pacemaker implantation in a very elderly population2024
  2. 2Procedural safety and long‐term follow‐up after pacemaker implantation in nonagenarians2018 · 5 citations
  3. 3Survival in 1,431 Pacemaker Patients: Prognostic Factors and Comparison With the General Population1992 · 32 citations
  4. 4Pacemaker therapy in very elderly patients: survival and prognostic parameters of single center experience.2019 · 13 citations
  5. 5Predictors of long-term survival prior to permanent pacemaker implantation in octogenarians or older2018 · 14 citations