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January 12, 1974Acta Medica Scandinavica15 citations

The Prognosis for Patients With Complete Heart Block Treated With Permanent Pacemaker

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JHJørgen Fischer HansenJMJ Meibom

Key Result

Permanent pacemaker treatment in patients with complete heart block resulted in 50% survival at 5 years, with a 6-7% annual excess mortality compared to a matched population.

Study Design

Type

Cohort (n=164)

Structured PICO

What is the survival rate and excess mortality of patients with complete heart block treated with a permanent pacemaker compared to a matched general population?

P
Population
164 patients with complete heart block treated with permanent pacemaker, followed for up to five years.
E
Exposure
Permanent pacemaker
C
Comparator
Population with the same age and sex distribution
O
Outcome
Survival rate at 1, 2, and 5 yearshard clinical

Patients with complete heart block treated with permanent pacemakers have a 5-year survival of 50%, with excess mortality primarily driven by coexisting comorbidities rather than the heart block itself.

Main Result

Effect estimate: 6-7% excess mortality per year

Abstract

Abstract. A follow‐up study of the survival rate of 164 patients with complete heart block treated with permanent pacemaker showed 87% survival after one year, 76 after two, and 50% after five years. These figures indicate an excess mortality per year in the first five years of 6–7 % compared with a population with the same age and sex distribution. Analysis of the survival curve shows that the excess mortality is caused by other coexisting diseases, such as renal failure, diabetes or cancer, valvular heart diseases or other types of cardiovascular affections, or heart failure.

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Cite This Study

Hansen et al. (1974) conducted a cohort in complete heart block (n=164). Permanent pacemaker vs. Population with the same age and sex distribution was evaluated on Survival rate at 5 years (6-7% excess mortality per year). Permanent pacemaker treatment in patients with complete heart block resulted in 50% survival at 5 years, with a 6-7% annual excess mortality compared to a matched population.

synapsesocial.com/papers/6aa0f2e29318be7e6b997b1fhttps://doi.org/10.1111/j.0954-6820.1974.tb08157.x
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