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February 8, 2026Expert Review of Cardiovascular Therapy0 citations

Temporal trends of cardiac implantable electronic devices (CIED) implantation in the Brazilian public health system: a 12-year real-world data study

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MMMiriam Allein Zago MarcolinoRRRodrigo Antonini RibeiroCPCarisi Anne Polanczyk

Key Result

Standardized CIED implantation rates declined in Brazil's public health system over 12 years, notably for pacemakers and CRT-P devices, despite rising total volume.

Key Points

  • This research aims to investigate the trends in CIED implantation within Brazil's public health system over 12 years.
  • Analyzed real-world data from the Brazilian public health system (SUS)
  • Examined rates of CIED implantation, including PM and CRT-P
  • Assessed regional differences in implantation trends
  • Overall CIED implantation rates increased, but standardized rates decreased
  • Notable decline in PM and CRT-P procedures
  • Regional disparities indicate uneven access to CIED therapies

Structured PICO

What are the temporal trends of cardiac implantable electronic device (CIED) implantation rates in the Brazilian public health system?

P
Population
Patients in the Brazilian public health system (SUS) undergoing cardiac implantable electronic devices (CIED) implantation over a 12-year period
I
Intervention
Cardiac implantable electronic devices (CIED) implantation, including pacemakers (PM) and cardiac resynchronization therapy pacemakers (CRT-P)
O
Outcome
Standardized CIED implantation rates and regional trends

Standardized CIED implantation rates in the Brazilian public health system have declined over 12 years, with divergent regional trends indicating a need for policies to ensure equitable access.

Abstract

Despite increasing volume, standardized CIED implantation rates declined in SUS, especially for PM and CRT-P. Divergent regional trends highlight the need for targeted health policies to ensure equitable access to advanced CIED therapies.

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Cite This Study

Marcolino et al. (2026) studied this question. Standardized CIED implantation rates declined in Brazil's public health system over 12 years, notably for pacemakers and CRT-P devices, despite rising total volume.

synapsesocial.com/papers/698827570fc35cd7a88460d3https://doi.org/10.1080/14779072.2026.2626316
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