Copyright © 1988 by the European Society of Cardiology.
© 1988 The European Society of Cardiology
Survival rate and causes of death in patients with pacemakers: dependence on symptoms leading to pacemaker implantation
Department of Cardiology
*II. Department of Surgery, and Institute of Medical Computer Sciences, University of Vienna Austria
Received 20 November 1987; revised 19 February 1988; .
Address for correspondence: Christman Müller, M.D., Department of Cardiology, University of Veinne, Garnisongasse 13, A-1090 Vienna, Austria.
Abstract
The survival rate of 2256 patients with pacemakers was analyzed. Patients paced for Adams-Stokes equivalents (e.g. dizziness) showed a significantly better survival rate than did patients with pacemakers implanted for Adam-Stokes attacks or heart failure (P < 0.0001). The estimated survival of the latter two groups did not differ significantly. Of the deceased patients who had received a pacemaker for the treatment of heart failure, 54% died due to this condition despite pacemaker implantation. The relative percentage of cases of sudden death after pacemaer implantation was high in the groups with Adams-Stokes attacks (12%) and Adams-Stokes equivalents (13%). In patients paced for Adams-Stokes attacks, sudden death occured more frequently in the first year after pacemaker implantation (P<0.015) than during the following years. Therefore, inreased efforts should be made to monitor patients carefully after pacemaker implantation to enable prompt detection of malignant tachyarrhythmias, probably the cause of sudden death in a substantial number of patients with pacemakers.
Key Words: Pacemakers • survival rate • causes of death
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