Implantation of permanent pacemakers in Cuenca–Ecuador, from 2017 to 2018

Abstract

<p><strong>Introduction:</strong> In recent years, the placement frequency of permanent pacemakers has increased due to some risk factors, some of which are carried out through cables. <strong>Objective: </strong>To determine the prevalence and related factors of permanent pacemaker implantation in adult patients in the cardiology department of José Calasco Artega hospital in 2017. <strong>Methods: </strong>a randomized cross–sectional study was conducted on 422 patients over 18 years old in the cardiology department of “José Carrasco Arteaga” hospital in Cuenca, Ecuador from January to December 2017. Information is processed in SPSS software version 24. Descriptive statistical analysis based on frequency and percentage was used to measure the statistical correlation with odds ratio (or) within 95% confidence interval. When p<0.05, it was considered to be statistically significant. <strong>Results: </strong>The implantation rate of cardiac pacemaker was 7.1%, and the average age was 65.52 years (DS±14.77), mainly male. The risk factors associated with pacemaker implantation were atrioventricular block or 42.56 (95% confidence interval: 16.06–112.73, p=0.000); Sinoatrial node disease or 59.34 (95% CI: 11.67–301.93, P=0.000) and others or 0.017 (95% confidence interval: 0.00–0.05, p=0.000). Atrial fibrillation was not statistically significant or 1.71 (95% confidence interval: 0.62–4.71, p=0.354). <strong>Conclusion: </strong>The prevalence of pacemaker implantation is 7.1%, which is related to atrioventricular block, which is the main risk factor, followed by nodular diseases.</p>