TỈ LỆ BIẾN CHỨNG SỚM SAU CẤY MÁY TẠO NHỊP VĨNH VIỄN VÀ CÁC YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ≥ 80 TUỔI TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Background: The number of the elderly in Vietnam has been increasing in recent years. Ageing affects on intrinsic pacemaker and conduction system of the heart leading to bradycardia and requiring permanent pacemaker implantation. However, the elderly patient population usually have comorbidities influencing this procedure. Objective: To investigate the rate of early complications following permanent pacemaker implantation and related factors in patients ≥ 80 years of age. Methods: Retrospective case series study in 105 patients ≥ 80 years of age underwent permanent pacemaker implantation at 115 People’s Hospital from 1^st January 2018 to 31^st December 2022. Results: The rate of early complications was 5,7%, including 4 patients with device pocket hematoma (3,81%) and 2 patients with lead displacement (1,90%). There were no patients with pneumothorax, hemothorax, hemorrhagic pericardial effusion or death. BMI was factor related to early complications following permanent pacemaker implantation (OR 13,13; p = 0,01). Conclusion: Permanent pacemaker implantation is a relatively safe procedure in the elderly with bradycardia. Rate of early complications is 5,71% with device pocket hematoma and lead displacement. Low BMI increases risks of the early complications following permanent pacemaker implantation.