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Permanent pacemaker implantation and its predictors in patients admitted for complete atrioventricular block: a report from the Tokyo Cardiovascular Care Unit Network multi-center registry.
Heart Vessels. 2020 Nov; 35(11):1573-1582.HV

Abstract

Little is known about the permanent pacemaker implantation rate and predictors of permanent pacemaker implantation in patients admitted for complete atrioventricular block (cAVB). The present study was a retrospective analysis based on a multicenter cohort of 797 patients with cAVB (mean age: 79.6 ± 10.7 years; males: 48.4%) registered with the Tokyo Cardiovascular Care Unit Network multicenter registry between 2013 and 2016. Secondary cAVB due to acute coronary syndrome was excluded. The permanent pacemaker implantation rate was 82.9%. Multivariable logistic regression analysis revealed that systolic blood pressure (SBP) > 140 mmHg [odds ratio (OR) 2.10; 95% confidence interval (CI) 1.38-3.22; P < 0.001], male gender (OR 1.63; 95% CI 1.07-2.49; P = 0.023), and left ventricular ejection fraction (LVEF) ≥ 50% (OR 2.19; 95% CI 1.16-2.06; P = 0.016) were predictors of permanent pacemaker implantation while pre-admission β-blocker use (OR 0.28; 95% CI 0.17-0.47; P < 0.001) was associated with a lower risk of permanent pacemaker implantation. Reversible cAVB was not rare in patients admitted for cAVB. Data on SBP on admission, gender, LVEF, and pre-admission β-blocker use may be important for assessing the requirement for permanent pacemaker implantation in the emergency care setting.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Tokyo CCU Network Scientific Committee, Tokyo, Japan. shoheikataoka0818@gmail.com. Department of Cardiology, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan. shoheikataoka0818@gmail.com.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan. Department of Cardiology, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

Tokyo CCU Network Scientific Committee, Tokyo, Japan.

MeSH

AgedAged, 80 and overAtrioventricular BlockCardiac Pacing, ArtificialFemaleHumansMalePacemaker, ArtificialPatient AdmissionRegistriesRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTokyoTreatment Outcome

Pub Type(s)

Journal Article

Multicenter Study

Observational Study

Language

eng

PubMed ID

32500173

Citation

Kataoka, Shohei, et al. "Permanent Pacemaker Implantation and Its Predictors in Patients Admitted for Complete Atrioventricular Block: a Report From the Tokyo Cardiovascular Care Unit Network Multi-center Registry." Heart and Vessels, vol. 35, no. 11, 2020, pp. 1573-1582.

Kataoka S, Kobayashi Y, Isogai T, et al. Permanent pacemaker implantation and its predictors in patients admitted for complete atrioventricular block: a report from the Tokyo Cardiovascular Care Unit Network multi-center registry. Heart Vessels. 2020;35(11):1573-1582.

Kataoka, S., Kobayashi, Y., Isogai, T., Tanno, K., Fukamizu, S., Watanabe, N., Ueno, A., Yamamoto, T., Takayama, M., & Nagao, K. (2020). Permanent pacemaker implantation and its predictors in patients admitted for complete atrioventricular block: a report from the Tokyo Cardiovascular Care Unit Network multi-center registry. Heart and Vessels, 35(11), 1573-1582. https://doi.org/10.1007/s00380-020-01642-9

Kataoka S, et al. Permanent Pacemaker Implantation and Its Predictors in Patients Admitted for Complete Atrioventricular Block: a Report From the Tokyo Cardiovascular Care Unit Network Multi-center Registry. Heart Vessels. 2020;35(11):1573-1582. PubMed PMID: 32500173.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Permanent pacemaker implantation and its predictors in patients admitted for complete atrioventricular block: a report from the Tokyo Cardiovascular Care Unit Network multi-center registry. AU - Kataoka,Shohei, AU - Kobayashi,Yoshinori, AU - Isogai,Toshiaki, AU - Tanno,Kaoru, AU - Fukamizu,Seiji, AU - Watanabe,Norikazu, AU - Ueno,Akira, AU - Yamamoto,Takeshi, AU - Takayama,Morimasa, AU - Nagao,Ken, Y1 - 2020/06/04/ PY - 2019/12/31/received PY - 2020/05/29/accepted PY - 2020/6/6/pubmed PY - 2020/12/15/medline PY - 2020/6/6/entrez KW - Blood pressure KW - Complete atrioventricular block KW - Pacemaker KW - Sex KW - β-blocker SP - 1573 EP - 1582 JF - Heart and vessels JO - Heart Vessels VL - 35 IS - 11 N2 - Little is known about the permanent pacemaker implantation rate and predictors of permanent pacemaker implantation in patients admitted for complete atrioventricular block (cAVB). The present study was a retrospective analysis based on a multicenter cohort of 797 patients with cAVB (mean age: 79.6 ± 10.7 years; males: 48.4%) registered with the Tokyo Cardiovascular Care Unit Network multicenter registry between 2013 and 2016. Secondary cAVB due to acute coronary syndrome was excluded. The permanent pacemaker implantation rate was 82.9%. Multivariable logistic regression analysis revealed that systolic blood pressure (SBP) > 140 mmHg [odds ratio (OR) 2.10; 95% confidence interval (CI) 1.38-3.22; P < 0.001], male gender (OR 1.63; 95% CI 1.07-2.49; P = 0.023), and left ventricular ejection fraction (LVEF) ≥ 50% (OR 2.19; 95% CI 1.16-2.06; P = 0.016) were predictors of permanent pacemaker implantation while pre-admission β-blocker use (OR 0.28; 95% CI 0.17-0.47; P < 0.001) was associated with a lower risk of permanent pacemaker implantation. Reversible cAVB was not rare in patients admitted for cAVB. Data on SBP on admission, gender, LVEF, and pre-admission β-blocker use may be important for assessing the requirement for permanent pacemaker implantation in the emergency care setting. SN - 1615-2573 UR - https://www.unboundmedicine.com/medline/citation/32500173/Permanent_pacemaker_implantation_and_its_predictors_in_patients_admitted_for_complete_atrioventricular_block:_a_report_from_the_Tokyo_Cardiovascular_Care_Unit_Network_multi_center_registry_ DB - PRIME DP - Unbound Medicine ER -