Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker
Abstract Introduction The long‐term performance of leadless pacemaker (LPM) has not been well evaluated. Methods Between September 2017 and January 2021, 929 consecutive patients who underwent pacemaker implantation were grouped according to the types of pacemakers: LPM (LPM group, n = 368) and conv...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12761 |
| _version_ | 1828107080917057536 |
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| author | Tomonori Katsuki Michio Nagashima Hiroyuki Kono Yohei Sadohara Jun Hirokami Rei Kuji Kengo Korai Masato Fukunaga Kenichi Hiroshima Kenji Ando |
| author_facet | Tomonori Katsuki Michio Nagashima Hiroyuki Kono Yohei Sadohara Jun Hirokami Rei Kuji Kengo Korai Masato Fukunaga Kenichi Hiroshima Kenji Ando |
| author_sort | Tomonori Katsuki |
| collection | DOAJ |
| description | Abstract Introduction The long‐term performance of leadless pacemaker (LPM) has not been well evaluated. Methods Between September 2017 and January 2021, 929 consecutive patients who underwent pacemaker implantation were grouped according to the types of pacemakers: LPM (LPM group, n = 368) and conventional pacemaker (PM group, n = 561). Results The median follow‐up duration was 1.7 years (interquartile range 0.8–2.6 years). Hospitalization rate for heart failure in the LPM group was 9.3%, 15.6%, and 21.6% at 1, 2, 3 years, respectively. The LPM group had a significantly higher adjusted heart failure hospitalization risk than the PM group [hazard ratio (HR) 1.70, 95% confidence interval (CI) 1.09–2.64, p = .01]. More patients with symptomatic bradycardia caused by sinus node dysfunction (SND) in the LPM group (n = 150) were admitted to the hospital for heart failure compared to those in the PM group (n = 219) (HR 2.02, 95%CI 1.04–3.90, p = .03), whereas no significant difference was observed between the two groups in the patients with bradycardia caused by atrial fibrillation (LPM group, n = 71; PM group, n = 18) or atrioventricular block (LPM group, n = 147; PM group, n = 324). Conclusions Patients who received LPM implantation had greater hospitalization risk for heart failure, compared to those who received conventional pacemaker implantation. The increased risk was mainly attributed to patients with SND. |
| first_indexed | 2024-04-11T10:27:17Z |
| format | Article |
| id | doaj.art-a6b96c0a66084c12a2ac31745c23cb8a |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-04-11T10:27:17Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-a6b96c0a66084c12a2ac31745c23cb8a2022-12-22T04:29:33ZengWileyJournal of Arrhythmia1880-42761883-21482022-10-0138573073510.1002/joa3.12761Clinical outcome for heart failure hospitalizations in patients with leadless pacemakerTomonori Katsuki0Michio Nagashima1Hiroyuki Kono2Yohei Sadohara3Jun Hirokami4Rei Kuji5Kengo Korai6Masato Fukunaga7Kenichi Hiroshima8Kenji Ando9Department of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanDepartment of Cardiology Kokura Memorial Hospital Kitakyushu JapanAbstract Introduction The long‐term performance of leadless pacemaker (LPM) has not been well evaluated. Methods Between September 2017 and January 2021, 929 consecutive patients who underwent pacemaker implantation were grouped according to the types of pacemakers: LPM (LPM group, n = 368) and conventional pacemaker (PM group, n = 561). Results The median follow‐up duration was 1.7 years (interquartile range 0.8–2.6 years). Hospitalization rate for heart failure in the LPM group was 9.3%, 15.6%, and 21.6% at 1, 2, 3 years, respectively. The LPM group had a significantly higher adjusted heart failure hospitalization risk than the PM group [hazard ratio (HR) 1.70, 95% confidence interval (CI) 1.09–2.64, p = .01]. More patients with symptomatic bradycardia caused by sinus node dysfunction (SND) in the LPM group (n = 150) were admitted to the hospital for heart failure compared to those in the PM group (n = 219) (HR 2.02, 95%CI 1.04–3.90, p = .03), whereas no significant difference was observed between the two groups in the patients with bradycardia caused by atrial fibrillation (LPM group, n = 71; PM group, n = 18) or atrioventricular block (LPM group, n = 147; PM group, n = 324). Conclusions Patients who received LPM implantation had greater hospitalization risk for heart failure, compared to those who received conventional pacemaker implantation. The increased risk was mainly attributed to patients with SND.https://doi.org/10.1002/joa3.12761heart failure hospitalizationleadless pacemaker |
| spellingShingle | Tomonori Katsuki Michio Nagashima Hiroyuki Kono Yohei Sadohara Jun Hirokami Rei Kuji Kengo Korai Masato Fukunaga Kenichi Hiroshima Kenji Ando Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker Journal of Arrhythmia heart failure hospitalization leadless pacemaker |
| title | Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| title_full | Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| title_fullStr | Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| title_full_unstemmed | Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| title_short | Clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| title_sort | clinical outcome for heart failure hospitalizations in patients with leadless pacemaker |
| topic | heart failure hospitalization leadless pacemaker |
| url | https://doi.org/10.1002/joa3.12761 |
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