Login
Search
Search
0 Dates
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Pacemaker in Nonagenarian and Centenarian Patients: A Five-Year Experience at a Tertiary Center
Session:
SESSÃO DE POSTERS 10 - GERIATRIA CARDIOVASCULAR: MOSTRA-ME OS DADOS!
Speaker:
Emanuel De Oliveira
Congress:
CPC 2025
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.1 Antibradycardia Pacing
Session Type:
Cartazes
FP Number:
---
Authors:
Emanuel de Oliveira; Bernardo Cruz; Gonçalo Pestana; Ana Lebreiro; João Calvão; Ricardo Pinto; Marta Madeira; Luís Adão; Rui A. Rodrigues
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">Permanent pacing is the treatment of choice for various bradyarrhythmias. With population aging, there has been an increase in permanent pacemaker implantation in elderly individuals. However, data on nonagenarians and centenarians remain scarce. This study describes the characteristics and outcomes of patients aged ≥90 years undergoing pacemaker implantation at a tertiary center.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">This observational, retrospective study included consecutive patients aged ≥90 years who underwent their first permanent pacemaker implantation between January 1, 2020, and November 30, 2024. Demographic and clinical data were collected from electronic medical records.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">A total of 110 patients were included, 53.6% of whom were women, with a mean age of 92.6 years (range: 90–101). The Clinical Frailty Scale (CFS) ranged from 4 to 8, with 43.6% scoring 6 and 17.3% scoring >6. Hypertension was the most common comorbidity (74%), followed by heart failure (41.1%) and diabetes mellitus (28.7%).</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">Urgent implantations accounted for 82.7% of procedures, 7% requiring temporary pacing. The main symptoms were syncope (34.5%), heart failure (18.2%), and fatigue (14.5%). Most patients had sinus rhythm (68.2%) and more frequently presented with complete atrioventricular block (49.1%), second-degree atrioventricular block (17.3%), and atrial fibrillation with slow ventricular response (10.9%).</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">Single-chamber ventricular pacemakers were the most implanted type (62.7%). Complications occurred in 2.7% of cases, the most common being ventricular lead displacement, followed by ventricular tachycardia and pocket hematoma.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">The mean follow-up period was 433 days, with an overall mortality rate of 30.9% (12.7% in the first year). Within the first month, 14.8% visited the emergency department, and 8.3% were hospitalized for any cause. The average number of emergency visits per patient was 2.3 (0.4 cardiovascular-related), and the average number of hospitalizations was 0.7 (0.3 cardiovascular-related).</span></span></p> <p style="text-align:justify"><span style="font-size:11.0pt"><span style="font-family:"Calibri",sans-serif">Pacemaker implantation in nonagenarians and centenarians proved safe and effective. Despite frailty and comorbidities, first-year mortality was low. The predominance of single-chamber pacemakers reflects a preference for less invasive procedures in this population. The prominence of non-cardiovascular events underscores the impact of comorbidities and highlights the need for a comprehensive care approach.</span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site