Gao ruilong, Liu peng, Zhai zhengqin, et al. Risk factors and rate of acute complications after pacemaker implantation in elderly patients[J]. 2021, (2): 121-124+128.
Gao ruilong, Liu peng, Zhai zhengqin, et al. Risk factors and rate of acute complications after pacemaker implantation in elderly patients[J]. 2021, (2): 121-124+128.DOI：
Objective To observe the incidence and risk factors of postoperative pacemaker complications in elderly（>80 years） patients. Methods A total of 127 elderly patients implanted with cardiac pacemakers were selected from January 2014 to January 2018. The incidence of complications during a 60-day follow-up was observed.Multivariate logistic regression analysis was performed on related factors. Results Of the 127 patients
21（16.5%） had acute complications during follow-up. There was electrode dislocation（n=1
0.8%）
pneumothorax（n=2
1.6%）
local hematoma（n=9
71%）
nerve injury（n=2
1.6%）
subcutaneous emphysema（n=1
0.8%）
venous thrombosis（n=1
0.8%）
pericardial effusion（n=1
0.8%） and postoperative ventricular arrhythmia（n=4
3.1%）. Multivariate logistic stepwise regression analysis showed that women
combined atrial fibrillation
and low body mass index（BMI） were statistically significant for the occurrence of acute complications（p<0.05）. Conclusions The proportion of acute complications after permanent pacemaker implantation in elderly patients is 16.5%
and the related risk factors are women
atrial fibrillation
low BMI. It is necessary to strengthen the treatment and monitoring these patients.
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