Abstract
The implantation rate of cardiac pacemakers in Northern Ireland rose from 55.8 per million population in 1979 to over 180 per million in 1988, with the emergence of a second pacemaker implantation centre. However, the implantation rate in Northern Ireland remains less than that of many other countries. Over the period complete heart block fell as an indication from 45% to 34% and sinus node disease rose from 16% to 28%. Symptoms necessitating pacing remained unchanged, syncope being the most common. Ventricular demand pacemakers constituted a lower proportion of implants than anywhere else in the world and more atrial demand and dual chamber pacemakers were implanted than in most other countries. Insufficient patients are being referred for pacing in Northern Ireland but a high proportion of those who are referred receive modern sophisticated pacemakers.
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Selected References
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- Chokshi A. B., Friedman H. S., Malach M., Vasavada B. C., Bleicher S. J. Impact of peer review in reduction of permanent pacemaker implantations. JAMA. 1981 Aug 14;246(7):754–757. [PubMed] [Google Scholar]
- Langendorf R., Pick A. Atrioventricular block, type II (Mobitz)--its nature and clinical significance. Circulation. 1968 Nov;38(5):819–821. doi: 10.1161/01.cir.38.5.819. [DOI] [PubMed] [Google Scholar]
- Lichstein E., Gupta P. K., Chadda K. D. Indications for pacing in patients with chronic bifascicular block. Pacing Clin Electrophysiol. 1978 Oct;1(4):540–543. doi: 10.1111/j.1540-8159.1978.tb03520.x. [DOI] [PubMed] [Google Scholar]
- Madigan N. P., Flaker G. C., Curtis J. J., Reid J., Mueller K. J., Murphy T. J. Carotid sinus hypersensitivity: beneficial effects of dual-chamber pacing. Am J Cardiol. 1984 Apr 1;53(8):1034–1040. doi: 10.1016/0002-9149(84)90632-5. [DOI] [PubMed] [Google Scholar]
- Scheinman M. M., Peters R. W., Suavé M. J., Desai J., Abbott J. A., Cogan J., Wohl B., Williams K. Value of the H-Q interval in patients with bundle branch block and the role of prophylactic permanent pacing. Am J Cardiol. 1982 Dec;50(6):1316–1322. doi: 10.1016/0002-9149(82)90469-6. [DOI] [PubMed] [Google Scholar]
- Selzer A. Too many pacemakers. N Engl J Med. 1982 Jul 15;307(3):183–184. doi: 10.1056/NEJM198207153070311. [DOI] [PubMed] [Google Scholar]
- Shaw D. B., Holman R. R., Gowers J. I. Survival in sinoatrial disorder (sick-sinus syndrome). Br Med J. 1980 Jan 19;280(6208):139–141. doi: 10.1136/bmj.280.6208.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shaw D. B., Kekwick C. A. Potential candidates for pacemakers. Survey of heart block and sinoatrial disorder (sick sinus syndrome). Br Heart J. 1978 Feb;40(2):99–105. doi: 10.1136/hrt.40.2.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shaw D. B., Kekwick C. A., Veale D., Gowers J., Whistance T. Survival in second degree atrioventricular block. Br Heart J. 1985 Jun;53(6):587–593. doi: 10.1136/hrt.53.6.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siddons H. Deaths in long-term paced patients. Br Heart J. 1974 Dec;36(12):1201–1209. doi: 10.1136/hrt.36.12.1201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Strasberg B., Amat-Y-Leon F., Dhingra R. C., Palileo E., Swiryn S., Bauernfeind R., Wyndham C., Rosen K. M. Natural history of chronic second-degree atrioventricular nodal block. Circulation. 1981 May;63(5):1043–1049. doi: 10.1161/01.cir.63.5.1043. [DOI] [PubMed] [Google Scholar]