Jacyna M R, Main G, Hanslip J, Pringle T H, Mcneill G P
Department of Cardiology, Ninewells Hospital and Medical School, Dundee, Scotland.
Scott Med J. 1988 Jun;33(3):261-3. doi: 10.1177/003693308803300303.
In Tayside region, from 1976 to 1986, the number of permanent pacemakers implanted per year more than doubled, with the increase particularly marked over the latter five years. In order to determine the factor(s) which had caused this increase in implantation rates, a retrospective analysis of patients undergoing pacemaker implantation during the period 1981-1986 was undertaken. No change in the number of elderly in the population, age of patients, mode of referral, waiting time before insertion or clinical indications for pacing was observed to account for this change. The advent of ambulatory ECG monitoring may have contributed to this increase, but the appointment of an extra cardiologist in Tayside in 1982 was believed to have been more important. These results suggest that the number of pacemakers implanted in a region is highly dependent on the number of cardiological staff in that region available for their insertion.
在泰赛德地区，1976年至1986年期间，每年植入的永久性起搏器数量增加了一倍多，后五年的增长尤为显著。为了确定导致植入率上升的因素，对1981年至1986年期间接受起搏器植入的患者进行了回顾性分析。未观察到人口中老年人数量、患者年龄、转诊方式、植入前等待时间或起搏临床指征的变化可解释这一变化。动态心电图监测的出现可能促成了这一增长，但1982年泰赛德地区增设了一名心脏病专家被认为更为重要。这些结果表明，一个地区植入的起搏器数量高度依赖于该地区可进行植入操作的心脏病医护人员数量。
