Tran Giang Song, Chu Si Dung, Tran Minh Thi
Department of Cardiology, Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam.
Department of Cardiology, Training and Direction of Healthcare Activities Center, Bach Mai Hospital, Hanoi, Vietnam.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2706-S2708. doi: 10.4103/jpbs.jpbs_420_24. Epub 2024 Jul 31.
The permanent pacemaker implantation has a history of more than 60 years with improved mortality and quality of life but also recorded many complications.
The objective is to evaluate the rate of early complications at the National Heart Institute of Vietnam and the factors associated with the early complication of the permanent pacemaker implantation procedure.
A cross-sectional descriptive is about 294 patients who received permanent pacemaker implantation at the National Heart Institute of Vietnam from 01/08/2020 to 30/30/2020.
The rate of complications is statistically higher in the diabetic group (OR = 2.5; 95% CI: 1.1-5.6), chronic kidney failure (OR = 2.7; 95% CI: 1.1-6.6), preheart surgery (OR = 3.8; 95% CI: 1.3-11.8), taking oral anticoagulants (OR = 4.3; 95% CI: 1.9-9.9), dual antiplatelets (OR = 2.95; 95% CI: 1.1-8.1), continuation to maintain anticoagulants, or dual antiplatelets (OR = 2.7; 95% CI: 1.2-6.4).
Early onset of complications (onset of early complications) has been associated with some factors such as diabetes disease, chronic kidney failure, preheart surgery, oral anticoagulants, dual antiplatelets, continuation to maintain anticoagulation, and antiplatelets with statistical significance.
永久性起搏器植入已有60多年历史,虽可改善死亡率和生活质量,但也记录了许多并发症。
评估越南国家心脏研究所永久性起搏器植入早期并发症的发生率以及与该植入手术早期并发症相关的因素。
一项横断面描述性研究涉及2020年8月1日至2020年3月30日在越南国家心脏研究所接受永久性起搏器植入的294例患者。
糖尿病组(比值比=2.5;95%置信区间:1.1 - 5.6)、慢性肾衰竭(比值比=2.7;95%置信区间:1.1 - 6.6)、心脏手术前(比值比=3.8;95%置信区间:1.3 - 11.8)、服用口服抗凝剂(比值比=4.3;95%置信区间:1.9 - 9.9)、双联抗血小板治疗(比值比=2.95;95%置信区间:1.1 - 8.1)、继续维持抗凝剂或双联抗血小板治疗(比值比=2.7;95%置信区间:1.2 - 6.4)的并发症发生率在统计学上更高。
并发症的早期发生(早期并发症的发作)与一些因素相关,如糖尿病、慢性肾衰竭、心脏手术前、口服抗凝剂、双联抗血小板治疗、继续维持抗凝治疗和抗血小板治疗,且具有统计学意义。