Study Factors Associated with Early Complications of the Permanent Pacemaker Implantation: A Research Report in Vietnam

Abstract

ABSTRACT Introduction: The permanent pacemaker implantation has a history of more than 60 years with improved mortality and quality of life but also recorded many complications. Objectives: 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. Methods: 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. Results: 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). Conclusion: 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.