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  • Sandström, AnetteUmeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Sweden,Department of Public Health and Clinical Medicine, Heart Centre, Umeå University, Umeå, Sweden (author)

Implantable cardiac devices in adult patients with repaired tetralogy of Fallot

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2020-07-16
  • Informa UK Limited,2021

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/295167
  • https://gup.ub.gu.se/publication/295167URI
  • https://doi.org/10.1080/14017431.2020.1792973DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-173769URI
  • https://lup.lub.lu.se/record/3321cbf3-09c6-4e42-9aee-a6406a08a2f7URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-168520URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-430258URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144205158URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Swedish Heart-Lung FoundationSwedish Heart-Lung Foundation; Umea University; County of Vasterbotten; Heart Foundation of Northern Sweden; Visare Norr.
  • Objectives Implantable cardiac devices are common in patients with tetralogy of Fallot (ToF) (18.3-21.3%) according to previous reports from large centres. We conducted this study to investigate the prevalence and incidence of cardiac devices in a less selected population of patients with ToF and assess factors other than arrhythmia associated with having a device.Design:530 adult (>= 18 years) patients with repaired ToF were identified in the national registry of congenital heart disease (SWEDCON) and matched with data from the Swedish pacemaker registry. Patients with implantable cardiac devices were compared with patients without devices.Results: Seventy-five patients (14.2%) had a device; 51 (9.6%) had a pacemaker and 24 (4.5%) had an implantable cardioverter defibrillator. The incidence in adult age (>= 18 years) was 5.9/1000 patient years. Estimated device free survival was 97.5% at twenty, 87.2% at forty and 63.5% at sixty years of age. Compared with previous studies, the prevalence of devices was lower, especially for ICD. In multivariate logistic regression, cardiovascular medication (odds ratio [OR] 3.5, 95% confidence interval [CI] 1.8-6.8), impaired left ventricular function, (OR 2.6, 95%CI 1.3-5.0) and age (OR 1.02, 95%CI 1.002-1.05) were associated with having a device.Conclusion: The prevalence of devices in our population, representing a multicenter register cohort, was lower than previously reported, especially regarding ICD. This can be due to differences in treatment traditions with regard to ICD in this population, but it may also be that previous studies have reported selected patients with more severe disease.

Subject headings and genre

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  • Rinnström, Daniel,1982-Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Sweden,Department of Public Health and Clinical Medicine, Heart Centre, Umeå University, Umeå, Sweden(Swepub:umu)delrim02 (author)
  • Kesek, MilosUmeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Sweden,Department of Public Health and Clinical Medicine, Heart Centre, Umeå University, Umeå, Sweden(Swepub:umu)mike0005 (author)
  • Thilén, UlfLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Sweden,Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden(Swepub:lu)kard-uth (author)
  • Dellborg, Mikael,1954University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Univ Gothenburg, Sweden,Department of Molecular and Clinical Medicine, University of Gothenburg, Göteborg, Sweden(Swepub:gu)xdelmi (author)
  • Sorensson, P.Karolinska Institutet,Karolinska Inst, Sweden,Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden (author)
  • Nielsen, Niels ErikLinköpings universitet,Linköping University,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Department of Medical and Health Sciences, Linköping University, Linköping, Sweden(Swepub:liu)nieni36 (author)
  • Christersson, ChristinaUppsala universitet,Uppsala University,Cardiol Uppsala Univ, Sweden,Kardiologi(Swepub:uu)chchr086 (author)
  • Johansson, BengtUmeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Sweden,Department of Public Health and Clinical Medicine, Heart Centre, Umeå University, Umeå, Sweden(Swepub:umu)bejo0003 (author)
  • Umeå universitetAvdelningen för medicin (creator_code:org_t)

Related titles

  • In:Scandinavian Cardiovascular Journal: Informa UK Limited55:1, s. 22-281401-74311651-2006

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