ĐẶC ĐIỂM VÀ YẾU TỐ LIÊN QUAN BIẾN CHỨNG SỚM TỤ MÁU, BẦM TÍM Ổ MÁY Ở NGƯỜI BỆNH ĐƯỢC CẤY MÁY TẠO NHỊP VĨNH VIỄN TẠI VIỆN TIM MẠCH VIỆT NAM

Abstract

Objective: To study the characteristics and factors related to early complications of hematoma, focal bruise in patients after pacemaker implantations at the Vietnam National Heart Institute. Methods: A cross-sectional descriptive and prospective, to study on the patients who received the permanent pacemaker implantation at the Vietnam National Heart Institute during the period from August 1, 2019 to March 30, 2020. Results: Among 294 patients with permanent pacemaker implantationS, early complications after pacemaker implantations procedure accounted for 12.24%, of which early complications of hematoma, focal bruise were the most common accounting for 5.10%, there are 10 cases of hematoma, bruising mild degree of cyanosis, 5 cases of moderate and severe hematoma. Factors related to early complications of hematoma, focal bruise of machine implant procedure. The rate of early complications of hematoma, machine bruise of pacemaker procedure increases and has statistical significance in patients. The patients group used oral anticoagulant with p<0.001; OR=6.8 95%CI (2.3-199), anti-platelet dual with p<0.001; OR=6.5 95%CI (2.0-20.8), maintain anticoagulation and/or antiplatelet drug when implanted with p<0.05, OR=6.1; 95%CI(2.1-17.9), INR index with p<0.05; OR=5.2 95%CI(1.0-27.0) and history of heart surgery with p<0.05, OR=4.7, 95%CI(1.2-18.7).