ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở NHỮNG NGƯỜI BỆNH CÓ CHỈ ĐỊNH THỦ THUẬT CẤY MÁY TẠO NHỊP VĨNH VIỄN TẠI VIỆN TIM MẠCH VIỆT NAM

Abstract

Objectives: To study the clinical and subclinical characteristics of patients have an indications for permanent pacemaker implantation at the Vietnam Heart Institute. Methods: Study on 294 patients who received permanent pacemaker implantation at the Vietnam Heart Institute during the period from August 1, 2019 to March 30, 2020. A cross-sectional descriptive and prospective study. The data collection before and after permanent pacemaker implantation. Result: The average age of the study group was 65.5 ± 16.1 years, the elderly group accounted for a higher percentage (68%) than the young group (32%), with p < 0.05, female group accounted for a higher proportion male group with p < 0.05. The majority of patients had an average BMI is mainly accounted for 83%, while the obese and thin group accounted for only 6.8% and 10.2%, respectively. The main comorbidities were hypertension accounting for 46.3%, diabetes 19.0%, chronic kidney disease 12.9%, severe tricuspid regurgitation 11.6% and disease accompanying heart valve damage accounted for 27.9%. The mean ejection fraction (EF) was 61.2 ± 12.3% [18-82%] with 8.5% of patients having left ventricular ejection fraction (LVEF) less than 40%. Tests with safe INR (INR < 1.5) are the majority of 96.6%, while INR > 1.5 only meet 3.4% of cases when implanted with the maximum value is INR = 3.95.