1. Quality of Life and Clinical Outcomes in Elderly Patients Treated with Ventricular Pacing as Compared with Dual-Chamber Pacing
- Author
-
Lamas, Gervasio A, Orav, E John, Stambler, Bruce S, Ellenbogen, Kenneth A, Sgarbossa, Elena B, Huang, Shoei K Stephen, Marinchak, Roger A, Estes, NA Mark, Mitchell, Gary F, Lieberman, Eric H, Mangione, Carol M, Goldman, Lee, Griffin, John J, Maloney, James D, Rizo-Patrón, Carlos, Venditti, Ferdinand J, and Wilkoff, Bruce L
- Subjects
Heart Disease ,Neurosciences ,Clinical Research ,Cardiovascular ,Aging ,Bioengineering ,Clinical Trials and Supportive Activities ,Assistive Technology ,Evaluation of treatments and therapeutic interventions ,6.3 Medical devices ,Good Health and Well Being ,Aged ,Aged ,80 and over ,Bradycardia ,Cardiac Pacing ,Artificial ,Equipment Design ,Female ,Heart Block ,Humans ,Male ,Pacemaker ,Artificial ,Quality of Life ,Single-Blind Method ,Survival Analysis ,Treatment Outcome ,Medical and Health Sciences ,General & Internal Medicine - Abstract
BackgroundStandard clinical practice permits the use of either single-chamber ventricular pacemakers or dual-chamber pacemakers for most patients who require cardiac pacing. Ventricular pacemakers are less expensive, but dual-chamber pacemakers are believed to be more physiologic. However, it is not known whether either type of pacemaker results in superior clinical outcomes.MethodsThe Pacemaker Selection in the Elderly study was a 30-month, single-blind, randomized, controlled comparison of ventricular pacing and dual-chamber pacing in 407 patients 65 years of age or older in 29 centers. Patients received a dual-chamber pacemaker that had been randomly programmed to either ventricular pacing or dual-chamber pacing. The primary end point was health-related quality of life as measured by the 36-item Medical Outcomes Study Short-Form General Health Survey.ResultThe average age of the patients was 76 years (range, 65 to 96), and 60 percent were men. Quality of life improved significantly after pacemaker implantation (P
- Published
- 1998