Evidence map›Paper›PMID 40917167›Full record

ArticleHeart rhythm O22025

National Tunisian Multicenter Prospective Study on Cardiac Implantable Electronic Devices (Tunisian NATURE-CIED study): One-year complications and predictive factors.

Sonia Chabrak, Emna Allouche, Sana Ouali, Abdeddayem Haggui, Afef Ben Halima, Slim Kacem, Salma Krichen, Sonia Marrakchi, Wafa Fehri, Mohamed Sami Mourali and 36 more

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Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

46 authors.

Sonia ChabrakCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Emna AlloucheCardiology Department, Faculty of Medicine of Tunis, Charles Nicolle Hospital, University of Tunis, Tunis, Tunisia.
Sana OualiCardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia.
Abdeddayem HagguiCardiology Department, Military Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia.
Afef Ben HalimaAbderrahmen Mami Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia.
Slim KacemCardiology Department, Essalem Center, Sousse, Tunisia.
Salma KrichenCardiology Department, Bassetine Clinic, Sfax, Tunisia.
Sonia MarrakchiCardiology Department, Versailles Cardiology Center, Paris, France.
Wafa FehriCardiology Department, Military Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia.
Mohamed Sami MouraliCardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia.
Zeineb JabbariCardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia.
Manel Ben HalimaCardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia.
Elyes NeffatiCardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia.
Aymen HeraiechCardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia.
Mehdi SlimCardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia.
Salem KachbouraPrivate Clinic, Tunis, Tunisia.
Habib GamraCardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Majed HassineCardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Sondes KraiemCardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia.
Sofien KammounCardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia.
Leila BezdahCardiology Department, Faculty of Medicine of Tunis, Charles Nicolle Hospital, University of Tunis, Tunis, Tunisia.
Gouider JridiCardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia.
Hatem BouraouiCardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia.
Rania HammamiCardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital of Sfax, University of Sfax, Sfax, Tunisia.
Rafik ChettaouiCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Youssef Ben AmeurCardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia.
Fares AzaiezCardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia.
Rami TliliCardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia.
Kais BattikhPrivate Clinic, Djerba, Medenine, Tunisia.
Hedi Ben SlimaCardiology Department, Faculty of Medicine of Tunis, Menzel Bourguiba Hospital, University of Tunis, Bizerte, Tunisia.
Rim ChriguiCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Samia FazaaCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Islem SanaaCardiology Department, General & Cardiovascular Clinic, Tunis, Tunisia.
Yassine EllouzCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Mohamed MosratiCardiology Department, Carthage International Medical Center, Monastir, Tunisia.
Sami MilouchiThe Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.
Soumaya JarmouniCardiology Department, Pasteur Clinic, Tunis, Tunisia.
Wacef AyadiCardiology Department, Bassetine Clinic, Sfax, Tunisia.
Malek AkroutCardiology Department, Bassetine Clinic, Sfax, Tunisia.
Rabie RazgallahDACIMA Consulting, Tunis, Tunisia.
Wissal NeffatiDACIMA Consulting, Tunis, Tunisia.
Meriem DrissaThe Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.
Selma CharfeddineThe Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.
Leila AbidCardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital of Sfax, University of Sfax, Sfax, Tunisia.
Lilia ZakhamaCardiology Department, Hospital of the Interior Force Security, University of Tunis, Tunis, Tunisia.
Salem AbdessalemCardiology Department, Pasteur Clinic, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prevalence of cardiac implantable electronic devices (CIEDs) in Tunisia is rising because of increased life expectancy and broader indications. This has led to a higher incidence of complications related to vascular access, device pockets, leads, and patient characteristics. Objective: We aimed to evaluate the prevalence, types, and predictors of complications occurring within the first year after CIED implantation and to profile the demographic and epidemiologic characteristics of CIED recipients in Tunisia. Methods: The National Tunisian Multicenter Prospective Study on Cardiac Implantable Electronic Devices is a nationwide, prospective study. We enrolled consecutive patients, from January 2021 to February 2022, undergoing de novo implantation of pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy devices, generator replacements, and upgrading procedures. Patients attended 4 follow-up visits within the first year. Results: We enrolled 1500 patients with a mean age of 70.1 ± 15.2 years. Most (86.5%) received conventional pacemakers. The overall complication rate was 8.6%, with 129 complications in 80 patients. No significant associations were found between age or gender and complication rates. However, overweight and obesity were independent predictors of overall complications. Procedures performed in private health care settings were associated with a 56.2% reduction in complication rates. Generator replacements were linked to a 64.2% decrease in complication rates. Conversely, urgent or out-of-hours procedures increased the risk of complications by 62.7%. Procedures performed by non-electrophysiologist implanters were associated with an 89.5% increase in overall complication rates. Conclusion: Complications were more prevalent with cardiac resynchronization therapy devices. Identifying specific procedural predictors may pinpoint patients at higher risk, affecting personalized treatments and CIED implantation strategies.

Indexed as

AfricaCardiac resynchronization therapyComplicationsImplantable cardioverter defibrillatorPacemakerPredictorsTunisia

Identifiers

PMID40917167
PMCPMC12411964

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