ArticleCardiology journal2025
Swiss national cardiac device registry: Changing trends in implantation procedures over the last two decades.
Article in Cardiology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Adverse outcomes in patients with atrial fibrillation and a pacemaker: a cohort study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Swiss National Device Registry (SwissEPnet) provides a comprehensive database for implantation procedures. The purpose of this study was to provide an in-depth look at device statistics and changing trends over the last 20 years.
methodsThe database was analyzed between January 1, 2003 and December 31, 2022.
resultsDuring the study period, 124,458 pacemaker and cardiac resynchronization therapy (CRT) procedures (mean age: 77.7 years; 59.7% male) were performed in 73 centers while 29,133 implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy with defibrillator (CRT-D) procedures (mean age: 63.63 years; 80.2% male) were performed in 56 centers in Switzerland. While the number of pacemaker procedures has doubled in 20 years and there has been a constant increase in the mean age of patients receiving a pacemaker, the number of ICD procedures has more than tripled and recently plateaued with a mean age which has remained stable. Fluoroscopy and procedure durations remained stable over time for pacemaker and ICD procedures. Newer technologies, leadless pacemakers and CRT procedures require more fluoroscopy time, but this has also decreased over time. While regular battery changes remained stable, the proportion of DDD and CRT upgrades increased. The overall reintervention rate due to device-associated infections was stable over time.
conclusionsThere was a pronounced increase in the number of pacemaker procedures in Switzerland in the last two decades and a marked increase in ICD procedures, which have plateaued recently. Overall, there is a constant increase in mean age of patients receiving a pacemaker, while the mean age of patients receiving an ICD did not change during follow up.
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