P.2. Syncope, Pacemaker, CRT & ICD: P.2.7 Pacemaker Registry in Saitama Prefecture, Japan Free

Pacemaker Registry has been started since 2004 to establish a reliable source of pacemaker use in Saitama-prefecture having the fifth largest population in Japan.

Patient demographics, pacemaker system characteristics, and implant procedure were registered.

960cases (462Males, mean age 73.2 years, first implant 650cases) from 65institutions were registered. Number of implantations was <30cases in 56institutions, (86.2%), ≥30cases at 9 (13.8%). Cardiologists performed 674 (81.5%) implantations in catheter lab whereas Surgeons performed 103 (79.8%) procedures in surgery. Physiological pacing mode was chosen in 67% of Sick Sinus Syndrome and 81.2% of Heart Block. Screw-in lead was most widely used in atrium (52.7%) whereas tined-lead was the most in ventricle (71.6%). Subclavian puncture was most widely used in 80.8% of atrial and 73.2% of ventricular lead. Pacing sites were RA appendage (55.8%), atrial septum (35.6%), and others (8.6%) in the atrium, and RV apex (93.2%), and others (6.8%).

The data from Saitama Pacemaker registry gives a good account of patient demographics and pacemaker practice in Saitama in the first year which will be useful as a future source of reference.