. | Dual-chamber pacemaker . | Single-chamber pacemaker . | . | . | ||||
---|---|---|---|---|---|---|---|---|
. | (n = 19 219) . | (n = 19 219) . | . | . | ||||
. | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Hazard ratio (95% CI) . | P value . |
Clinical outcomes | ||||||||
All-cause death | 42 203 | 3890 | 9.22 (8.93–9.51) | 39 652 | 4552 | 11.48 (11.15–11.81) | 0.807 (0.773–0.842) | <0.0001 |
Cardiovascular death | 42 203 | 1162 | 2.75 (2.60–2.91) | 39 652 | 1447 | 3.65 (3.46–3.84) | 0.766 (0.709–0.828) | <0.0001 |
Heart failure | 35 699 | 5534 | 15.50 (15.09–15.91) | 33 088 | 5714 | 17.27 (16.82–17.72) | 0.908 (0.875–0.943) | <0.0001 |
Incident AF | 37 719 | 3404 | 9.03 (8.72–9.33) | 34 050 | 3973 | 11.67 (11.31–12.03) | 0.778 (0.743–0.814) | <0.0001 |
Ischaemic stroke | 41 570 | 732 | 1.76 (1.63–1.89) | 38 935 | 789 | 2.03 (1.89–2.17) | 0.873 (0.789–0.965) | 0.008 |
Endocarditis | 41 993 | 174 | 0.41 (0.35–0.48) | 39 466 | 187 | 0.47 (0.41–0.54) | 0.884 (0.719–1.087) | 0.24 |
Device-related outcomes | ||||||||
Upgrade to DDD | 42 220 | 0 | — | 38 409 | 423 | 1.10 (1.00–1.21) | — | — |
Upgrade to CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 39 395 | 132 | 0.34 (0.28–0.39) | 0.860 (0.672–1.102) | 0.23 |
Any upgrade to DDD or CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 38 162 | 547 | 1.43 (1.31–1.55) | 0.210 (0.172–0.256) | <0.0001 |
Pneumothorax/haemothorax | 42 135 | 66 | 0.16 (0.12–0.19) | 39 595 | 70 | 0.18 (0.14–0.22) | 0.901 (0.643–1.261) | 0.54 |
Pocket complication | 41 784 | 631 | 1.51 (1.39–1.63) | 39 001 | 510 | 1.31 (1.19–1.42) | 1.179 (1.049–1.325) | 0.006 |
Lead complication requiring revision | 40 787 | 670 | 1.64 (1.52–1.77) | 38 345 | 589 | 1.54 (1.41–1.66) | 1.123 (1.005–1.255) | 0.04 |
Device-related infection | 41 907 | 234 | 0.56 (0.49–0.63) | 39 261 | 261 | 0.67 (0.58–0.75) | 0.859 (0.720–1.025) | 0.09 |
Tamponade | 42 167 | 25 | 0.06 (0.04–0.08) | 39 641 | 20 | 0.05 (0.03–0.07) | 1.205 (0.670–2.171) | 0.53 |
. | Dual-chamber pacemaker . | Single-chamber pacemaker . | . | . | ||||
---|---|---|---|---|---|---|---|---|
. | (n = 19 219) . | (n = 19 219) . | . | . | ||||
. | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Hazard ratio (95% CI) . | P value . |
Clinical outcomes | ||||||||
All-cause death | 42 203 | 3890 | 9.22 (8.93–9.51) | 39 652 | 4552 | 11.48 (11.15–11.81) | 0.807 (0.773–0.842) | <0.0001 |
Cardiovascular death | 42 203 | 1162 | 2.75 (2.60–2.91) | 39 652 | 1447 | 3.65 (3.46–3.84) | 0.766 (0.709–0.828) | <0.0001 |
Heart failure | 35 699 | 5534 | 15.50 (15.09–15.91) | 33 088 | 5714 | 17.27 (16.82–17.72) | 0.908 (0.875–0.943) | <0.0001 |
Incident AF | 37 719 | 3404 | 9.03 (8.72–9.33) | 34 050 | 3973 | 11.67 (11.31–12.03) | 0.778 (0.743–0.814) | <0.0001 |
Ischaemic stroke | 41 570 | 732 | 1.76 (1.63–1.89) | 38 935 | 789 | 2.03 (1.89–2.17) | 0.873 (0.789–0.965) | 0.008 |
Endocarditis | 41 993 | 174 | 0.41 (0.35–0.48) | 39 466 | 187 | 0.47 (0.41–0.54) | 0.884 (0.719–1.087) | 0.24 |
Device-related outcomes | ||||||||
Upgrade to DDD | 42 220 | 0 | — | 38 409 | 423 | 1.10 (1.00–1.21) | — | — |
Upgrade to CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 39 395 | 132 | 0.34 (0.28–0.39) | 0.860 (0.672–1.102) | 0.23 |
Any upgrade to DDD or CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 38 162 | 547 | 1.43 (1.31–1.55) | 0.210 (0.172–0.256) | <0.0001 |
Pneumothorax/haemothorax | 42 135 | 66 | 0.16 (0.12–0.19) | 39 595 | 70 | 0.18 (0.14–0.22) | 0.901 (0.643–1.261) | 0.54 |
Pocket complication | 41 784 | 631 | 1.51 (1.39–1.63) | 39 001 | 510 | 1.31 (1.19–1.42) | 1.179 (1.049–1.325) | 0.006 |
Lead complication requiring revision | 40 787 | 670 | 1.64 (1.52–1.77) | 38 345 | 589 | 1.54 (1.41–1.66) | 1.123 (1.005–1.255) | 0.04 |
Device-related infection | 41 907 | 234 | 0.56 (0.49–0.63) | 39 261 | 261 | 0.67 (0.58–0.75) | 0.859 (0.720–1.025) | 0.09 |
Tamponade | 42 167 | 25 | 0.06 (0.04–0.08) | 39 641 | 20 | 0.05 (0.03–0.07) | 1.205 (0.670–2.171) | 0.53 |
AF, atrial fibrillation; CI, confidence interval; CRT, cardiac resynchronization therapy; DDD, dual-chamber pacemaker; VVI, single-chamber pacemaker.
. | Dual-chamber pacemaker . | Single-chamber pacemaker . | . | . | ||||
---|---|---|---|---|---|---|---|---|
. | (n = 19 219) . | (n = 19 219) . | . | . | ||||
. | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Hazard ratio (95% CI) . | P value . |
Clinical outcomes | ||||||||
All-cause death | 42 203 | 3890 | 9.22 (8.93–9.51) | 39 652 | 4552 | 11.48 (11.15–11.81) | 0.807 (0.773–0.842) | <0.0001 |
Cardiovascular death | 42 203 | 1162 | 2.75 (2.60–2.91) | 39 652 | 1447 | 3.65 (3.46–3.84) | 0.766 (0.709–0.828) | <0.0001 |
Heart failure | 35 699 | 5534 | 15.50 (15.09–15.91) | 33 088 | 5714 | 17.27 (16.82–17.72) | 0.908 (0.875–0.943) | <0.0001 |
Incident AF | 37 719 | 3404 | 9.03 (8.72–9.33) | 34 050 | 3973 | 11.67 (11.31–12.03) | 0.778 (0.743–0.814) | <0.0001 |
Ischaemic stroke | 41 570 | 732 | 1.76 (1.63–1.89) | 38 935 | 789 | 2.03 (1.89–2.17) | 0.873 (0.789–0.965) | 0.008 |
Endocarditis | 41 993 | 174 | 0.41 (0.35–0.48) | 39 466 | 187 | 0.47 (0.41–0.54) | 0.884 (0.719–1.087) | 0.24 |
Device-related outcomes | ||||||||
Upgrade to DDD | 42 220 | 0 | — | 38 409 | 423 | 1.10 (1.00–1.21) | — | — |
Upgrade to CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 39 395 | 132 | 0.34 (0.28–0.39) | 0.860 (0.672–1.102) | 0.23 |
Any upgrade to DDD or CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 38 162 | 547 | 1.43 (1.31–1.55) | 0.210 (0.172–0.256) | <0.0001 |
Pneumothorax/haemothorax | 42 135 | 66 | 0.16 (0.12–0.19) | 39 595 | 70 | 0.18 (0.14–0.22) | 0.901 (0.643–1.261) | 0.54 |
Pocket complication | 41 784 | 631 | 1.51 (1.39–1.63) | 39 001 | 510 | 1.31 (1.19–1.42) | 1.179 (1.049–1.325) | 0.006 |
Lead complication requiring revision | 40 787 | 670 | 1.64 (1.52–1.77) | 38 345 | 589 | 1.54 (1.41–1.66) | 1.123 (1.005–1.255) | 0.04 |
Device-related infection | 41 907 | 234 | 0.56 (0.49–0.63) | 39 261 | 261 | 0.67 (0.58–0.75) | 0.859 (0.720–1.025) | 0.09 |
Tamponade | 42 167 | 25 | 0.06 (0.04–0.08) | 39 641 | 20 | 0.05 (0.03–0.07) | 1.205 (0.670–2.171) | 0.53 |
. | Dual-chamber pacemaker . | Single-chamber pacemaker . | . | . | ||||
---|---|---|---|---|---|---|---|---|
. | (n = 19 219) . | (n = 19 219) . | . | . | ||||
. | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Person-time (patient-year) . | Number of events . | Incidence, %/year (95% CI) . | Hazard ratio (95% CI) . | P value . |
Clinical outcomes | ||||||||
All-cause death | 42 203 | 3890 | 9.22 (8.93–9.51) | 39 652 | 4552 | 11.48 (11.15–11.81) | 0.807 (0.773–0.842) | <0.0001 |
Cardiovascular death | 42 203 | 1162 | 2.75 (2.60–2.91) | 39 652 | 1447 | 3.65 (3.46–3.84) | 0.766 (0.709–0.828) | <0.0001 |
Heart failure | 35 699 | 5534 | 15.50 (15.09–15.91) | 33 088 | 5714 | 17.27 (16.82–17.72) | 0.908 (0.875–0.943) | <0.0001 |
Incident AF | 37 719 | 3404 | 9.03 (8.72–9.33) | 34 050 | 3973 | 11.67 (11.31–12.03) | 0.778 (0.743–0.814) | <0.0001 |
Ischaemic stroke | 41 570 | 732 | 1.76 (1.63–1.89) | 38 935 | 789 | 2.03 (1.89–2.17) | 0.873 (0.789–0.965) | 0.008 |
Endocarditis | 41 993 | 174 | 0.41 (0.35–0.48) | 39 466 | 187 | 0.47 (0.41–0.54) | 0.884 (0.719–1.087) | 0.24 |
Device-related outcomes | ||||||||
Upgrade to DDD | 42 220 | 0 | — | 38 409 | 423 | 1.10 (1.00–1.21) | — | — |
Upgrade to CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 39 395 | 132 | 0.34 (0.28–0.39) | 0.860 (0.672–1.102) | 0.23 |
Any upgrade to DDD or CRT | 41 991 | 120 | 0.29 (0.24–0.34) | 38 162 | 547 | 1.43 (1.31–1.55) | 0.210 (0.172–0.256) | <0.0001 |
Pneumothorax/haemothorax | 42 135 | 66 | 0.16 (0.12–0.19) | 39 595 | 70 | 0.18 (0.14–0.22) | 0.901 (0.643–1.261) | 0.54 |
Pocket complication | 41 784 | 631 | 1.51 (1.39–1.63) | 39 001 | 510 | 1.31 (1.19–1.42) | 1.179 (1.049–1.325) | 0.006 |
Lead complication requiring revision | 40 787 | 670 | 1.64 (1.52–1.77) | 38 345 | 589 | 1.54 (1.41–1.66) | 1.123 (1.005–1.255) | 0.04 |
Device-related infection | 41 907 | 234 | 0.56 (0.49–0.63) | 39 261 | 261 | 0.67 (0.58–0.75) | 0.859 (0.720–1.025) | 0.09 |
Tamponade | 42 167 | 25 | 0.06 (0.04–0.08) | 39 641 | 20 | 0.05 (0.03–0.07) | 1.205 (0.670–2.171) | 0.53 |
AF, atrial fibrillation; CI, confidence interval; CRT, cardiac resynchronization therapy; DDD, dual-chamber pacemaker; VVI, single-chamber pacemaker.
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