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On-line version ISSN 1029-3019


ENAMORADO ANAYA, Antonio Rafael; GARCIA CANETE, Isolda María; GONZALEZ AGUERO, Marilín  and  GAOUSSOU GORO. Infection risk factors after the permanent pacemaker implantation. MEDISAN [online]. 2020, vol.24, n.3, pp.406-419.  Epub June 03, 2020. ISSN 1029-3019.


The higher life expectancy in the general population has increased the prevalence of diseases of the heart conduction of electric system and, with it, the indication and implant of pacemaker.


To identify the risk factors of infection after the permanent pacemaker implantation


A cases and controls analytic study of 192 patients, to whom a permanent pacemaker was implanted between January, 2017 and December, 2019 was carried out in the Cardiology Service of Celia Sánchez Manduley Teaching Clinical Surgical Hospital from Granma. The study group was integrated by the 38 patients that presented infection after that procedure and every each patient of this group 2 were chosen that also received this device and had no infection that were part of the control group. The variables dependent on the patient, the device, the procedure and the exams were studied. The Fisher test and the chi-square test were used for qualitative variables, as corresponded and the Student t test for the quantitative variables. To determine the risk factors of infection a model of logistical regression was used.


The male sex prevailed (60.5 %) and the mean age was of 76.1 years. As risk factors the use of antiagregants and anticoagulants, history of diabetes mellitus and glucemia figures higher than 8.0 mmol/L prevailed.


There are modifiable risk factors of infection, what constitutes a great challenge in medicine to influence on these factors to prevent lethal complications for life.

Keywords : permanent pacemaker; postoperative infection; risk factor; secondary health care.

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