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1、World Surveys of Cardiac Pacing and Cardioverter Defibrillators: Current State and Future Plans,Prof Harry G Mond Department of Epidemiology & Preventive Medicine, Monash University. Cardiology Department, Royal Melbourne Hospital, Melbourne, Australia. Dr Graeme Sloman Cardiologist, Victorian Heart
2、 Centre, Epworth Hospital and Cardiology Department, Royal Melbourne Hospital, Melbourne, Australia. November 2005,History of Pacing and Implantable Defibrillators,1972 Groningen 1975 Tokyo 1978 Montreal 1981 Vienna 1985 Jerusalem 1989 Washington DC 1993 Buenos Aires 1997 Berlin 2001 Hong Kong,Paul
3、Zoll,Zolls External Pacemaker,Seymour Furman,-developed in USA,Aubrey Leatham,-developed in Britain,Victor Parsonnet,Isotope power source longevity,History,First World Survey was presented at the 4th International Symposium on Cardiac Pacing in Groningen Holland, April 1973 European pacemaker regist
4、ry begun in 1978 22 countries participated in the 2001 survey,ICPES International Cardiac Pacing and Electrophysiology Society,ICPES was keen to support and continue world surveys Board member appointed to coordinate No Budget,Major Deficiency in Records,Change in indications for units Pacing and de
5、fib programs Alterations in hardware usage,Countries Involved,USA unique survey Asian Pacific Middle East Africa Canada Central America South America Europe,Countries Involved,USA unique survey Asian Pacific Middle East Africa Canada Central America South America Europe,Alternative Method European T
6、ype Survey,Would need good support In the USA, 250,000 units/year Would depend on enthusiastic country coordinators Asian Pacific Region with 19 countries at time of 2001 survey,Patient Precautions,Cooperation with pacing equipment companies Security of information very important Limitations on clin
7、ical information Difficulties: Indications for first implants Age Gender Useful mainly to note trends, changes Accuracy depends on cooperation of ALL pacemaker companies,Countries Involved,Presented in Hong Kong February 2003 for the first time.,European Pacemaker (ICD) Registry,Mean Annual ICD Implant Rate,Future: 13th World Congress, Rome 2007,World survey for 2005 completed BUT No organisation to coordinate and check Needs ongoing organisation and enthusiastic young cardiologists ? Follow the European example,
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