Abstract
PO-06-146 FIRST LOOK AT CARE DISPARITIES IN PACEMAKER IMPLANTATION RATES AMONG NATIVE AMERICANS
Heart rhythm, Vol.22(4 Supplement), pp.S696-S696
04/2025
DOI: 10.1016/j.hrthm.2025.03.1687
Abstract
Background
Significant cardiovascular disparities have plagued Native American (NA) populations for years. Nonetheless, little has been uncovered on rates, treatments, and outcomes of Natives with bradyarrhythmias requiring pacemaker (PM) devices.
Objective
This analysis seeks to reveal the prevalence and treatment rates for Natives with PM indications, along with complication rates that arise after PM implantation.
Methods
Using the TriNetX national database, diagnoses of sick sinus syndrome (SSS) and high-degree AV blocks (AVB; Mobitz type II, third degree block) were assessed over the last ten years (Dec 1, 2014 – Dec 1, 2024). Comorbidities, PM placement rates, follow-up, and subsequent lead infections were reviewed over this same time-period.
Results
White patients have higher rates of SSS and AVB (14% and 2%, respectively). NA have the lowest rates of PM placements for these diseases (38.4% and 49.1%, respectively) and the longest average follow-up (899 days). NA patients had significantly higher rates of diabetes (40%), alcohol use (9%), tobacco use (18%), and cirrhosis (5%). Although Black patients have higher rates of lead infections (3.1% vs 2.93% in NA), NA have significantly higher rates of sepsis after PM placements (15.4%) compared to any racial group.
Conclusion
These findings expose alarming disparities in pacemaker implantation and post-procedure care in NA. While outcomes can be attributed to high-risk comorbidities, it is critical that these issues are addressed to ensure the long-term wellbeing of NA communities.
Details
- Title: Subtitle
- PO-06-146 FIRST LOOK AT CARE DISPARITIES IN PACEMAKER IMPLANTATION RATES AMONG NATIVE AMERICANS
- Creators
- Cole HowieRyan WilliamsPaari Dominic
- Resource Type
- Abstract
- Publication Details
- Heart rhythm, Vol.22(4 Supplement), pp.S696-S696
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.hrthm.2025.03.1687
- ISSN
- 1547-5271
- Language
- English
- Date published
- 04/2025
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984816010502771
Metrics
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