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1、心脏起搏与心脏除颤器的现状与未来计划History of Pacing and Implantable Defibrillators1972 Groningen1975 Tokyo1978 Montreal1981 Vienna1985 Jerusalem1989 Washington DC1993 Buenos Aires1997 Berlin2001 Hong KongICDssince1993HistoryFirst World Survey was presented at the 4th International Symposium on Cardiac Pacing in Gro
2、ningen Holland, April 1973European pacemaker registry begun in 197822 countries participated in the 2001 surveyICPES International Cardiac Pacing and Electrophysiology SocietyICPES was keen to support and continue world surveysBoard member appointed to coordinateNo BudgetSurvey presented at Hong Kon
3、g Symposium in 2003, was compared with Berlin survey (1999)Major Deficiency in RecordsChange in indications for unitsPacing and defib programsAlterations in hardware usageCountries InvolvedUSA unique surveyAsian PacificMiddle EastAfricaCanadaCentral AmericaSouth AmericaEuropeCountries InvolvedUSA un
4、ique surveyAsian PacificMiddle EastAfricaCanadaCentral AmericaSouth AmericaEuropesimilar to European surveyAlternative Method European Type SurveyWould need good support In the USA, 250,000 units/yearWould depend on enthusiastic country coordinatorsAsian Pacific Region with 19 countries at time of 2
5、001 surveyPatient PrecautionsCooperation with pacing equipment companiesSecurity of information very importantLimitations on clinical information Difficulties:Indications for first implantsAgeGenderUseful mainly to note trends, changesAccuracy depends on cooperation of ALL pacemaker companiesCountri
6、es InvolvedPresented in Hong Kong February 2003 for the first time.European Pacemaker (ICD) RegistryMean Annual ICD Implant RateFuture: 13th World Congress, Rome 2007World survey for 2005 completedBUTNo organisation to coordinate and checkNeeds ongoing organisation and enthusiastic young cardiologists? Follow the European example结束语结束语谢谢大家聆听！谢谢大家聆听！20
