The association between seasonality and the incidence of permanent pacemaker implantations due to atrioventricular block.

The Winter season is associated with increased cardiovascular morbidity. Scarce data exists regarding seasonal variation and permanent pacemaker implantation (PPM) due to advanced atrioventricular (AV) block. A retrospective analysis including 759 consecutive patients with AV-block requiring PPM imp...

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Publicado en:International Journal of Environmental Health Research Vol. 36; no. 4; pp. 688 - 698
Autores principales: Doga, Reut, Yarza, Shaked, Glatman-Freedman, Aharona, Novack, Victor, Haim, Moti, Konstantino, Yuval
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
      vid: 36
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      pub: Taylor & Francis Ltd
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        atl: The association between seasonality and the incidence of permanent pacemaker implantations due to atrioventricular block.
      aug:
        au:
          Doga, Reut
          Yarza, Shaked
          Glatman-Freedman, Aharona
          Novack, Victor
          Haim, Moti
          Konstantino, Yuval
        affil: Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
      sug:
        subj:
          Heart Block Epidemiology
          Heart Block Surgery
          Pacemaker, Artificial Psychosocial Factors
          Seasons
          Influenza, Seasonal
          Israel
          Human
          Male
          Female
          Aged
          Aged, 80 and Over
          Retrospective Design
          Record Review
          Prospective Studies
          Time Series
          Academic Medical Centers
          Tertiary Health Care
          Poisson Distribution
          Univariate Statistics
          Multivariate Analysis
          T-Tests
          Mann-Whitney U Test
          Pearson's Correlation Coefficient
          Chi Square Test
          Fisher's Exact Test
          P-Value
          Odds Ratio
          Confidence Intervals
          Two-Tailed Test
          Data Analysis Software
          Descriptive Statistics
          Temperature
          Sex Factors
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: The Winter season is associated with increased cardiovascular morbidity. Scarce data exists regarding seasonal variation and permanent pacemaker implantation (PPM) due to advanced atrioventricular (AV) block. A retrospective analysis including 759 consecutive patients with AV-block requiring PPM implantation in a tertiary university medical center was performed. The association between daily incidence of PPM implantation, season of admission, meteorological parameters and Influenza rates was assessed. Mean age was 76 and 55% were males. After adjustment for temperature, humidity, rainfall and patient comorbidities, there was a significant association between a 5-degree Celsius decrease in ambient temperatures and daily incidence of PPM implantation (adjusted RR:1.06, 95% CI 1.02–1.13; p = 0.03). In adjusted analysis stratified by seasons, gender and patient comorbidities, PPM implantation was higher among men, during the winter season as compared to the fall season (adjusted RR:1.31, 95% CI 0.99–1.75; p = 0.07). Yet, there was no significant association between PPM and influenza season (adjusted RR:1.24, 95% CI 0.86–1.78, p = 0.24). Further research is required to validate these findings and assess whether temperature decline is clearly related to AV-block or other confounding variables exist.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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