OBJECTIVE

To assess quality of life in patients with venous thromboembolism following pacemaker implantation.

MATERIAL AND METHODS

The study included 100 patients (57 men and 43 women) aged 69 years (range 60-76) who underwent implantation of single-chamber (n=43) and dual-chamber (n=57) pacemakers. Indications for surgery were various degrees of atrioventricular blockade in 40 cases, atrial fibrillation in 35 cases, sick sinus syndrome in 24 cases, carotid sinus syndrome in 1 patient. Physical examination, duplex ultrasound of the veins of the upper and lower extremities and QoL assessment by using of Aquarel questionnaire were performed prior to surgery, in 1, 6 and 12 months later.

RESULTS

VTE developed in 10 (10%) cases including 6 events on the first postoperative day, 3 — after 1 month, 1 — after 6 months. Anticoagulation therapy ensured restoration of venous patency in 8 cases. The QoL of patients improved in one month after surgery and impaired later. VTE did not affect the QoL of patients.

CONCLUSION

Incidence of VTE after pacemaker implantation was 10%. VTE did not affect the QoL of patients due to asymptomatic course and timely administration of anticoagulation therapy.