Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,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 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,ICDs since 1993,Paul 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 registry 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,Survey presented at Hong Kong Symposium in 2003,was compared with Berlin survey(1999),Major Deficiency in Records,Change in indications for units,Pacing and defib 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,similar to European survey,Alternative Method European Type 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 clinical 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:13,th,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,