Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation
| Autor: | Eiwa Zen, Yong-Seog Oh, Tae-Seok Kim, Sung-Won Jang, Man Young Lee, Tai-Ho Rho, Robert W. Rho, Sung Hwan Kim, Ji-Hoon Kim, Woo-Seung Shin |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Sick sinus syndrome Physician Decision Class iii 030204 cardiovascular system & hematology Guidelines 03 medical and health sciences 0302 clinical medicine Internal medicine Physicians Internal Medicine medicine In patient 030212 general & internal medicine Intensive care medicine Disease entity business.industry medicine.disease Pacemaker artificial Original Article Clinical case Permanent pacemaker Abnormality Cardiology and Cardiovascular Medicine business Atrioventricular block |
| Zdroj: | Korean Circulation Journal |
| ISSN: | 1738-5555 1738-5520 |
| Popis: | BACKGROUND AND OBJECTIVES The number of permanent pacemakers (PPMs) implanted in patients in Japan and Korea differs significantly. We aimed to investigate the differences in decision making processes of implanting a PPM. MATERIALS AND METHODS Our survey included 15 clinical case scenarios based on the 2008 AHA/ACC/HRS guidelines for device-based therapy of cardiac rhythm abnormalities (class unspecified). Members of the Korean and Japanese Societies of Cardiology were asked to rate each scenario according to a 5-point scale and to indicate their decisions for or against implantation. RESULTS Eighty-nine Korean physicians and 192 Japanese physicians replied to the questionnaire. For the case scenarios in which there was a class I indication for PPM implantation, the decision to implant a PPM did not differ significantly between the two physician groups. However, the Japanese physicians were significantly more likely than the Korean physicians to choose implantation in class IIa scenarios (48% vs. 37%, p |
| Databáze: | OpenAIRE |
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