Background: Prognosis after pacemaker implantation for over 90 year old patients, and the influence of complication of heart failure for such patients are unknown. Methods: We identified patients over 90 year old (n = 21) from all patients who underwent initial pacemaker implantation in our hospital between January 2002 and December 2016 (n = 509). Results: All patients survived to discharge and developed no complication requiring re-operation. The average survival period was 3.65 years. 3 patients (14.3%) died in a year. In patients with heart failure, Barthel Index of 3 patients (21.4%) increased, on the other hand 5 patients (35.7%) decreased. Conclusion: Prognosis after pacemaker implantation for over 90 year old seems tolerable. Pacemaker implantation may improve ADL of such patients with heart failure.
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