Research Article

Diabetes Increases Risk of Cardiovascular Events in Patients Receiving Permanent Pacemaker: A Propensity Score-Matched Cohort Study

Table 2

Clinical outcomes of the patients with and without diabetes and univariate Cox regression analysis for hazard ratio of diabetes vs. nondiabetes for all outcomes during a nearly 8-year follow-up period.

Before matchingAfter matching
Diabetes ()Nondiabetes ()HR (95% CI) valueDiabetes ()Nondiabetes ()HR (95% CI) value

Primary outcome
Cardiovascular events125 (19.8)139 (12.5)2.06 (1.61-2.62)<0.00170 (18.8)46 (12.3)1.82 (1.25-2.63)0.002
HF hospitalization94 (14.9)112 (10.1)1.91 (1.45-2.52)<0.00157 (15.3)38 (10.2)1.78 (1.18-2.68)0.006
AMI31 (4.9)27 (2.4)2.47 (1.47-4.15)0.00113 (3.5)8 (2.1)1.87 (0.77-4.51)0.165
Secondary outcomes
Pacemaker infection16 (2.5)28 (2.5)1.00 (0.54-1.87)0.99114 (3.8)8 (2.1)1.78 (0.74-4.29)0.200
Major infection3 (0.5)4 (0.4)1.32 (0.29-5.91)0.7182 (0.5)1 (0.3)2.01 (0.18-22.21)0.571
Minor infection13 (2.1)24 (2.2)0.95 (0.48-1.88)0.88412 (3.2)7 (1.9)1.74 (0.68-4.47)0.251
PICM105 (16.6)108 (9.7)2.24 (1.71-2.93)<0.00164 (17.2)46 (12.3)1.62 (1.11-2.36)0.013
Cerebrovascular accident83 (13.1)141 (12.7)1.32 (1.00-1.73)0.04756 (15.0)49 (13.1)1.33 (0.91-1.95)0.146
Cardiovascular mortality56 (8.9)68 (6.1)1.81 (1.27-2.58)0.00125 (6.7)21 (5.6)1.38 (0.77-2.46)0.279
All-cause mortality186 (29.4)237 (21.4)1.75 (1.44-2.12)<0.00195 (25.5)77 (20.6)1.41 (1.05-1.92)0.023

Data are presented as number (%) of patients. AMI: acute myocardial infarction; CI: confidence interval; HF: heart failure; HR: hazard ratio; PICM: pacing-induced cardiomyopathy.