Objectives: The aim of this study was to determine the impact of the COVID-19 pandemic on the implantation rates and types of Cardiac Implantable Electronic Devices (CIEDs) in the elderly population in Coburg. Compared was the year before the SARS-CoV-2 outbreak with the first COVID-19 pandemic year. Moreover, we will compare various variables of CIED patients before and during the COVID-19 pandemic to deduce further consequences of the ongoing pandemic. Materials and methods: A retrospective observational study was conducted at the department of cardiology of the hospital Coburg, Germany. Included were patients being 70 years of age or older with de novo implantation of a CIED and divided into 2 groups according to two time spans. A total of 328 patients were included. The control group A contains collected data from 170 patients of the pre COVID-19 year March 1st 2019 – February 28th 2020 whereas the experimental group B includes 158 implantations during the first corona pandemic year from March 1st 2020 until February 28th 2021. Following variables were included and compared between the groups: age, gender, type of CIED, Body-Mass-Index (BMI), length of hospital stay and laboratory parameters Troponin T, n-terminal prohormone of brain natriuretic peptide (NT-proBNP) and C- reactive protein (CRP). Results: A reduction of 7.1% in total CIED implantations could be observed between the year before the SARS-CoV-2 outbreak and the first pandemic year. Reduced Cardiac Resynchronization Therapy (CRT) (-33.33%), Implantable Cardioverter-Defibrillator (ICD) (-23.08%) and Loop recorder (-19.05%) implantations were performed whereas more pacemaker implantations (+1.74%) were performed during the first pandemic year. However, no statistically significant difference between the cardiac device implantations could be detected (P=0.616). The median age in group A was 79 years (IQR=76, 83) and 81 years (IQR=75, 84) in group B. No statistical difference could be deducted using the Mann-Whitney U test (P=0.208). There was no significant difference in recording parameters Troponin T, NT-proBNP and CRP (P=0.401, P=0.633, P=0.611 respectively) between the two groups at hospital admission. The median hospital stays were 8 (IQR=5, 13) and 9 (IQR=6, 13) days for group A and B respectively and did not reach statistical significance (P=0.845). No significant change in BMI (P=0.956) could be detected between the groups (A:28.1 kg/m2 vs. B:28.3 kg/m2). Conclusion: The ongoing COVID-19 pandemic had no statistically significant effect on CIED implantations in the elderly population in Coburg during the first year.