Original Article
Permanent cardiac pacing activities in a tertiary sub-Saharan centre
Abstract
Background: The objective of the study is to report the permanent cardiac pacing activities of the centre, the follow-up of implanted cases and challenges encountered from the 10th November 2009 till the 10th March 2016.
Methods: From the 10th November 2010 till 10th March 2016, 130 patients underwent a device implantation in the Cardiac Centre Shisong. Data extracted from the records of implanted patients were demographics, clinical indications for device implantation, the electrocardiogram, the echocardiogram. A total of 130 patients benefited from a device in the institution, 52 were female and 78 were male with a mean age of 62.2±17 years old.
Results: In the Cardiac Centre Shisong, for bradypacing were implanted 124 pace makers. 10 patients having atrial fibrillation with low ventricular response benefited from a single chambered pace maker. Sick sinus node was diagnosed in 36 patients; 32 cases benefited from a dual chambered pace maker and 4 from a single chambered pace maker. Seventy-eight cases had complete atrioventricular block and were implanted 5 patients single chambered and 73 dual chambered pace makers. In this group were 5 children, 3 with sick sinus disease and 2 had post-surgical complete atrioventricular block. In patients with heart rate less than 35 b/min, for a safe and smooth procedure, a temporal pace maker was inserted and removed immediately after connection of the leads to the device. Four intracardiac cardioverter defibrillators were implanted in 4 males, 3 single chamber and 1 double chamber. Three patients were at high risk presenting with hypertrophic cardiomyopathy and one was secondary prophylaxis of sudden death in a case with dilated cardiomyopathy with very poor left ventricular systolic function. The resynchronization therapy was performed in two ladies fulfilling the criteria. Complications were seen postoperatively and during the follow-up: 4 cases with pocket infection, 4 leads displacements.
Conclusions: Bradypacing, tachypacing and cardiac resynchronization therapy are procedures done in the cardiac Centre Shisong with good results and low complication rate. Our governments and stakeholders should create and sustain well equipped tertiary centres for the invasive management of cardiovascular diseases.
Methods: From the 10th November 2010 till 10th March 2016, 130 patients underwent a device implantation in the Cardiac Centre Shisong. Data extracted from the records of implanted patients were demographics, clinical indications for device implantation, the electrocardiogram, the echocardiogram. A total of 130 patients benefited from a device in the institution, 52 were female and 78 were male with a mean age of 62.2±17 years old.
Results: In the Cardiac Centre Shisong, for bradypacing were implanted 124 pace makers. 10 patients having atrial fibrillation with low ventricular response benefited from a single chambered pace maker. Sick sinus node was diagnosed in 36 patients; 32 cases benefited from a dual chambered pace maker and 4 from a single chambered pace maker. Seventy-eight cases had complete atrioventricular block and were implanted 5 patients single chambered and 73 dual chambered pace makers. In this group were 5 children, 3 with sick sinus disease and 2 had post-surgical complete atrioventricular block. In patients with heart rate less than 35 b/min, for a safe and smooth procedure, a temporal pace maker was inserted and removed immediately after connection of the leads to the device. Four intracardiac cardioverter defibrillators were implanted in 4 males, 3 single chamber and 1 double chamber. Three patients were at high risk presenting with hypertrophic cardiomyopathy and one was secondary prophylaxis of sudden death in a case with dilated cardiomyopathy with very poor left ventricular systolic function. The resynchronization therapy was performed in two ladies fulfilling the criteria. Complications were seen postoperatively and during the follow-up: 4 cases with pocket infection, 4 leads displacements.
Conclusions: Bradypacing, tachypacing and cardiac resynchronization therapy are procedures done in the cardiac Centre Shisong with good results and low complication rate. Our governments and stakeholders should create and sustain well equipped tertiary centres for the invasive management of cardiovascular diseases.
