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ORIGINAL ARTICLE
Year : 2013  |  Volume : 10  |  Issue : 1  |  Page : 3-5

Experience with permanent pacemaker insertion at the University College Hospital, Ibadan, Nigeria


1 Division of Thoracic and Cardiovascular Surgery, College of Health Sciences, PMB 1515, University of Ilorin, Kwara, Nigeria
2 Department of Surgery, Division of Cardiothoracic Surgery, PMB 5323, University of Port Harcourt, Rivers, Nigeria
3 Department of Surgery, Division of Cardiothoracic Surgery, PMB 5116, University College Hospital, Ibadan, Oyo, Nigeria

Correspondence Address:
Kelechi E Okonta
Department of Surgery, Division of Cardiothoracic Surgery, PMB 5323, University of Port Harcourt, Rivers
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.118572

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Objective: The aim is to determine the characteristics of patients for permanent pacemaker insertion (PPI), treatment outcome, and factors affecting the early insertion of the pacemaker. Methods: Fifty patients who had permanent pacemaker implanted (PPI) between July 2008 and June 2011 were prospectively followed-up. The patients' demographic data, medical history, details of pacemaker hardware used, complications were collected into a proforma.The data were analyzed using the SPSS Version 17 statistical software package (SPSS, Inc. Chicago Illinois). Results: During the 3 year period, a total of 50 patients had PPI with a mean age of 66.1 years (ranged 30-88 years). Thirty-three (66%) were males 15 (30%) had hypertension as a co-morbidity, 39 (78%) had complete heart block. In 48 (96%), the cause was not known, 1 (2%) was chloroquine induced. The breakdown of the symptoms showed that syncope accounted for 21 (36.2%), dyspnea 20(34.5%) and recurrent dizziness 9 (15.5%). The pulse rate in 29 (58%) was <40/min. The mean pulse rate 39.4 min (range, 32-65), the mean pre-operation days on admission was 16.09 (ranged 2-60 days) while the mean post-operation days was 7.06 (ranged 2-14 days). The complications included lead dislodgement in 2(4%) patients, infective endocarditis in 1 (2%) and diaphragmatic pacing in 1 (2%). Two (4%) deaths were recorded. The mean survival in months was 14.9 (ranged 12-48 month) during the follow-up. Conclusion: PPI is well-acceptable in the elderly with improvement in their clinical state. However, plans should be put in place to ensure reduction in the time spent while in the hospital when trying to procure the pacemaker by creating a pacemaker bank in Hospitals that engage in pacemaker insertion in the country.


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