International Journal of Medicine and Medical Sciences
Subscribe to IJMMS
Full Name*
Email Address*

Article Number - 141F8B661792


Vol.8(12), pp. 140-144 , December 2016
DOI: 10.5897/IJMMS2016.1215
ISSN: 2006-9723



Full Length Research Paper

Decade of permanent cardiac pacing in a tertiary care hospital of Northern India



Nazir Ahmad Lone
  • Nazir Ahmad Lone
  • Cardiology, Government, Medical College, Srinagar, J&K, India.
  • Google Scholar
B. A. Naiku
  • B. A. Naiku
  • Cardiology, Government, Medical College, Srinagar, J&K, India.
  • Google Scholar
Khalid Mohi u Din
  • Khalid Mohi u Din
  • Cardiology, Government, Medical College, Srinagar, J&K, India.
  • Google Scholar







 Received: 11 December 2015  Accepted: 30 March 2016  Published: 31 December 2016

Copyright © 2016 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


This study of 10 year review of pacing was undertaken to analyse the continuous rise in the incidence of pacing in this part of country. 532 patients implanted with permanent pacemakers were evaluated during this decade. The age of patients ranged from 6 to 85 years with majority of patients belonging to age group of 55 to 70 years and a male to female ratio of 2:1. The commonest presenting  symptom was cardiac syncope seen in  76.50% followed by pre-syncope  31.50% .The indications for pacemaker implantation were complete heart block  48.12%, sick sinus syndrome 19.17%, symptomatic bifascicular block 12.96%, Mobitz type II 2nd degree heart block 7.14%, permanent pacemaker dysfunction 5.85%, trifascicular block 5.63% and  high degree AV block 1.13%. The commonest risk factors encountered in these patients were smoking 59.21%, followed by hypertension 26.32%, only 0.56% had no evidence of risk factor. The complications following pacemaker implantation were seen in 8.27%, 2.26% got lead displacement, 1.69% got wound infection, 1.69% got extrusion of generator. Other complications include lead fracture in 0.9%, premature battery failure 0.37% patients, high threshold in 0.19%, Pneumothorax in 0.19% and 0.5% got reimplantation because of generator expiry. Out of 532 patients paced permanently in the past decade, 458 patients followed regularly which revealed that majority of them were totally dependent upon the permanent pacemaker and had improved quality of Life.

Key words: Invasive electrocardiography study, Complete heart block

Falase B, Sanusi M, Johnson A (2013). Analysis of a five year experience of permanent pacemaker implantation at a Nigerian Teaching Hospital: need for a national database. Pan Afr. Med. J. pp. 16:16.

 

Charles DS, Paul J, Wang DP (2015). Zipes: Pacemakers and implantable cardioverter – Defibrillators. Braunwalds Heart Disease- A text book of Cardiovascular Medicine.10th edition 1:721-742.

 
 

Clarke M, Sutton R, Ward D, Camm AJ, Rickards A, Ingram A, Perrins EJ, Charles R, Jones S, Cobbe S (1991). Recommendations for pacemaker prescription for symptomatic bradycardia. Br. Heart J. 66:185-191.
Crossref

 
 

Ekpe EE, Aghaji MA, Edaigbini SA, Onwuta CN, Anisiuba B (2008). Cardiac pacemaker treatement of heart block in Enugu: a 5 year review. Nig. J. Med. 17(1):7-12.
Crossref

 
 

Epstein AE, DiMarco JP, Ellenbogen KA, Estes NM, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA (2008). ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J. Am. College Cardiol. 51(21):e1-e62.
Crossref

 
 

Jayapandian P, Ulhas M, Pandurangi (2013). Madrass Medical Mission. Leadless Pacemakers, Cardiology update-Cardiological Society of India pp. 494-496.

 
 

Mond HG, Proclemer A (2011). The 11th World Survey of Cardiac Pacing and Implantable Cardioverter‐Defibrillators: Calendar Year 2009-A World Society of Arrhythmia's Project. Pacing Clin. Electrophysiol. 34(8):1013-1027.
Crossref

 
 

Thiam M, Fall PD, Gning SB, Ott D, Gueye PM, Wade B, Perret JL (2003). (Cardiac pacing in West Africa: feasibility, problems, and perspectives). In Annales de cardiologie et d'angeiologie pp. 212-214.

 

 


APA Lone, N. A., Naiku, B. A., & u Din, K. M. (2016). Decade of permanent cardiac pacing in a tertiary care hospital of Northern India. International Journal of Medicine and Medical Sciences, 8(12), 140-144.
Chicago Nazir Ahmad Lone, B. A. Naiku and Khalid Mohi u Din. "Decade of permanent cardiac pacing in a tertiary care hospital of Northern India." International Journal of Medicine and Medical Sciences 8, no. 12 (2016): 140-144.
MLA Nazir Ahmad Lone, B. A. Naiku and Khalid Mohi u Din. "Decade of permanent cardiac pacing in a tertiary care hospital of Northern India." International Journal of Medicine and Medical Sciences 8.12 (2016): 140-144.
   
DOI 10.5897/IJMMS2016.1215
URL http://academicjournals.org/journal/IJMMS/article-abstract/141F8B661792

Subscription Form