Experience Of Permanent Pacemaker Implantation At NICVD


  • Owaima Hassan


Experience Of Permanent Pacemaker


Our study group com pared 252 new patients who had permanent pacemakers im-
planted in the year 1994. Commonest presenting symptom was syncope found in 34.1 % of patients, followed by vertigo in 30.1 %. The most common ECG findings were com- plete heart block with atrioventricular asynchrony, seen in 71.4% followed by Mobitz Type II block in 10.3% and sick sinus syndrome in 7.9%. Mostly VVI type ofPPMs were implanted and other more sophisticated type were used rarely.

Aim of Study:

In this retrospective study we focused on the com-
mon presenting features and ECG findings of patients
who required permanent pacemakers. The ages of pa-
tients, site of implantation and types ofPPMs used and
complications of the procedure were also reviewed.


Of the 252 patients 140 (55.55%) were males and
112( 44.45%) were females, with ages varying from
10 yrs. to 94 yrs. The bulk of patients were in 50-70
years age group, 86(34.1 %) of the patients presented
with syncope, 76 (30.1 %) with vertigo and 34 (13.4%)
with chest pain.


Each year in our institute we implant between 250-300 new permancent pacemakers besides this patients are admitted for lead repositioning and for change of pulse generator.


It is evident that this is an extremely safe procedure in experienced hands and the incidence of serious complications is very low.