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Bradypacing: indications and management challenges in Nigeria
M O Thomas1, D A Oke, E O Ogunleye
1Lagos University Teaching Hospital/College of Medicine of University of Lagos, Lagos, Nigeria. oluwafemithomas@yahoo.com
Pacing and Clinical Electrophysiology : PACE
|June 6, 2007
Summary
Most Nigerian bradyarrhythmia patients can be effectively treated with single lead ventricular pacing, a cost-effective option. This study highlights the common indications and demographic profile for permanent pacemaker implantation in Nigeria.
Area of Science:
- Cardiology
- Medical Device Technology
Background:
- Permanent pacemaker implantation is a critical intervention globally.
- There is limited published data on pacemaker surgery outcomes in Nigeria.
- Understanding local trends is crucial for healthcare planning.
Purpose of the Study:
- To investigate indications for pacemaker insertion in Nigeria.
- To analyze demographic characteristics of patients receiving pacemakers.
- To identify electrocardiographic (ECG) changes and management challenges.
Main Methods:
- A retrospective review of 100 consecutive pacemaker implantations.
- Data collected included patient biodata, indications, ECG findings, and treatment.
- Study period commenced in 1999.
Main Results:
- Female patients constituted the majority (93.0%).
- Third-degree heart block was the predominant indication (86.0%).
- Single lead ventricular pacing proved effective and economical.
Conclusions:
- Single lead ventricular pacing is a viable and sufficient option for most bradyarrhythmia patients in this region.
- This approach offers a cost-effective solution for pacemaker management.
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