Cardiac Pacing in Senegal: A Study of Indications and Complications
Author Information
Author(s): Khadidiatou Dia, Simon Antoine Sarr, Waly Niang Mboup, Youssou Diouf, Nadia Benghazi, Alassane Mbaye, Adama Kane
Primary Institution: Department of Cardiology, Principal Hospital of Dakar, Dakar, Senegal
Hypothesis
What are the indications and complications of cardiac pacing in four hospitals in Senegal?
Conclusion
Cardiac pacing in Senegal is primarily for complete atrioventricular blocks, with complications mainly involving lead dislodgment and infections.
Supporting Evidence
- 620 permanent cardiac pacemakers were implanted during the study.
- 85% of patients were symptomatic before implantation.
- Complications occurred in 4.53% of patients, mainly lead dislodgments and infections.
- 96.1% of pacemakers were new, while 3.9% were reused.
- The most common indication for pacemaker implantation was complete atrioventricular block.
Takeaway
This study looked at how heart pacemakers are used in Senegal and found that most patients need them for serious heart problems, but there are some risks involved.
Methodology
A retrospective cross-sectional study was conducted over four years and eight months, including patients who received permanent pacemakers in four hospitals.
Potential Biases
Potential bias due to the retrospective nature of the study and reliance on hospital records.
Limitations
Data loss and incomplete records led to the exclusion of many patients.
Participant Demographics
The mean age of participants was 71 years, with a majority being male (sex ratio of 1.19).
Statistical Information
P-Value
0.042
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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