title: [Permanent cardiac stimulation in Senegal: preliminary experience at the Cardiology Clinic of Dakar].
abstract: We report a prospective and descriptive study in 12 patients who had pacemaker implantation from may. 1996 and dec. 1997. Our patients benefited from complete clinical examination, ECG (12 derivations), standard laboratory tests, chest X ray. Pulsed-Doppler, two dimensional and TM echocardiography have been performed. Stimulation was achieved using endocardial lead introduced percutaneously. During the study, 12 patients over 22, representing 55% of the subjects with symptomatic conduction defects, had definitive pacemaker implantation. Mean age was 53.8 years +/- 18. Most of the patients lived in Dakar. Sex-ratio was 0.58 (7 males/5 females). Most of the patients (83%) had low socio-economical status. Before implantation mean heart rate was 47 bpm +/- 20.8. Mean blood pressure was 155 mmHg +/- 26.7 (systolic) and 71.6 +/- 20.8 mmHg (diastolic). Heart failure was present in 5 patients/12. Others symptoms were mainly syncope (83%). Mean cardiothoracic ratio was 0.56 +/- 0.09. Over a 14 months period we have implanted 7 double chamber stimulators (DDD) and 5 monochamber (VVI). Over a 210 days follow-up, main problems are infection of the pocket in 2 patients. In one of them culture was positive. In Senegal, it is necessary to develop cardiac stimulation. Pacemakers should be available for all patients with symptomatic conduction defects. A national center for electrophysiologic studies and pacemaker implantation is a priority.
authors.affiliation: Clinique Cardiologique de Dakar CHU A. Le Dantec.
authors.forename: I B
authors.initials: IB
authors.lastname: Diop
authors.forename: S
authors.initials: S
authors.lastname: Ba
authors.forename: P
authors.initials: P
authors.lastname: Underwood
authors.forename: B
authors.initials: B
authors.lastname: Diack
authors.forename: J M
authors.initials: JM
authors.lastname: Damourou
authors.forename: A
authors.initials: A
authors.lastname: Kane
authors.forename: M
authors.initials: M
authors.lastname: Sarr
authors.forename: O
authors.initials: O
authors.lastname: Thiam
authors.forename: M
authors.initials: M
authors.lastname: Diao
authors.forename: A
authors.initials: A
authors.lastname: Ba
authors.forename: S M
authors.initials: SM
authors.lastname: Diouf
mesh_terms: D017677:Age Distribution; D000368:Aged; D001794:Blood Pressure; D004417:Dyspnea / Q000209:etiology; D015150:Echocardiography, Doppler; D004868:Equipment Failure; D005260:Female; D006327:Heart Block / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010138:Pacemaker, Artificial / Q000009:adverse effects / Q000706:statistics & numerical data; D018579:Patient Selection; D011446:Prospective Studies; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012675:Senegal / Q000453:epidemiology; D017678:Sex Distribution; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology; D013575:Syncope / Q000209:etiology; D016896:Treatment Outcome