Acute results of permanent pacemaker implantation in Cipto Mangunkusumo General Hospital, Jakarta.
OBJECTIVE
To investigate the acute results (parameters at implant and clinical parameters) of permanent pacemaker implantation at our institution.


METHODS
Twenty five patients undergoing pacemaker implantation were included in this study. Subjects underwent medical history and functional class was assessed using New York Heart Association (NYHA) classification. All technical parameters (pacing threshold, sensing, and pacing impedance) and clinical parameters (complication and procedure time) were measured during and post implant.


RESULTS
Majority (80%) of patients were in NYHA functional class II. The commonest indication for pacemaker implant was the complete heart block (56%). The most frequent pacemaker type was single chamber (80%) with the commonest pacing mode of VVIR (72%). Average optimal parameters achieved were pacing threshold of 0.5 volt, sensing of 12.6 mV, and impedance of 829 Ohm. Average procedure time was 1.6 hour. Major complication (pocket infection) was noted in only one patient.


CONCLUSIONS
It is confirmed from this study that permanent pacemaker implantation could be carried out safely and effectively with low complication rate in a general hospital. Optimal pacing parameters could be achieved in the acute phase. Most patients still could not afford appropriate pacing devices due to limited financial support. Government insurance coverage for the poor should be encouraged to cover more people.
Harun
Sjaharuddin
S
Division of Cardiology, Department of Internal Medicine, University of Indonesia Medical School, Cipto Mangunkusumo General Hospital, Jakarta.
Yamin
Muhammad
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006327:Heart Block / Q000628:therapy*; D006769:Hospitals, General; D006801:Humans; D007214:Indonesia; D007223:Infant; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome