title: [Results of cardiac pacing: report of 188 patients].
abstract: BACKGROUND
  Indications for permanent pacing are currently well codified. This treatment may, however, present complications
  
  
  OBJECTIVE
  To report the results of cardiac pacing and to identify predictive factors of pacing's complication.
  
  
  METHODS
  We conducted a retrospective study of 188 consecutive patients admitted to the cardiology department of Mongi Slim university hospital in La Marsa between January 2005 and June 2011 and implanted with a single or dual chamber pacemaker.
  
  
  RESULTS
  In our study, we had 92 men and 96 women (sexratio= 0.95). The mean age was 70.21 ± 13 years. The indication for cardiac pacing was a high degree heart block in 74.46% of cases and a sick sinus syndrome in 15.95% of cases. The degeneration conduction tissue was the main etiology (72.34% of patients). Success implantation was obtained in 98.4%of cases. The main operative complication was the pneumothorax in 3 patients (1.59% of cases). At Long term, cumulative survival rate was 78.95%. Only operating time affects significantly the rate of early complications (p<0.001). Late complications were related to the valvular heart disease (p = 0.007), the ischemic etiology (p = 0.05), the oral antivitamine K treatment (p = 0.04) and the occurrence of early complication (p = 0.002).
  
  
  CONCLUSIONS
  Our hospital, which is considered as a small Center of cardiac pacing (less than 80 procedures/year) had a low complication rate as well as big centers.
authors.forename: Wissem
authors.initials: W
authors.lastname: Sdiri
authors.forename: Amel
authors.initials: A
authors.lastname: Marouf
authors.forename: Dorra
authors.initials: D
authors.lastname: Mbarek
authors.forename: Hedi
authors.initials: H
authors.lastname: Ben Slima
authors.forename: Aida
authors.initials: A
authors.lastname: Mokaddem
authors.forename: Youssef
authors.initials: Y
authors.lastname: Ben Ameur
authors.forename: Mohamed Rachid
authors.initials: MR
authors.lastname: Boujnah
mesh_terms: D000368:Aged; D054537:Atrioventricular Block / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects; D012189:Retrospective Studies; D012804:Sick Sinus Syndrome / Q000628:therapy