CARDIAC STIMULATION AT MILITARY HOSPITAL MOHAMMED V : REPORT OF 100 PROCEDURES OF A MONOCENTRIC EXPERIENCE

The final pacing knows every year new progress. Despite the technological advances and individual optimization of pacing mode, this therapy is still subject to a rate of complications steady for several years. Monitoring paced patients also suffers from several shortcomings in one hand, the arrangements for monitoring and also the management of complications inherent in this therapy. In this context, we are interested in studying the final pacing through the experience of our service to analyze the epidemiological characteristics of stimulated population, implantation technique, complications and follow-up data. Our study is descriptive and was conducted at the cardiology department of the military hospital in Meknes. It covers 100 consecutive patients with a pacemaker in the cardiology department of the flap military hospital between January 2015 and March 2016.The mean age of patients was 59,55 years. The functional symptoms before implantation were dominated by faintness and syncope respectively, 44% and 34%. Atrioventricular blocks represented the main indication for implantation (66%) followed by sinus dysfunction (16%). The complications (hematoma, pneumothorax, infection of the lodge of the pacemaker, lead dislodgement, pacemaker syndrome) were found in 18% of our series. Although complications related to the definitive pacemaker are not frequent, the organization of the stimulated patient monitoring is essential in order to watch the occurrence of potentially serious complications.