Evaluation of Clinical Characteristics and Outcomes of Patients Undergoing Pacemaker Implantation in Western Indian State of Maharashtra

At present, permanent pacemaker implantation is one of the most common therapeutic or prophylactic strategies in the management of patients with cardiac problems. The present study was undertaken to evaluate the clinical profile and outcomes of patients undergoing pacemaker implantation. Total 30 patients, who received permanent pacemaker for bradyarrhythmias from 1st August 2018 to 30th May 2019, were included in the study. A detailed analysis inclusive of history taking and clinical examination followed by biochemical work up (renal function test, thyroid function test, random blood sugar) and cardiac work up were done for each patient. The mean age of patients at implant was 60 years with male predominant. The most common presenting symptoms were syncope (in 66 % of patients) followed by lightheadedness (63 %), Fatigue (56 %), palpitation (56 %), and dyspnea (53 %). Hypertension (63 %) was the most common associated co-morbidity. Complete heart block (70 %) was commonest indication of pacing followed by sick sinus syndrome (SSS) (23 %) and trifascicular block (7 %). The complications observed were pneumothorax and pacemaker implant site wound exudation in one patient each. Complete heart block (CHB) was the major indications of pacemaker implantation in present study and advanced age and male gender were associated with higher implantation rate with minimal complications. The pacemaker implantation is a lifesaving procedure and improves quality of life dramatically.