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ES Journal of Cardiology

ISSN: 2768-0533

Non-infectious complications of conventional cardiac stimulation at the cardiology service of the grand general hospital: retroperspective study of 57 cases

  • Research article

  • Ngaide A.A1*, Akanni S.C.G1, Gaye N.D2, Sow M3, Diallo S.D1, Tall M1, Haris M1, Aw F3, Dioum M4, Beye S.M5, Sarr S.A3, Ndao C.A.T3, mingou J.S3, Bah M.B3, Gaye C1, Gueye K1, Leye M4, Bodian M3, Ndiaye M.B3, Ad Kane5, Diao M3 and Mbaye A1
  • 1Cardiology Department of Grand Yoff General Hospital, Dakar, Senegal
  • 2Cardiology Départment of Dalal Djam Hospital, Dakar Senegal
  • 3Cardiology Department of Aristide Le Dantec Teaching Hospital, Dakar, Senegal
  • 4Cardiology Départment of Dalal Djam Hospital, Dakar Senegal
  • 5Unités de Formation et de Recherche (UFR), Santé Université Gaston Berger de Saint-Louis, Senegal
  • *Corresponding author: Dr. Aliou Alassane Ngaide, Cardiology Department of Grand Yoff General Hospital, Dakar, Senegal, BP: 3270 Dakar, Sénégal
  • Received: Jan 18, 2020; Accepted: Feb 05, 2020; Published: Feb 11, 2020

Abstract

Objective: Permanent cardiac stimulation remains the only effective treatment for symptomatic bradycardia. However, like any invasive gesture, it is not without risk. The aims of our study were to assess the non-infectious complications secondary to pacemaker implantation in the cardiology department of the Grand Yoff General Hospital.

Results: We had collected 57 cases of non-infectious complications inherent in cardiac stimulation, a prevalence of 23%. The average age of the patients was 70.5 and the sex ratio M/F was 0.9. The functional symptoms before implantation were dominated by dyspnea (42.1%) and dizziness (31.6%). The electrocardiographic anomalies found before implantation were dominated by the complete atrioventricular block (86.8%), sinus dysfunction (7.9%) and 2nd degree atrioventrucular block (5.3%). Non-infectious complications that occurred early were noted in 38 cases, or 66.7%. They were dominated by displacement of probes, pneumothorax, hematoma of the pacemaker’s lodge in 4.8%, 3.57% and 2.78% of the cases respectively. There were 19 late complications, or 33.3% of the cases. They consisted of arrhythmias (1.19%), heart failure (3.97%), probe displacement (1.19%), pacemaker dysfunction (0.79%) and diaphragmatic stimulation (0.4%).

Methodology: This is a retrospective study concerning the non-infectious complications of conventional cardiac stimulation in patients implanted with a pacemaker between January 1, 2006 and December 31, 2014 in the cardiology department of Grand Yoff General Hospital. The different parameters studied included socio-demographic, clinical, paraclinical data, and non-infectious complications secondary to definitive cardiac stimulation. Early complications are those observed in the first six weeks and late ones beyond six weeks after implantation. The data were analyzed using sphinx 4.5 software. The significance threshold was used for a value of P <0.05.

Conclusion: In this study, non-infectious complications were dominated by pneumothorax and probe displacements. The frequency of non-infectious complications also remains high. Improving the technique and conditions of cardiac stimulation are the solution to these potentially serious complications.

Keywords

conventional cardiac stimulation; non-infectious complications; Senegal

Citation: Ngaide A A*, Akanni S C G, Gaye N D, Sow M, Diallo S D, Tall M, et al. Non-infectious complications of conventional cardiac stimulation at the cardiology service of the grand general hospital: retroperspective study of 57 cases. ES J Cardiolog. 2020; 1(1): 1003.