Permanent Pacemaker : Prapokklao Hospital Experience Complication and Management

Background :     Permanent pacemaker is a standard treatment in bradyarrhythmia’s patient. Prapokklao Hospital has implanted permanent pacemaker since  2002. Post implantation care can reduce complication from permanent pacemaker implantation. Objective :          To study baseline characteristic data, complication and management  of infection of  cardiovascular implantable electronic device among permanent pacemaker’s patient  Method : A retrospective descriptive study was conducted to determine data regarding baseline characteristic and complications of permanent pacemaker’ s patients during  March  2008-Febuary 2013 in Prapokklao Hospital Chanthaburi. Result :                 Of all 104 case, 39 were male ( 37.5 percent ) and 65 were female ( 62.5 percent) average age of cases was 71.09 years old (20-97 year old). ECG showed that there were patients with advance degree AV block (68 percent) and sick sinus syndrome (32 percent). All patients were implanted by other a single chamber (79 percent) a dual chamber 19 percent. A total complications were 11.6 percent including. Death (1 percent), Infection of cardiovascular implantable electronic device (2.9 percent),  Bleeding/hematoma (3.8 percent) and cardiac tamponade(1.9 percent). Conclusion :       Permanent pacemaker is a standard treatment for symptomatic bradyarrhythmia. In Thailand, there are insufficient data about permanent pacemaker’s patients characteristics and complications.  Keyword s :         Permanent pacemaker, Infection of cardiovascular implantable electronic device