Cardiology departement of teaching Hospital Aristide Le Dantec, Dakar, Senegal.
Gaston Berger University, Saint-Louis, Senegal.
BMC Cardiovasc Disord. 2019 Aug 14;19(1):197. doi: 10.1186/s12872-019-1176-2.
Cardiac pacing is a growing activity in Sub-Saharan Africa. There is little data on the characteristics of this interventional treatment in our regions. The goal was to evaluate the results of cardiac pacing in a referral service in sub-Saharan Africa.
We carried out a twelve-year retrospective study (from January 1st, 2004 to December 31st, 2015) in the Cardiology Department of Aristide Le Dantec University Hospital. This work included all patients who received definitive cardiac pacing during the study period and followed up in the service.
In total we included 606 patients. There was a growing trend in activity with a peak in 2015 (17%). The average age was 70.6 ± 12.03 years. Some patients (15.4%) came from the subregion. The patients were mostly of medium socio-economic level (53%); 14% were of low socio-economic level. Patients were symptomatic in 85% of cases (37.4% syncope). The indications were dominated by complete atrioventricular block (81.5%); sinus dysfunction accounted for 1.9% of them. A temporary pacemaker was used in 60% of cases for an average duration of 5.1 ± 6.3 days. Antibiotics, local anesthesia and analgesics were used in all cases. Implanted pacemakers were single chamber in 56% of cases and double chamber in 44% of cases. In 39 patients (6.4%), the pacemaker was a « re-used » one. The atrial leads were most often placed in a lateral position (94.5%). The ventricular ones were predominantly tined (95.7%) and more often located at the apical level. Complications were noted in 24 patients (3.9%), dominated by devices externalizations and infections, which together accounted for 2.7% of cases. The number of people in the cathlab was significantly higher and the duration of the temporary pacemaker was longer for patients who had a complication. There was no significant difference depending on the type of pacemaker used (new or reused). Seven (7) in hospital death cases were reported.
Cardiac pacing is a growing activity in Dakar.
心脏起搏在撒哈拉以南非洲地区是一项不断发展的业务。关于我们地区这种介入性治疗的特点，数据很少。目的是评估在撒哈拉以南非洲的一个转诊服务中心进行心脏起搏的结果。
我们进行了一项为期 12 年的回顾性研究（从 2004 年 1 月 1 日至 2015 年 12 月 31 日），该研究在阿提德·勒丹泰克大学医院心内科进行。这项工作包括在研究期间在该服务中心接受永久性心脏起搏并接受随访的所有患者。
共纳入 606 例患者。起搏活动呈增长趋势，2015 年达到高峰（17%）。平均年龄为 70.6±12.03 岁。有些患者（15.4%）来自次区域。患者主要来自中等社会经济水平（53%）；14%的患者社会经济水平较低。85%的患者有症状（37.4%为晕厥）。适应证主要为完全性房室传导阻滞（81.5%）；窦性功能障碍占 1.9%。60%的病例使用临时起搏器，平均持续时间为 5.1±6.3 天。所有病例均使用抗生素、局部麻醉和镇痛药。植入的起搏器在 56%的病例中为单腔，在 44%的病例中为双腔。39 例（6.4%）起搏器为“再用”起搏器。心房导联最常置于外侧位置（94.5%）。心室导联主要为翼状（95.7%），多位于心尖水平。24 例（3.9%）患者出现并发症，主要为器械外露和感染，占 2.7%。并发症患者的导管室人数明显较多，临时起搏器的持续时间也较长。起搏器的使用类型（新或再用）无显著差异。报告了 7 例（7 例）院内死亡病例。
心脏起搏在达喀尔是一项不断发展的业务。
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