La stimulation cardiaque définitive en Afrique de l’Ouest : faisabilité, problèmes et perspectives

Thiam, M; Fall, Pape Diadié; Gning, S. B.; Ott, David; Gueye, Papa; Wade, B.; Perret, Jean-François

doi:10.1016/s0003-3928(02)00189-0

Cited by 10 publications

(9 citation statements)

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“…Complication rates seen in this study are comparable to other West African series. The major complications of pacemaker pocket infection in 3 patients (5.9%) and lead displacement in 3 patients (5.9%) compares favorably with the experience from Senegal where the pacemaker infection rate was 5.4% of patients [5]. This is however higher than the 1.5% pacemaker infection rate in a series of 1,286 implants in the UK reported recently [7].…”

Section: Discussionsupporting

confidence: 58%

“…Average implantation rates in our series was 10 implants per year, whereas in the Senegal experience the implant rate was as high as 30 implants a year, due to the high use of donated recycled pacemakers [5]. This may be an option worth considering unless pacemaker manufacturers can substantially reduce the cost of pacemakers in Nigeria to make this life saving intervention more accessible.…”

Section: Discussionmentioning

confidence: 93%

“…Interestingly 53% of the pacemakers implanted were donated recycled pacemakers. Complications seen in the series were pacemaker infections in 5 patients, 3 lead displacements, 1 pacemaker syndrome and 8 patients that died during follow up of non-pacemaker related causes [5]. …”

Section: Discussionmentioning

confidence: 99%

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Analysis of a five year experience of permanent pacemaker implantation at a Nigerian Teaching Hospital: need for a national database

Falase¹,

Sanusi²,

Johnson³

et al. 2013

Pan Afr Med J

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IntroductionPermanent pacemaker implantation is available in Nigeria. There is however no national registry or framework for pacemaker data collection. A pacemaker database has been developed in our institution and the results are analyzed in this study.MethodsThe study period was between January 2008 and December 2012. Patient data was extracted from a prospectively maintained database which was designed to include the fields of the European pacemaker patient identification code.ResultsOf the 51 pacemaker implants done, there were 29 males (56.9%) and 22 females (43.1%). Mean age was 68.2±12.7 years. Clinical indications were syncopal attacks in 25 patients (49%), dizzy spells in 15 patients (29.4%), bradycardia with no symptoms in 10 patients (17.7%) and dyspnoea in 2 patients (3.9%). The ECG diagnosis was complete heart block in 27 patients (53%), second degree heart block in 19 patients (37.2%) and sick sinus syndrome with bradycardia in 5 patients (9.8%). Pacemaker modes used were ventricular pacing in 29 patients (56.9%) and dual chamber pacing in 22 patients (43.1%). Files have been closed in 20 patients (39.2%) and 31 patients (60.8%) are still being followed up with median follow up of 26 months, median of 5 visits and 282 pacemaker checks done. Complications seen during follow up were 3 lead displacements (5.9%), 3 pacemaker infections (5.9%), 2 pacemaker pocket erosions (3.9%), and 1 pacemaker related death (2%). There were 5 non-pacemaker related deaths (9.8%).ConclusionPacemaker data has been maintained for 5 years. We urge other implanting institutions in Nigeria to maintain similar databases and work towards establishment of a national pacemaker registry.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 93%

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Analysis of a five year experience of permanent pacemaker implantation at a Nigerian Teaching Hospital: need for a national database

Falase¹,

Sanusi²,

Johnson³

et al. 2013

Pan Afr Med J

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“…Seventeen studies on bradyarrhythmias and CIEDs in SSA were identified through the systematic search [9,11,12,[105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] (Figure 1). Table 4 depicts 13 of these studies with some uniform data that could be organized into one table.…”

Section: Indications Of Device Implantation Type Of Devicementioning

confidence: 99%

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Yuyun

Bonny

et al. 2020

Global Heart

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Major structural cardiovascular diseases are associated with cardiac arrhythmias, but their full spectrum remains unknown in sub-Saharan Africa (SSA), which we addressed in this systematic review. Atrial fibrillation/atrial flutter (AF/AFL) prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, but <1% in the general population. Use of oral anticoagulation is heterogenous (9-79%) across SSA. The epidemiology of sudden cardiac arrest/death is less characterized in SSA. Cardiopulmonary resuscitation is challenging, owing to low awareness and lack of equipment for life-support. About 18% of SSA countries have no cardiac implantable electronic devices services, leaving hundreds of millions of people without any access to treatment for advanced bradyarrhythmias, and implant rates are more than 200-fold lower than in the western world. Management of tachyarrhythmias is largely noninvasive (about 80% AF/AFL via rate-controlled strategy only), as electrophysiological study and catheter ablation centers are almost non-existent in most countries. Highlights:-Atrial fibrillation/flutter prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, and <1% in the general population in sub-Saharan Africa (SSA).-Rates of oral anticoagulation use for CHA2DS2VASC score ≥2 are very diverse (9-79%) across SSA countries.-Data on sudden cardiac arrest are scant in SSA with low cardiopulmonary resuscitation awareness.-Low rates of cardiac implantable electronic devices insertions and rarity of invasive arrhythmia treatment centers are seen in SSA, relative to the high-income countries.

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“…In Africa, except the Maghreb countries and South Africa [ 1 , 2 ], the cardiac pacing activity is poorly developed for economic reasons and due to shortage of qualified personnel. Also, most establishments are done by means as of medical evacuations, or via the missions of cardiac pacing to humane aiming and formation [ 3 ]. This is the case of Congo, which benefitted from a French cardiac pacing mission in January 2012.…”

Section: To the Editors Of The Pan African Medical Journalmentioning

confidence: 99%

Permanent cardiac pacing: first Congolese experiment

Ikama¹,

Makani²,

Jouven³

et al. 2015

Pan Afr Med J

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La stimulation cardiaque définitive en Afrique de l’Ouest : faisabilité, problèmes et perspectives

Cited by 10 publications

References 0 publications

Analysis of a five year experience of permanent pacemaker implantation at a Nigerian Teaching Hospital: need for a national database

Analysis of a five year experience of permanent pacemaker implantation at a Nigerian Teaching Hospital: need for a national database

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Permanent cardiac pacing: first Congolese experiment

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