The main purpose was to study the right ventricular pacing threshold of patients who benefit from cardiac pacemaker’s implantation at the National Teaching Hospital of Cotonou in Benin. This was a retrospective study from January 2007 to September 2013. The right ventricular pacing threshold measured during successive checks has been studied. A threshold greater than 1 volt was considered high. The conventional causes of threshold’s rising were sought. 35 files were examined. The average threshold of our patients amounted to 1.24 ± 1.17 volts at the first control and remained high until the end of follow-up. The prevalence of threshold elevation was 17% (6/35). The causes of threshold elevation were: late displacement of the lead (1 case), faulty lead (1 case), and suspected lead’s micro dislodgment (1 case). There was no formal etiology found for 3 cases. Half of threshold elevation cases involved a problem of pacing lead. Similar findings have been reported by previous studies. This study has confirmed that threshold elevation mainly involved pacemaker lead. The premature need to change the pacemaker caused by this elevation has considerable consequences in a Beninese local context marked the lack of governmental facilities.
Published in | American Journal of Internal Medicine (Volume 6, Issue 3) |
DOI | 10.11648/j.ajim.20180603.12 |
Page(s) | 47-51 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Threshold, Cardiac Pacing, Benin
[1] | Maisel WH. Pacemaker and ICD generator reliability: meta-analysis of device registries. JAMA 2006; 295: 1929-34. |
[2] | Kane A. et coll. Problematique de la stimulation cardiaque definitive en Afrique subsaharienne: étude multicentrique STIMAFRIQUE. Cardiologie tropicale 2016; 23 (143): 20. |
[3] | Adoubi KA, Kendja KF, Tano M, Koffi F, Ndjessan JJ, Meneas C et coll. Activities report of Abidjan Cardiology Institute pacing Unit from 2006 to 2012. Cardiovascular Journal of Africa 2013; 24 (5). |
[4] | Jouven X. La stimulation cardiaque en Afrique de l’Ouest. Annales de Cardiologie et d’Angéiologie 2003; 52 (4): 204. |
[5] | Bouraoui H, Trimech B, Chouchene S, Mahdhaoui A, Hajri SE, Jeridi G et coll. La stimulation cardiaque permanente: à propos de 234 patients. La Tunisie Medicale 2011; 89 (07): 604–609. |
[6] | Sdiri W, Marouf A, Mbarek D, Ben Slima H, Mokaddem A, Ben Ameur Y et coll. Résultats de la stimulation cardiaque définitive: à propos de 188 malades. La tunisie Médicale 2013; 91 (06): 396–401. |
[7] | Udo EO, Van Hemel NM, Peter N, Zuithoff A, Nijboer H, Taks W and al. Incidence and predictors of shortand long-term complications in pacemaker therapy: The FollowPace study. Heart Rhythm. 2012; 9(5):728-35. |
[8] | Hai-Bo Y, Yan-Chun L, Guo-Qing X. The Comparison Between the Active-Fixation Leads and Passive-Fixation Leads in Right Ventricular Apical Pacing. Heart 2013; 99:A8-A9. doi:10.1136/heartjnl-2013-303992.027. |
[9] | Liu L, Tang J. A long-term, prospective, cohort study on the performance of right ventricular pacing leads: comparison of active-fixation with passive-fixation leads. Scientific Reports 2015, 5: 7662. doi: 10.1038/srep07662. |
[10] | Aggarwal RK, Connelly DT, Ray SG, Ball J, Charles RG. Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems. Br HeartJ1 1995; 73:571-575. |
[11] | Peter O. Adeoye, Kelechi E. Okonta, Mudasiru A. Salami, Victor O. Adegboye. Experience with permanent pacemaker insertion at the University College Hospital, Ibadan, Nigeria. Nigerian Journal of Cardiology 2013; 10 (1): 3-5. |
[12] | Barold S, Falkoff M, Ling S, Robert A. Hyperkalemia-Induced Failure of Atrial Capture during Dual-Chamber Cardiac Pacing. J Am Coll Cardiol 1987; 10:467-9. |
[13] | Takasugi N, Kubota T, Kawamura I, Takasugi M, Kanamori H. Sudden reversible pacemaker failure in a patient with cardiac sarcoidosis: an unfortunate case of ventricular septal pacing. Doi: 10.1093/eupace 2012/eur435. |
[14] | Sperzel J, Burri H, Gras D, Tjong FVY, Knops ER, Hindricks G and al. State of the art of leadless pacing. Europace 2015; 17:1508–1513. |
[15] | Paul A. Levine. Management of the Patient with an Acute Massive Rise in the Capture Threshold. Indian Pacing and Electrophysiology Journal 2001, 1(1): 35-37. |
[16] | Nagatomo Y, Ogawa T, Kumagae H, Koiwaya Y, Tanaka K. Pacing failure due to markedly increased stimulation threshold two years after implantation: successful management with oral prednisolone. PACE 1989; 12: 1034-1037. |
APA Style
Arnaud Sonou, Tchaa Tchérou, Philippe Mahouna Adjagba, Murielle Hounkponou, Léopold Codjo, et al. (2018). Study of Right Ventricular Pacing Threshold at National Teaching Hospital of Cotonou in Benin. American Journal of Internal Medicine, 6(3), 47-51. https://doi.org/10.11648/j.ajim.20180603.12
ACS Style
Arnaud Sonou; Tchaa Tchérou; Philippe Mahouna Adjagba; Murielle Hounkponou; Léopold Codjo, et al. Study of Right Ventricular Pacing Threshold at National Teaching Hospital of Cotonou in Benin. Am. J. Intern. Med. 2018, 6(3), 47-51. doi: 10.11648/j.ajim.20180603.12
AMA Style
Arnaud Sonou, Tchaa Tchérou, Philippe Mahouna Adjagba, Murielle Hounkponou, Léopold Codjo, et al. Study of Right Ventricular Pacing Threshold at National Teaching Hospital of Cotonou in Benin. Am J Intern Med. 2018;6(3):47-51. doi: 10.11648/j.ajim.20180603.12
@article{10.11648/j.ajim.20180603.12, author = {Arnaud Sonou and Tchaa Tchérou and Philippe Mahouna Adjagba and Murielle Hounkponou and Léopold Codjo and Salimatou Assani and Wilfried Gandji and Yessoufou Tchabi and Martin Houénassi}, title = {Study of Right Ventricular Pacing Threshold at National Teaching Hospital of Cotonou in Benin}, journal = {American Journal of Internal Medicine}, volume = {6}, number = {3}, pages = {47-51}, doi = {10.11648/j.ajim.20180603.12}, url = {https://doi.org/10.11648/j.ajim.20180603.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180603.12}, abstract = {The main purpose was to study the right ventricular pacing threshold of patients who benefit from cardiac pacemaker’s implantation at the National Teaching Hospital of Cotonou in Benin. This was a retrospective study from January 2007 to September 2013. The right ventricular pacing threshold measured during successive checks has been studied. A threshold greater than 1 volt was considered high. The conventional causes of threshold’s rising were sought. 35 files were examined. The average threshold of our patients amounted to 1.24 ± 1.17 volts at the first control and remained high until the end of follow-up. The prevalence of threshold elevation was 17% (6/35). The causes of threshold elevation were: late displacement of the lead (1 case), faulty lead (1 case), and suspected lead’s micro dislodgment (1 case). There was no formal etiology found for 3 cases. Half of threshold elevation cases involved a problem of pacing lead. Similar findings have been reported by previous studies. This study has confirmed that threshold elevation mainly involved pacemaker lead. The premature need to change the pacemaker caused by this elevation has considerable consequences in a Beninese local context marked the lack of governmental facilities.}, year = {2018} }
TY - JOUR T1 - Study of Right Ventricular Pacing Threshold at National Teaching Hospital of Cotonou in Benin AU - Arnaud Sonou AU - Tchaa Tchérou AU - Philippe Mahouna Adjagba AU - Murielle Hounkponou AU - Léopold Codjo AU - Salimatou Assani AU - Wilfried Gandji AU - Yessoufou Tchabi AU - Martin Houénassi Y1 - 2018/06/14 PY - 2018 N1 - https://doi.org/10.11648/j.ajim.20180603.12 DO - 10.11648/j.ajim.20180603.12 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 47 EP - 51 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20180603.12 AB - The main purpose was to study the right ventricular pacing threshold of patients who benefit from cardiac pacemaker’s implantation at the National Teaching Hospital of Cotonou in Benin. This was a retrospective study from January 2007 to September 2013. The right ventricular pacing threshold measured during successive checks has been studied. A threshold greater than 1 volt was considered high. The conventional causes of threshold’s rising were sought. 35 files were examined. The average threshold of our patients amounted to 1.24 ± 1.17 volts at the first control and remained high until the end of follow-up. The prevalence of threshold elevation was 17% (6/35). The causes of threshold elevation were: late displacement of the lead (1 case), faulty lead (1 case), and suspected lead’s micro dislodgment (1 case). There was no formal etiology found for 3 cases. Half of threshold elevation cases involved a problem of pacing lead. Similar findings have been reported by previous studies. This study has confirmed that threshold elevation mainly involved pacemaker lead. The premature need to change the pacemaker caused by this elevation has considerable consequences in a Beninese local context marked the lack of governmental facilities. VL - 6 IS - 3 ER -