Research Article

Implantation of A Permanent Pacemaker without the Use of a Temporary Pacemaker: A Single-Center Experience and Review of Literature

Authors: Eldisugi Hassan Mohammed Humida, Salah Mohamed Ibrahim, Amal Khalil Yousif Mohammed, Namarig Alhadi Hamid, Hussain Gadelkarim Ahmed.

DOI: 10.33425/2639-8486.1195

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Abstract

Introudction: Cardiac disorder is a major cause of mortality and morbidity in Sudan, with a scarcity of cardiac centers in the country. Therefore, the purpose of this study was to investigate the experience of a single center in implanting a permanent pacemaker without the need for a temporary one.

Methodology: We conducted this study on consecutive patients from May 2023 to May 2024, during the Sudan armed conflict period. We received and treated the patients in North Kordofan State, an area in western Sudan that has endured extended periods of intense armed conflict. In a one-year period, we successfully placed 52 permanent pacemakers at the Cardiac Catheterization Laboratory in El-Obeid International Hospital (Aldaman), the sole facility offering cardiac intervention services in western Sudan.

Results: We fixed a permanent pacemaker for 52 patients without the need for a temporary one. Of the total participants, 44.2% were men, while 55.8% were women. The majority of patents were aged 70 years or older, followed by those aged 60-69 and 50-59 years, with respective proportions of 26 out of 52 (50%), 15 (28.8%), and 8 (15.3%). Of the participants, 29 out of 52 (55.7%) were rural residents, whereas 23 (44.3%) were urban residents.

Conclusion: It is possible to implant a permanent pacemaker without the need for a temporary one. We deem a short-duration procedure crucial for favorable outcomes when implanting a permanent pacemaker in the absence of a temporary one.

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