Abstract

• Objectives
  Permanent pacemaker implantation is a worldwide procedure in patients who have hemodynamic instability due to bradyarrythmia or atrioventricular block. We summerized the results of 29 patients who have undertaken permanent pacemaker implantation in Ewha Womans University Mokdong hospital.
• Methods
  Medical records of 29 patients who have undertaken pacemaker implantation were reviewed regarding indications, clinical findings, type of pacemakers, and the results of pacemaker implantations.
• Results
  The patients had a mean age of 65±15.9 years(M : F=9 : 20).The indications of pacemaker implantation are as follows : sick sinus syndrome(SSS) in 9 patients ; complete atrioventricular block(AV block) in 10, high degree AV block in 8 ; severe AV Wenckebach block in 2. Types of permanent pacemakers included single chamber in 17 patients, and dual chamber in 12 patients. The modes were VVI in 14 patients, DDD in 9 patients, and VDD in 6 patients. Pacemaker syndrome was reported in one case and there were no serious complications such as wound infection, lead fracture, lead displacement, or migration of generators.
• Conclusion
  Patients with SSS and high degree and complete AV blocks were successfully treated with permanent pacemaker implantation in Ewha Womans University Mokdong hospital.
• Keywords: Permanent pacemaker; Sick sinus syndrome; Atrioventricular block