PMID- 17297205 OWN - NLM STAT- MEDLINE DCOM- 20071206 LR - 20070213 IS - 0125-9326 (Print) IS - 0125-9326 (Linking) VI - 39 IP - 1 DP - 2007 Jan-Mar TI - Acute results of permanent pacemaker implantation in Cipto Mangunkusumo General Hospital, Jakarta. PG - 19-21 AB - AIM: To investigate the acute results (parameters at implant and clinical parameters) of permanent pacemaker implantation at our institution. METHODS: Twenty five patients undergoing pacemaker implantation were included in this study. Subjects underwent medical history and functional class was assessed using New York Heart Association (NYHA) classification. All technical parameters (pacing threshold, sensing, and pacing impedance) and clinical parameters (complication and procedure time) were measured during and post implant. RESULTS: Majority (80%) of patients were in NYHA functional class II. The commonest indication for pacemaker implant was the complete heart block (56%). The most frequent pacemaker type was single chamber (80%) with the commonest pacing mode of VVIR (72%). Average optimal parameters achieved were pacing threshold of 0.5 volt, sensing of 12.6 mV, and impedance of 829 Ohm. Average procedure time was 1.6 hour. Major complication (pocket infection) was noted in only one patient. CONCLUSION: It is confirmed from this study that permanent pacemaker implantation could be carried out safely and effectively with low complication rate in a general hospital. Optimal pacing parameters could be achieved in the acute phase. Most patients still could not afford appropriate pacing devices due to limited financial support. Government insurance coverage for the poor should be encouraged to cover more people. FAU - Harun, Sjaharuddin AU - Harun S AD - Division of Cardiology, Department of Internal Medicine, University of Indonesia Medical School, Cipto Mangunkusumo General Hospital, Jakarta. FAU - Yamin, Muhammad AU - Yamin M LA - eng PT - Journal Article PL - Indonesia TA - Acta Med Indones JT - Acta medica Indonesiana JID - 7901042 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Cardiac Pacing, Artificial/adverse effects/*methods MH - Child MH - Child, Preschool MH - Female MH - Heart Block/*therapy MH - *Hospitals, General MH - Humans MH - Indonesia MH - Infant MH - Male MH - Middle Aged MH - Prospective Studies MH - Time Factors MH - *Treatment Outcome EDAT- 2007/02/14 09:00 MHDA- 2007/12/07 09:00 CRDT- 2007/02/14 09:00 PHST- 2007/02/14 09:00 [pubmed] PHST- 2007/12/07 09:00 [medline] PHST- 2007/02/14 09:00 [entrez] AID - 040579197 [pii] PST - ppublish SO - Acta Med Indones. 2007 Jan-Mar;39(1):19-21.