Incidence of Pocket Infection after Implantation of Permanent Pacemaker

  • Hameed Ullah Department of Cardiology, Khyber Girls Medical College, Peshawar
  • Nasir Ali Department of Cardiology, Khyber Girls Medical College, Peshawar
  • Talia Mansoor Department of Cardiology, Post Graduate Medical Institute, Peshawar
  • Romana Department of Cardiology, Post Graduate Medical Institute, Peshawar
  • Muhammad Idrees Khan Department of Cardiology, Hayatabad Medical Complex, Peshawar
  • Zahoor Ahmad Khan Department of Cardiology, Khyber Girls Medical College, Peshawar
Keywords: Infection, Pacemakers, Complications, ICD, Electrophysiology

Abstract

Objective: The research aimed to enhance clinical awareness and optimise preventive strategies in permanent pacemaker (PPM) implantation

Methodology: We followed the patient on 2nd and 4th weeks after implantation of PPM. A total of 500 patients were followed over a 1-year period of time. We defined pocket PPM infection as the presence of local oedema and redness or swelling with and without systemic signs of infection that required antibiotic therapy and/or device removal.

Results: The mean age of the patients was 55.4 ± 14.2 years, and 58% were male. The most common indications for PPM implantation were atrioventricular block (42%), sick sinus syndrome (32%), and atrial fibrillation with slow ventricular response (18%). The median follow-up time was 12 months. The overall incidence of PPM infection was 2.4% (12 cases).

Conclusion: PPM pocket infection is a rare but serious complication that occurs mainly within the 2 weeks after implantation. Diabetes mellitus, renal failure, and the use of temporary pacing wires are significant risk factors for PPM infection. Prevention strategies and close follow-up are essential to reduce the morbidity and mortality associated with this complication.

Published
2024-04-11
Section
Original Articles

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